The Effect of a Training Program on Oral Health and Behavior Change in Asthma Patients

Year 2016, Volume: 33 Issue: 4, 411 - 418, 01.07.2016

Feride Taşkın Yılmaz Sezgi Çınar Adnan Yılmaz Azime Karakoç Kumsar

Abstract

Background: Asthma is a chronic disease which is prevalent throughout the world. Physical problems such as deterioration in oral health, which may occur due to the triggering factors of asthma as well as the ineffective use of asthma medicine, seem to affect the daily lives of asthma patients. Therefore, it is important to protect oral health and promote positive behavior changes in asthma patients in order to achieve effective treatment and asthma control. Aims: The present study aimed to determine the effects of a training program provided for asthma patients on oral health, inhaler use skills, and behavior change. Study Design: Controlled experimental study. Methods: A total of 124 asthma patients were included in the study. Of the patients, 62 were assigned to the experimental group and the other 62 were assigned to the control group. Data were collected using the patient identification form, the oral assessment guide, the inhaler use skill form, and the evaluation form for behavior change over time. The experimental group received training provided by the researchers on the first meeting and one month later. Written and visual training material were used. Both groups were subject to a final evaluation which was conducted 4 months after their first meeting. Results: It was determined that the oral assessment guide scores (p<0.01) and inhaler use skills of the experimental group improved significantly after the training compared to the control group (p<0.01). In addition, it was observed that the number of patients in the experimental group who quit smoking (p<0.05), used their medicine (p<0.01) and brushed their teeth on a regular basis (p<0.01), and washed their mouth after inhaler use significantly increased in the experimental group after training compared to the control group (p<0.01). Conclusion: The study demonstrated that the training provided for asthma patients improved oral health and promoted inhaler use skills and was partially effective in promoting positive asthma-related behavior change.

Keywords

Asthma, behavior change, inhaler use skill, oral health, training

References

• 1. Kaufman G. Asthma: Pathophysiology, diagnosis and management. Nurs Stand 2011;26:48-56. [Crossref]
• 2. Global Surveillance, Prevention and Control of Chronic Respiratory Diseases, A Comprehensive Approach, World Health Organization. Switzerland: 20 Avenue Appia; 2007.
• 3. Turkey Precaution of Chronic Airway Disease (Asthma- COPD) and Control Program. Ankara: Sağlık Bakanlığı Temel Sağlık Hizmetleri Genel Müdürlüğü, Anıl Matbaacılık; 2009.
• 4. Global Initiative For Asthma (GINA), Global Strategy for Asthma Management and Prevention, Revised 2014.
• 5. Turkish Thoracic Society Asthma Diagnosis and Treatment Guidelines. In: Bayram H, Kılınç O, editors. İstanbul: Aves Yayincilik; 2014.
• 6. Joels C. Protocol for assessing inhaler technique in patients with asthma. Nurs Stand 2012;26:43-7. [Crossref]
• 7. Stensson M, Wendt LK, Koch G, Oldaeus G, Ramberg P, Birkhed D. Oral health in young adults with long-term, controlled asthma. Acta Odontol Scand 2011;69:158-64. [Crossref]
• 8. National Heart, Lung, and Blood Institute, National Asthma Education and Prevention Programme Expert Panel Report 3: Guidelines For the Diagnosis and Management of Asthma. NIH Publication; Full Report 2007.
• 9. DeRossi SS, Ciarrocca KN, Alawi F. Oral ulcerations in a patient with severe asthma. J Am Dent Assoc 2010;141:47-51. [Crossref]
• 10. Özcan E, Bulut İ, Berk S, Çanakçı CF. The effect of short and long term inhaler corticosteroid use on oral and periodontal health in asthmatic patients. Düzce Tıp Dergisi 2011;13:16-22.
• 11. Uzaslan EK, Özyardımcı N, Yüksel EG, Karadağ M, Ege E, Gözü RO, et al. Education of asthmatic patient; the experience of public asthma school. Tüberküloz ve Toraks Dergisi 2000;48:187-95.
• 12. Can G. Mucositis. In: Can G, editör. Evidence-Based Symptom Management on Nursing Oncology. İstanbul: 3P-Pharma Publication Planning; 2007. p.86-7.
• 13. Taylor DR, Bateman ED, Boulet LP, Boushey HA, Buse WW, Casale TB, et al. A new perspective on concepts of asthma severity and control. Eur Respir J 2008;32:545-54. [Crossref]
• 14. Reducing Environmental Triggers of Asthma in Homes of Minnesota Children. Minnesota Department of Health. St. Paul, MN. September 2007.
• 15. Basheti IA, Armour CL, Bosnic-Anticevigh SZ, Reddel HK. Evaluation of a novel educational strategy, including inhalerbased reminder labels, to improve asthma inhaler technique. Patient Educ Couns 2008;72:26-33. [Crossref]
• 16. Choi JY, Chung HIC. Effect of an individualized education programme on asthma control, inhaler use skill, asthma knowledge and health-related quality of life among poorly compliant Korean adult patients with asthma. J Clin Nurs 2010;20:119-26. [Crossref]