Treatment Outcomes of Asthmatic Children before and after attended at Easy Asthma Clinic, Phetchabun Hospital 2015

Authors

  • อรวรรณ จิรชาญชัย โรงพยาบาลสุราษฎร์ธานี

Keywords:

Easy Asthma Clinic, Effectiveness

Abstract

              The objective of this retrospective descriptive research was to compare the treatment outcomes of asthmatic children before and after attened at Easy Asthma Clinic in Phetchabun Hospital. The results of treatment were hospitalization rate, emergency admission rate,total control and PEFR>80%.The
population were the patients 1-14 years old among 108 patients who attended at Easy Asthma Clinicfrom 1January-31 December 2015.The data were collected from Out Patient Department cards and Easy Asthma Clinic cards. Descriptive statistics were described as percentage,mean and standard deviation. An Inferentialstatistics were also performed using Chi square,Fisher Exact test and McNemartest.
              Thetotal control wasstatistical significantly increased from 6.48% to35.1%(p<0.001).The emergency admission rate and hospitalization rate were statisticalsignificantly decreased from 35.1% to 11.1% and 38.8% to 13.8% respectively(p<0.001).The predicted Peak Expiratory Flow rate >80% was statistical sign ificantly increased from 10.5% to 36.84%(p<0.001).
              The suggestion from this study was the favorable outcomes of Easy Asthma Clinic in Phetchabun Hospital,which could improve the asthmatic treatment outcomes and quality of life of asthmatic patients. We should apply Easy Asthma Clinic in all hospitals.

References

1. BoonsawatW,charoenphanP. KaitboonsriS. Prevalence of asthma symptoms in adult 4 cities of Thailand.Joint scientific meeting the thoracic society of Thailand,the Malaysia Thoracic Society and the Singapore Thoracic society. Bangkok,Thailand;2002:112.

2. WoolcockA,RubinfeldAR,SealeJP,LandauLL,Anti cR,MitchellC,etal.Thoracic society of Australia and New Zealand.Asthma management plan,1989. Med J Aust 1989;151:650-3.

3. TeeratakulpisarnJ,PairojkulS,HengS.Survey of the prevalence of asthma,allergic rhinitis and eczema in school children from KhonKaen,Northeast Thailand.(An ISAAC study International study of asthma and allergies in children).Asian Pac J Allergy Immunol 2000;18:187-94.

4. Vichyanond P, Jirapongsananuruk O, Visitsuntorn N, Tuchinda M. Prevalence of asthma,rhinitis and eczema in children from the Bangkok area using the ISAAC(International Study for Asthma and Allergy in Children)questionnaires.J med Assoc Thai.1998;81:175-84.

5. ReichenbergK,BrobergAG.Emotional and behavioural problems in Swedish 7-to-9-year olds with asthma .ChornRespir Dis.2004;1:183-9.

6. Osman LM,Baxter-Jones AD,Helms PJ; EASE Study Group.Parents'quality of life and respiratory symptoms in young children with mild wheeze. EASE Study Group.EurRespir J.2001;17:254-8

7. ReichenbergK,BrobergAG.Quality of life in childhood asthma:use of the PaediatricAsthma. Quality of life Questionnaire in a Swedish sample of children 7 to 9 years.Acta Pediatr.2000;89:989-95.

8. HaltermanJS,YoosHL,ConnKM,CallahanPM,Mont esG, NeelyTL, et al.The impact of childhood asthma on parental quality of life, J Asthma 2004;41:645-53.

9. วัชรา บุญสวัสดิ์ .คลินิกโรคหืดแบบง่าย (Easy Asthma Clinic).5th BGH Annual academic meeting;from the basic to the top in medicine.กรุงเทพฯ ห้างหุ้น
ส่วนจำกัด ส.รุ่งทิพย์ ออฟเซต2548:83-7.

10. Godfrey S,Kamburoff PL,Naim JL.Spirometry,lung volumes and airway resistance in normal children age 5 to 18.Br J Dis Chest 1970;1:15-24

11. สินีนาฏ คนธรรพ์,ทำนบตัณนิติศุภวงษ์.การเกิดภาวะหอบหืดรุนแรงเฉียบพลันในผู้ป่วยเด็กโรงพยาบาลพุทธชินราชพิษณุโลก พ.ศ.2548ถึงพ.ศ.2554.วารสารกุมารเวชศาสตร์2555;3:217-21

12. สุวัฒน์ เบญจพลพิทักษ์.ผลลัพธ์ทางคลินิกทางคุณภาพชีวิตและทางเศรษฐศาสตร์ของการดูแลระยะยาวในผู้ป่วยเด็กโรคหืดของประเทศไทย.กรุงเทพฯ .สำนักงานคณะกรรมการวิจัยแห่งชาติ;2555.

13. AgertoftL,PedersenS.Effects of long-term treatment with an inhaled corticosteroids on growth and pulmonary function in asthmatic children Respir Med 1994;88:373-81

14. DrazenJM,IsraelE,and O'Byrne PM.Treatment of asthma with drugs modifying the leukotriene pathway. NEJM 1999;340:197-206

15. James P Guevara,Fredric M Wolf,Cyril M Grum,Noreen M Clark.Effects of educational interventions for self management of asthma in children adolescents:systemic review and meta-analysis.BMJ 2003:6:1-6

16. Cote'J, CartierA, RobichaudP,BoutinH,MaloJL, RouleauM, et al. Influence of asthma education on asthma severity,quality of life and environmental
control.CanRespir J.2000;7:395-400

17. Mayo,P.H., J.Richman."Results of a program to reduce admission for adult asthma(see comments)"Annals of Internal Medicine 1990;112(11):864-71

18. พรเพ็ญ มนตรีศรีตระกูล. ผลการรักษาโรคหืดในเด็กโดยใช้ระบบคลินิกโรคหืดอย่างง่ายโรงพยาบาลสมเด็จพระยุพราชเดชอุดม.วารสารโรงพยาบาลสกลนคร 2551;11:11-9

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Published

2017-04-03

How to Cite

จิรชาญชัย อ. (2017). Treatment Outcomes of Asthmatic Children before and after attended at Easy Asthma Clinic, Phetchabun Hospital 2015. Region 11 Medical Journal, 31(2), 279–285. Retrieved from https://he02.tci-thaijo.org/index.php/Reg11MedJ/article/view/170129

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