The Science Journal of the American Association for Respiratory Care

2010 OPEN FORUM Abstracts


Sanjiv Nanda; Pediatrics, Postgraduate Institute of Medical Scienes, Rohtak, India

Objectives: To assess the parental knowledge, attitude and practices employed regarding childhood bronchial asthma Material and Methods: Parents of 250 patients who fulfilled the clinical diagnosis of childhood asthma and coming for consultations in a hospital in India, were considered for the study. The period of study was one year [2009]. The parents were interviewed as per the pre-structured questionnaire, which included knowledge of its natural history, etiology and treatment modalities. Results: Among 250 patients, 128 belonged to urban areas. Male: female ratio was 1.5:1. Age ranged from 2 to 14 years. Duration of illness ranged from 1-8 years. Whereas 32% considered it to be hereditary, 26% thought it as contagious. Chief sources of asthma related knowledge were doctors (35%), friends / relatives (20%), magazines / newspaper (18%) and electronic media (12%). 15% had no knowledge at all.Though 34% parents considered it as stigma, 23% were hesitant in labelling their childÂ’s diagnosis as asthma. The knowledge of precipitating agents causing bronchial asthma was known to 37% parents. Exposure to cold, foods (rice, curd, banana, grapes, cold drink etc), pets, insects, perfumes, dust, smoke, stress and exercise were the common precipitating factors. The knowledge of timely treatment that will help to control the acute exacerbation of asthma and prevent its complications was known to about 53% parents. Only 31% parents had positive attitude towards inhaled rescue medications and believed it as the best treatment modality. Environmental control measures for allergen avoidance were being practised by 56% parents. There was no delay in seeking treatment during an acute exacerbation (55% within 6 hours, 36% within 24 hours and rest within 36 hours). Other systems of medicine (homeopathy, ayurveda, naturopathy etc) were consulted by 35% parents. Conclusions: There is poor knowledge, moderately positive attitude and several incorrect practices regarding various aspects of childhood bronchial asthma. There is need to educate parents regarding the precipitating factors and motivate for judicious use of inhaled medications Sponsored Research - None