Determination of factors affecting the quality of life in children with asthma

Abstract

Objectives: This study has been conducted in order to determine the factors affecting the quality of life in children with asthma.

Methods: The study sample consisted of 103 children (aged 7-16). Data has been collected using socio-demographic questionnaire and Pediatric Asthma Quality of Life Questionnaire (PAQLQ) through face to face interviews.

Results: Seventy-eight point six percent of the children’s daily activities were affected due to asthma. Evaluating the sub-groups mean scores of the life quality of the children; the highest mean score was in the symptoms group. The activity limitation sub-group mean score was significantly decreased with the increase of the number of people living in the house and other siblings having asthma too. The symptom sub-groups mean scores of the children that are exposed to smoke and psychological factors and which state that their daily activities are being affected was lower. The emotional function sub-groups mean score of the children that are exposed to psychological factors was significantly decreased. The scale total mean score of the children with sensitivity to cockroach and psychological factor stimulant was lower (p < 0.05).

Conclusions: It's been suggested that the stimulants which trigger the symptoms, asthma disease, accurate and effective medication treatment and self-care should be taught to the child and the family; home care continuity should be ensured and arranging the environment to reduce the child's connection with the allergens that could trigger the asthma attack is necessary.

Keywords

• Asthma,children,quality of life,risk factors,nursing

References

1. 1. Global Strategy for Asthma Management and Prevention Global Initiative for Asthma (GINA). 2016.
2. 2. Barners PJ. Asthma. In: Loscalzo J, ed., Harrison’s Pulmonary and Critical Care Medicine. New York: The McGraw-Hill Companies, Inc., 2010: pp.60-78.
3. 3. Durualp E, Kara FN, Yılmaz V, Alaybeyoğlu K. [Comparison of life qualities according to the views of children and parents with and without chronic disease]. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2010;63:55-63. [Article in Turkish]
4. 4. Özkaya E, Sancar Ö, Dündaröz MR. [The effect of risk factors on quality of life in childhood asthma]. Bezmialem Science 2014;1:52-7. [Article in Turkish]
5. 5. Sandberg S, Paton JY. Ahola S, McCann DC, McGuinness D, Hillary CR, et al. The role of acute and chronic stress in asthma attacks in children. Lancet 2000;356:982-7.
6. 6. Demirci E, Güler N. Astımlı çocuklarda yaşam kalitesi ve etkileyen bazı faktörler. T.C. Cumhuriyet Üniversitesi Sağlık Bilimleri Enstitüsü. Yüksek lisans tezi (Thesis). 2011.
7. 7. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in the parents of children with asthma. Qual Life Res 1996;5:27-34.
8. 8. Göker Z, Aktepe E, Kandil S. [Self-esteem and quality of life in children and adolescents with attention deficit hyperactivity disorder]. Yeni Symposium 2011;49:209-16. [Article in Turkish]

9. 9. Gümüş S, Kelekçi S, Yolbaşı İ, Gürkan F. [Assesment of quality of life in children with asthma]. J Clin Anal Med 2012;3:178-81. [Article in Turkish]
10. 10. Eiser C, Morse R. Quality-of-life measures in chronic diseases of childhood. Health Technol Assess 2001;5:1-157.
11. 11. Ergin D, Yüksel H, Şen N, Eser Ö, Özmen D. Astımlı çocuklar ile sağlıklı çocukların ve ailelerinin yaşam kalitesinin karşılaştırılması ve yaşam kalitesini etkileyen faktörlerin incelenmesi. 2. Sağlıkta Yaşam Kalitesi Sempozyumu. Manisa, Turkey, 2007; page 75.
12. 12. Ekici B, Cimete G. Effects of an asthma training and monitoring program on children’s disease management and quality of life. Turk Thorac J 2015;16:158-65.
13. 13. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res 1996;5:35-46.
14. 14. Yüksel H, Yilmaz O, Kirmaz C, Eser E. Validity and reliability of theTurkish translation of the Pediatric Asthma Quality of Life Questionnaire. Turk J Pediatr 2009;51:154-60.
15. 15. Bozkurt G, Yıldız S. [ The effect of education given to the school children with asthma about management of the disease, on their quality of life]. İstanbul Üniversitesi F.N.H.Y.O. Dergisi 2004;13:101-13. [Article in Turkish]
16. 16. Boran P, Tokuç G, Pişgin B, Oktem S. Assessment of quality of life in asthmatic Turkish children. Turk J Pediatr 2008;50:18-22.
17. 17. Nogueira KT, Silva JR, Lopes CS. Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and life style. J Pediatr 2009;85:523-30.
18. 18. Morkjaroenpong V, Rand CS, Butz AM, Huss K, Eggleston P, Malveaux FJ, et al. Environmental tobacco smoke exposure and nocturnal symptoms among inner-city children with asthma. J Allergy Clin Immunol 2002;110:147-53.
19. 19. Taminskiene V, Mukhopadhyay S, Palmer C, Mehta A, Ayres J, Valiulis A, et al. Factors associated with quality of life in children with asthma living in Scotland. Pediatr Pulmonol 2016;51:484-90.
20. 20. Finkelstein JA, Fuhlbrigge A, Lozano P, Grant EN, Shulruff R, Arduino KE, et al. Parent-reported environmental exposures and environmental control measures for children with asthma. Arch Pediatr Adolesc Med 2002;156:258-64.
21. 21. Gilliland FD, Berhane K, McConnell R, Gauderman WJ, Vora H, Rappaport EB, et al. Maternal smoking during pregnancy, environmental tobacco smoke exposure and childhood lung function. Thorax 2000;55:271-6.
22. 22. Karadağ B, Karakoç F, Kut A, Bakaç S, Dağlı E. [The effects of education on parental smoking behaviour of asthmatic children]. Bağımlılık Dergisi 2001;2:64-7. [Article in Turkish]
23. 23. Kurt E, Metintas S, Basyigit I, Bulut I, Coskun E, Dabak S, et al. Prevalence and Risk Factors of Allergies in Turkey (PARFAIT): results of a multicentre cross-sectional study in adults. Eur Respir J 2009;33:724-33.
24. 24. Murray AB, Morrison BJ. The effect of cigarette smoke from the mother on bronchial responsiveness and severity of symptoms in children with asthma. J Allergy Clin Immunol 1986;77:575-81.
25. 25. Horner CC, Dula C, Garbutt JM, Gonzalez C, Deych E, et al. Daily global stress is associated with nocturnal asthma awakenings in school-age children. J Allergy Clin Immunol 2016;138:1196-9.e3.
26. 26. Üzel A, Çapan N, Canbakan S, Yurdakul AS, Dursun B. Evaluation of the relationship between cockroach sensitivity and house-dust-mite sensitivity in Turkish asthmatic patients. Respir Med 2005;99:1032-7.
27. 27. Tamay Z, Akçay A, Ones U, Guler N, Kılıç G, Zencir M. Prevalence and risk factors for allergic rhinitis in primary school children. Int J Pediatr Otorhinolaryngol 2007;71:463-71.
28. 28. Cevizci S, Erginöz E, Baltaş Z. [A new assisted therapy concept for improving of mental health - animal assisted therapy]. Nobel Med 2009;5:4-9. [Article in Turkish]
29. 29. Reichenberg K, Broberg AG. Quality of life in childhood asthma: use of the Paediatric Asthma Quality of Life Questionnaire in a Swedish sample of children 7 to 9 years old. Acta Paediatr 2000;89:989-95.