ВЛИЯНИЕ НЕКОНВЕНЦИОННЫХ ФАКТОРОВ НА ПРИВЕРЖЕННОСТЬ ЛЕЧЕНИЮ, УРОВЕНЬ КОНТРОЛЯ И КАЧЕСТВО ЖИЗНИ ПРИ БРОНХИАЛЬНОЙ АСТМЕ У ДЕТЕЙ

S.A. Cherepanova; V.V. Meshcheryakov

doi:10.54890/.v5i5.1260

S.A. Cherepanova V.V. Meshcheryakov

DOI:

https://doi.org/10.54890/.v5i5.1260

Abstract

The aim is to determine the impact of non-conventional factors on adherence to therapy, the level of control of bronchial asthma in children and their quality of life. Materials and methods. The study included 147 children aged 13-17 with asthma and their mothers. The Russian- language versions of the questionnaires on situational and personal anxiety, quality of life, the level of disease control and adherence to it, the author's questionnaire on the level of knowledge about asthma were used. Results. Adherence to treatment, its effectiveness and quality of life depend on the level of anxiety and knowledge about bronchial asthma of the patient and his mother. A high level of personal, situational anxiety and insufficient knowledge of the child and his mother about bronchial asthma determine the low level of their adherence to basic treatment. This negatively affects the level of control over the disease and the quality of life of a sick child. A negative impact on the level of smoking control in the family and unfavorable living conditions has been established. Passive smoking and poor living conditions - the absence of a separate room for a sick child, uncomfortable housing, allergenic life, determine the low level of control over bronchial asthma.

Keywords:

bronchial asthma, anxiety, adherence to treatment, disease control, quality of life, social factors.

References

1. Global initiative for asthma. 2022 GINA Report, Global Strategy for Asthma Management and Prevention [Internet]. 2022 update. Available from: https://ginasthma.org/gina-reports/

2. Гребень Н.Ф. Психологические тесты для профессионалов. Минск: Современная школа; 2007. 496 с. [Greben' NF. Psikhologicheskiye testy dlya professionalov. Minsk: Sovremennaya shkola; 2007. 496 s. (In Russ.)].

3. Varni JW, Burwinkle TM, Seid M, Skarr D. The PedsQL™ 4.0 as a pediatric population health measure: Feasibility, reliability, and validity. Ambul. Pediatrics. 2003;3(6):329–341. https://doi.org/ 10.1367/15394409(2003)003<0329:tpaapp> 2.0.co;2

4. Koolen BB, Pijnenburg MWH, Brackel HJL, Landstra AM, van den Berg NJ, Merkus PJFM, ET AL. Comparing Global Initiative for Asthma (GINA) Criteria with the Childhood Asthma Control Test (C-ACT) and Asthma Control Test (ACT). Eur Respir J. 2011;38(3):561-566. https://doi.org/10.1183/09031936.00173710

5. Morisky DE, Ang A, Krousel-Wood M, Ward Harry J. Predictive validity of a medication adherence measure in an outpatient setting. J. Clin Hypertens (Greenwich). 2008;10(5):348-354. https://doi.org/10.1111/j.1751-7176.2008.07572.x