Medication Adherence in Asthmatic Children at an Outpatient Department of Hospital in Deyang:A Cross-Sectional Survey
Objective To provide a reference for optimizing the management of pediatric asthma in outpatient department.Methods A cross-sectional study was adopted.Ninety-one asthmatic children admitted to the outpatient department of pediatric asthma management in hospital from October 2021 to March 2022 were selected.An online questionnaire survey was conducted among the parents of the children from the children′s general data,medication information of asthma,awareness of asthma,medication adherence evaluation by the Morisky Medication Adherence Scale-8(MMAS-8),and demand for asthma management service in outpatient department.The influencing factors of medication adherence in children were analyzed.Results A total of 91 effective questionnaires were collected,with an effective rate of 100%.Most of the children were male(57 cases,62.64%),with the majority aged four to twelve years(67 cases,73.63%)and residing in cities(58 cases,63.74%).The allergic history(or history of allergic diseases)of the children and their parents was mostly allergic rhinitis(54 cases,59.34%;45 cases,49.45%).The duration of treatment,medication in use and frequency of medication for the children was mostly≤half a year(42 cases,46.15%),Fluticasone Propionate Aerosol(78 cases,85.71%),twice a day(56 cases,61.54%)respectively.Parents of children had a good knowledge of asthma as a chronic disease(knowledge rate>90%),but not enough knowledge of the measures to deal with its acute attacks(knowledge rate<60%).There were 45 cases(49.45%)and 46 cases(50.55%)with good(score of six to eight points)and poor(score<six points)medication adherence,respectively.The univariate analysis of objective influencing factors showed that the place of residence(χ2=9.504,P<0.01)and monthly family income(χ2=10.017,P<0.01)were the main factors affecting medication adherence in asthmatic children.The most common subjective influencing factor was that the parents thought there was no need for the children to take medicine or occasionally forget to help the children with medication(27 cases,29.67%).The most common reason for irregular follow-up was that the pecialized registration for pediatric asthma was difficult(65 cases,71.43%).The family members of the children had the strongest demand for the popular science education on asthma(67 cases,73.63%).Conclusion The medication adherence of asthmatic children in this hospital is generally poor,an effective,long-term and collaborative management mode is needed urgently.A new disease management mode based on the collaboration among physicians,pharmacists and nurses may improve the current problem.
Deyangoutpatient department in hospitalasthmachildmedication adherencecross-sectional surveydisease management
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