ADOPA
Publicado: 12/19/2023
DOI: https://doi.org/10.58994/adopa.v1i3.22
Adherencia al tratamiento de pacientes asmáticos y con crisis de sibilancias recurrentes asiduos al servicio de emergencia
Cómo citar
Resumen
Introduction: The prevalence of childhood asthma has increased significantly in the last four decades. A family history of atopic disease is associated with a greater likelihood of developing asthma, and environmental triggers and their control are determined by good adherence to treatment.
Material and methods: An observational, descriptive and prospective study was carried out with the purpose of determining the factors linked to compliance with the treatment of recurrent asthmatic patients in the Emergency Room of the San Lorenzo Maternal and Child Hospital December 2015 - January 2016.
Results: From a total of 1,221 asthmatic patients or patients with recurrent wheezing attacks treated in the Emergency Department, 59 (4.8%) visited two or more times a week. An inter- view was used with parents and/or guardians, based on the adapted Morisky-Green test. It was observed that in 84.7% of the patients with recurrent visits to the Emergency room, their guardians did not comply with the prescribed therapy; only 15.3% were compliant. The highest frequency was male, both for compliant and non-compliant guardians, 55.6% and 62%, respectively. The most frequent age range was between 5-8 years (44.4%) among the children of guardians who complied with the treatments. And the predominant age in asth- matic patients whose parents did not comply with treatment was between 3-4 years (38%) with 19 patients. The difficulties observed in following treatments among guardians who were compliant or adherent to the therapeutic regimen of asthmatic children was the high cost of medications (88.9%). Followed by confusion in the indications (11.1%). In the group of guardians who did not comply with treatments, the main difficulty was the high cost of medications (44%).
Conclusions: Given the results of the research, and the failure to obtain a high level of adhe- rence, monitoring, training, and coaching strategies on the home management of asthmatic patients should be included.
Abstract
Introduction: The prevalence of childhood asthma has increased significantly in the last four decades. A family history of atopic disease is associated with a greater likelihood of developing asthma, and environmental triggers and their control are determined by good adherence to treatment.
Material and methods: An observational, descriptive and prospective study was carried out with the purpose of determining the factors linked to compliance with the treatment of recurrent asthmatic patients in the Emergency Room of the San Lorenzo Maternal and Child Hospital December 2015 - January 2016.
Results: From a total of 1,221 asthmatic patients or patients with recurrent wheezing attacks treated in the Emergency Department, 59 (4.8%) visited two or more times a week. An inter- view was used with parents and/or guardians, based on the adapted Morisky-Green test. It was observed that in 84.7% of the patients with recurrent visits to the Emergency room, their guardians did not comply with the prescribed therapy; only 15.3% were compliant. The highest frequency was male, both for compliant and non-compliant guardians, 55.6% and 62%, respectively. The most frequent age range was between 5-8 years (44.4%) among the children of guardians who complied with the treatments. And the predominant age in asth- matic patients whose parents did not comply with treatment was between 3-4 years (38%) with 19 patients. The difficulties observed in following treatments among guardians who were compliant or adherent to the therapeutic regimen of asthmatic children was the high cost of medications (88.9%). Followed by confusion in the indications (11.1%). In the group of guardians who did not comply with treatments, the main difficulty was the high cost of medications (44%).
Conclusions: Given the results of the research, and the failure to obtain a high level of adhe- rence, monitoring, training, and coaching strategies on the home management of asthmatic patients should be included.
Palabras Claves
Keywords
Referencias
López-Herce CJ y cols. Manual de Cuidados Intensivos Pediátricos. 3ra Ed. Madrid: Publimed; 2009. Pp. 123-134.
Morales Blanes S. Falta el aire a 2 de cada 10 Boricuas. [Internet]. Ciencia Puerto Rico. 2007 [Accesado febrero 16, 2016] Disponible en: www.cienciapr.org/es/external-news/falta-el-aire-2-de-cada-10-boricuas?language=es
Rodríguez Suárez RS y cols. Urgencias en Pediatría. 5ta Ed. México: McGraw-Hill Interamericana; 2008. Pp. 916-920.
Rodríguez-Marín J. Efectos de la interacción entre el profesional sanitario y el paciente. Satisfacción del paciente. Cumplimiento de las prescripciones terapéuticas. En J Rodríguez-Marín (Ed.). Psicología Social de la salud. Madrid: Síntesis; 1995. Pp. 151160.
Yawn BP, Rank MA, Cabana MD, Wollan PC, Juhn YJ.Adherence to Asthma Guidelines in Children, Tweens, and Adults in Primary Care Settings: A Practice-Based Network Assessment. Mayo Clin Proc. 2016;91(4):411-21.
Engelkes M, Janssens HM, de Jongste JC, Sturkenboom MC, Verhamme KM. Prescription patterns, adherence and characteristics of non-adherence in children with asthma in primary care. Pediatr Allergy Immunol. 2016;27(2):201-8. https://pubmed.ncbi.nlm.nih.gov/26928754/
Park GM, Han HW, Kim HS, Kim JY, Lee E, Cho HJ, Yang SI, Jung YH, Hong SJ, Kim HY, Seo JH, Yu J. High degree of supervision improves adherence to inhaled corticosteroids in children with asthma. Korean J Pediatr. 2015;58(12):472-7. https://pubmed.ncbi.nlm.nih.gov/26770222/
Henríquez MT. Ceruti E. Educación en niños asmáticos controlados en hospital Roberto del Río. Impacto en conocimientos, adherencia y control de la enfermedad. Rev. chil. enferm. respir. 2013;29(2):70-4.http://www.scielo.cl/pdf/rcher/v29n2/art02.pdf
Ciepiela O, Ostafin M, Demkow U. Neutrophils in asthma--a review. Respir Physiol Neurobiol. 2015;209:13-6. doi: 10.1016/j.resp.2014.12.004.
Ben AJ, Neumann CR, Mengue SS. The Brief Medication Questionnaire and Morisky-Green test to evaluate medication adherence. Rev Saude Publica. 2012 Apr;46(2):279-89. doi: 10.1590/s0034-89102012005000013.
Acosta M. Canasta Familiar RD. Periódico Archivo/Hoy. Julio del 2014. https://issuu.com/hoyrd/docs/hoy_2a722434d1a18b
Trojanowska A, Emeryk A, Zarzycka D. Adherence to therapy regimen by children with asthma and their parents. Postepy Dermatol Alergol. 2022;39(2):258-64. doi: 10.5114/ada.2022.115886.
Basharat S, Jabeen U, Zeeshan F, Bano I, Bari A, Rathore AW. Adherence to asthma treatment and their association with asthma control in children. J Pak Med Assoc. 2018;68(5):725-8. PMID: 29885170.
Brower AF, Brand PL. Asthma Education and Monitoring: What Has Been Shown to Work. Paediatr Respir Rev. 2008;9(3):193-9. https://pubmed.ncbi.nlm.nih.gov/18694711/
Liu C, Feekery C. Can Asthma Education Improve Clinical Outcomes? An Evaluation Of A Pediatric Asthma Education Program. J Asthma. 2001;38:269-78 https://pubmed.ncbi.nlm.nih.gov/11392367/
Licencia
