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العنوان
Health Education Program to Alleviate Anxiety and Depression Symptoms in Asthmatic Children /
المؤلف
Wassif, Germeen Wissa.
هيئة الاعداد
باحث / Germeen Wissa Wassif
مشرف / Howayda Hosny El Gebaly
مشرف / Samia Samy Aziz
مناقش / Samia Samy Aziz
تاريخ النشر
2017.
عدد الصفحات
167 P. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الطب (متفرقات)
تاريخ الإجازة
1/1/2017
مكان الإجازة
جامعة عين شمس - معهد الطفولة - قسم الدراسات الطبية
الفهرس
Only 14 pages are availabe for public view

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from 167

Abstract

Asthma is the most common pediatric chronic disease. It affects an estimated 235 million individuals worldwide. Asthma is a public health problem for all countries regardless of level of development. It is under- diagnosed and under-treated, creating a substantial burden to individuals and families and possibly restricting their activities for a lifetime. Poorly treated asthma can lead to school absence, hospitalization and death (WHO, 2017a).
According to Global Initiative for Asthma (GINA, 2016) asthma is a heterogeneous disease, usually characterized by chronic airway inflammation. It is defined by the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and/or cough that vary over time and in intensity, with variable expiratory airflow limitation.
Recent studies have been proposed that children with bronchial asthma had an increased risk of psychological comorbidity with anxiety and depression. Accordingly, they might not seek help for asthma, take prescribed medication or follow their asthma action plan leading to additive functional impairment, increased asthma burden, and increased hospitalizations (Tedner et al., 2016, Sami et al., 2016 and AA, 2015).
The aim of the present study was to assess the correlation between anxiety and/or depression symptoms and asthma in children and to alleviate these symptoms through changing children and their parents’ knowledge, attitudes and practices by the health educational program.
This study was conducted on asthmatic children who attended the pediatric department of El-Abassia Chest Hospital in Cairo, in the period from 1st January 2015 to the end of December 2015 who fulfilled the inclusion criteria. The pool of asthmatic children attending the hospital was 950 children from which 100 children were involved in the study, 59 were DROP outs; and only 41 children completed the sessions of the health awareness and educational program.
These children were subjected to full history taking and thorough clinical examination with assessments of patient asthma severity and control according to GINA classification guidelines. Assessments of symptoms of depression were based on 8 items questionnaire of Middlesex Hospital and assessments of symptoms of anxiety were based on 20 items questionnaire of Child Anxiety Scale.
An intervention health awareness and educational program composed of (6-8) sessions was designed and implicated to asthmatic children and their parents to enhance the health and general condition of the children suffering from bronchial asthma.
All results were statistically analyzed and compared with each other:
• Full demographic and socioeconomic data were obtained and analyzed.
• The results of M.H.Q of depression showed high frequency of depression symptoms in asthmatic children.
• The results of depression symptoms showed a highly statistically significant correlation with the severity, control and duration of bronchial asthma.
• Moreover the depression symptoms had highly statistically significant relationship with the type of bronchial asthma treatment.
• Also, Results of the C.A.S. questionnaire of anxiety showed high frequency of anxiety symptoms in asthmatic children.
• The results of anxiety symptoms showed a highly statistically significant correlation with the severity and duration of bronchial asthma
• Furthermore, the anxiety symptoms had statistically significant relationship with asthma control and the type of bronchial asthma treatment.
• The results of applied educational program were obtained and analyzed denoting highly statistically significant difference between bronchial asthma severity and control before and after the program.
• Also the study results showed a high statistical significant difference between depression and anxiety symptoms before and after the educational program.
Asthma is a chronic disease with recurrent findings that can influence social, physical and psychological status of the patient. Both the nature of disease and/or the medications used in treatment might increase the frequency of depression and anxiety symptoms in children.
We must bear in mind that anxiety and depression cause deterioration in social relationships and quality of life, and also correlates with subjective dyspnea levels and disease progression. Therefore, early detection of depression and/or anxiety in children with asthma is of great importance.
Finally, educational program to asthmatic children and their parents improve level of asthma control, reduces anxiety and depression symptoms, decreases number of asthma attacks, hospitalizations and the emergency department visits.