Analysis of current status and influencing factors of asthma control in children
Objective To explore the current status and influencing factors of asthma control in children.Methods A total of 158 children with asthma were selected as the study subjects,and the children were categorized into the fully controlled group[asthma control test(ACT)score>19 points,107 cases)and the poorly controlled group(ACT score≤19 points,51 cases)according to different ACT score.A self-administered clinical data questionnaire was used to survey the children and their guardians(gender,age,duration of disease,obesity status,primary caregiver,smoking by guardians,disease severity,adherence to inhaled glucocorticosteroid therapy,health education,physical activity,dietary support,regular follow-up,and comorbid allergic rhinitis)to analyze the influencing factors affecting the outcome of asthma control.Results In the poorly controlled group,the percentages of children aged 4-6 years,smoking guardian,moderate disease severity,non-compliance with inhaled glucocorticosteroid therapy,no health education,no physical exercise,no dietary support,no regular follow-up,and comorbid allergic rhinitis were 47.06%(24/51),33.33%(17/51),74.51%(38/51),56.86%(29/51),58.82%(30/51),50.98%(26/51),43.14%(22/51),39.22%(20/51),and 60.78%(31/51);in the fully controlled group,they were 23.36%(25/107),14.95%(16/107),55.14%(59/107),22.43%(24/107),20.56%(22/107),24.30%(26/107),15.89%(17/107),9.35%(10/107),and 41.12%(44/107);there was a difference between the two groups(χ2=9.063,7.061,5.467,18.369,22.901,11.136,13.795,20.033,5.355;P<0.05).Multivariate Logistic regression analysis showed that young age[OR=1.343,95%CI=(1.025,1.835)],smoking guardian[OR=1.294,95%CI=(1.012,1.903)],high severty of disease[OR=1.373,95%CI=(1.029,1.876)],no adherence to inhaled glucocorticosteroid therapy[OR=1.402,95%CI=(1.101,1.932)],no health education[OR=1.334,95%CI=(1.022,1.927)],no physical activity[OR=1.408,95%CI=(1.106,1.886)],no dietary support[OR=1.361,95%CI=(1.029,1.871)],no regular follow-up[OR=1.365,95%CI=(1.031,1.799)],and comorbid allergic rhinitis[OR=1.320,95%CI=(1.025,1.835)]were the independent risk factors for poor asthma control(P<0.05).Conclusion The effect of asthma control in children is still poor,and the factors that lead to poor asthma control are complex.It is necessary to focus on the influencing factors,such as physical exercise,health education,dietary support,regular follow-up,and active treatment of allergic rhinitis,in order to improve the control of childhood asthma.
万方数据
维普
