Health behaviors and risk factors management of the non-pharmacological treatment among asthmatic patients in Health Region 4, Thailand

Authors

  • Ketsarin Yotmon Faculty of Nursing Thammasat University, Khlong Luang District, Pathum Thani 12120, Thailand
  • Borwarnluck Thongthawee Faculty of Nursing, Thammasat University, Khlong Luang District, Pathum Thani 12120, Thailand
  • Orapan Poachanukoon Faculty of Medicine, Thammasat University, Khlong Luang District, Pathum Thani 12120, Thailand

Keywords:

health behaviors, risk factors management, non-pharmacological treatment, asthma patients

Abstract

This descriptive research aimed to examine health behaviors and risk factors management of the non-pharmacological treatment among asthmatic patients. The participants comprised 319 asthma patients, who were ≥ 18 years of age.  They had come to be examined at the asthma clinic or outpatient department of 9 secondary care, 2 tertiary care and 1 super tertiary care in Health Region 4 in Thailand. The data were collected from August 2020 to October 2021. The research instruments were composed of 1) a demographic data form; 2) risk factors management and behavior affecting asthma control assessment and 3) the State-Trait Anxiety Inventory (STAI) form. The data were analyzed using descriptive statistics including frequency, percentage, mean and standard deviation.

The result revealed that health behaviors and risk factors management of the non-pharmacological treatment among asthmatic patients were at moderate levels (mean=146.20, SD=14.82). For each dimension, the environmental dimension means scores were at a high level (mean=46.63, SD=6.94). The emotional anxiety dimension means scores were at a low level (mean=31.14, SD=6.23). The eating dimension was at a moderate level (mean=14.62, SD=2.54). The exercise dimension was at a moderate level (mean=19.08, SD=7.17).

The result of this study can be used as basic information for developing an asthma care program that encourages asthmatic patients to manage risk factors and behavior modification in all 4 dimensions leads to success in asthma control.

References

World Health Organization. Asthma [homepage on the internet]. WHO: Geneva; 2023 [cited 2023 May 10]. Available from: https://www.who.int/newsroom/fact-sheets/detail/asthma/.

Siripanumas C, Taweewigyakarn P, editors. Asthma. Nonthaburi: Division of Epidemiology. Department of Disease Control. Ministry of Public Health; 2020. (in Thai).

Ministry of Public Health. Strategy and planning division. Public Health Statistic A.D.2021. Nonthaburi: Strategy and planning division. Ministry of Public Health; 2022. (in Thai).

Boonsawat W, Thompson PJ, Zaeoui U, Samosorn C, Acar G, Farugi R, et al. Survey of asthma management in Thailand – the asthma insight and management study. Asian Pac J Allergy Immunol. 2015; 33: 14-20. doi: 10.12932/AP0473.33.1.2015.

Global initiative for asthma. 2022 GINA report, global strategy for asthma management and prevention [Internet]. 2022 [cited 2022 May 3]. Available from: https://www.ginasthma.org/gina-reports/.

Poachanukoon O. Non-pharmacological therapy for asthma. In: Kawamatawong T, Chirakalwasan N, Silairatana S, Sriprasart T, Saiphoklang N, editors. Contemporary Asthma Medicine. Bangkok: Beyond Enterprise Company; 2019. p.177-86. (in Thai).

Thongthaweephokhin S, Sukham S, Toomnai N. The effect of nursing practice guideline on behavior to prevent relapse of asthma patients in the accident and emergency department. Reg 4-5 Med J. Available from: https://he02.tci-thaijo.org/index.phpreg45/article/veiw/260586. (in Thai).

Boonyaphak P, Kaewpradit P. Factors influencing to asthma control of asthma patients at Pakphanang hospital. Reg 11 Med J [Internet]. 2014 [cited 2023 May 5]; 28: 77-87. Available from: https://srth.moph.go.th/region11_journal/journal_57_1.php. (in Thai).

Ciprandi G, Schiavetti I, Rindone E, Ricciardolo FLM. The impact of anxiety and depression on outpatients with asthma. Ann Allergy Asthma Immunol. 2015; 115: 408-14. doi: 10.1016/j.anai.2015.08.007.

Cassim R, Russell R, Lodge CJ, Lowe AJ, Koplin JJ, Dharmage SC. The role of circulating 25 hydroxyvitamin D in asthma: a systematic review. Allergy: Eur. J. Allergy Clin. Immunol. 2015; 70: 339-54. doi: 10.1111/all.12583.

Wood LG. Diet, Obesity, and Asthma. Ann Am Thorac Soc. 2017; 14: S332-8. doi: 0000-0002-0941-9225 (L.G.W.).

Tripopsakul W. Factors Associated with Poor Controlled Asthma in Lerdsin Hospital. Journal of the Department of Medical Services [Internet]. 2016 [cited 2023 May 5]; 41: 67-74. Available from: https://www.library.dmh.go.th/somdet/dublin.php?ID=9054#.Yobf3lTP1PY. (in Thai).

Carson KV, Chandratilleke MG, Picot J, Brinn MP, Esterman AJ, Smith BJ. Physical training for asthma. Cochrane Database Syst Rev. 2013; 9. doi: 10.1002/14651858. CD001116.pub4.

Poljarus R, Charoenkitkarn, Wattanakitkrilert D, Rattanasumawong P. Factor influencing self-care behavior in patients with asthma. Journal of the Police Nurses. 2019; 11: 129-138. Available from: https://he01.tci-thaijo.org/index.php/policenurse/article/view/80528. (in Thai).

Munricha R. Self-care behaviors of asthmatic patients Naklang hospitals, Nongbua Lumpho province. Maharaj Nakhon Si Thammarat Medical Journal. 2019; 2: 13-20. Available from: file:///C:/Users/dell/Downloads/16930-5586-PB.pdf. (in Thai).

Nawsuwan S, Nawsuwan K. Self-care behaviors of patients with asthma. Nursing Public Health and Education Journal. 2017; 18(1): 28-38. Available from: https://he01.tci-thaijo.org/index.php/bcnpy/article/view/83915/66820. (in Thai).

Jitwarawong S, Nawsuwan. Factors associated with self-care behavior of asthma patients In asthma Clinnic of Khuanniang Hospital, Songkhla Provinces. Journal of Boromrajonani College of Nursing, Surin. 2021; 11(1): 15-26. Available from: https://he01.tci-thaijo.org/index.php/bcnsurin/article/view/245820. (in Thai).

Ministry of Public Health. Strategy and planning division. Rate of acute asthma exacerbation in asthmatic patients and received emergency treatment in fiscal year 2023 [homepage on the internet]. 2023 [cited 2023 May 10]. Available from: https://hdcservice.moph.go.th/hdc/reports. (in Thai).

Spielberger CD, Goruch R, Lushene R, Vage P, Jacobs G. Manual for the state-trait inventory STAI (Form Y). Palo Alto, CA: Mind Garden; 1983.

Cohen J. Statistical power analysis for the behavioral sciences. 2nd Edition. Hillsdale, NJ: Lawrence Erlbaum Associates Publishers; 1988. p.82.

Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of Mini-Cog, a brief cognitive screening test. Gariatr Gerontol Int. 2015; 15: 594-600. doi: 10.1111/ggi.12318.Epub 2014Aug26.

Wongrattana C. Statistic technique for educational research. Bangkok: Books Centre, Chulalongkorn University; 2017. (in Thai).

Thapinta D, Malakul P, Imsupasit S. Reduction of anxiety of staff nurses working with aids patients through cognitive reconstructuring and mindfulness training. [Master Thesis of Educational Psychology]. Bangkok: Chulalongkorn University; 1991. (in Thai).

Pinyochotiwong C, Chirakalwasan. Obesity in Asthma. In: Kawamatawong T, Chirakalwasan N, Silairatana S, Sriprasart T, Saiphoklang N, editors. Contemporary asthma medicine. Bangkok: Beyond Enterprise Company; 2019. p.187-98. (in Thai).

Warapongmanupong S. Factor associated with childhood asthma control in pediatrics asthma clinic, Pathum Thani Hospital. Journal of Medical and Public Health Region4. 2021; 11(1): 1-9. Available from: https://he01.tci-thaijo.org/index.php/JMPH4/article/view/248311. (in Thai).

Weravaitaya W. Outcomes of Easy Asthma Clinic in Samroiyod Hospital. Region 4-5 Medical Journal. 2019; 38(1): 51-60. Available from: https://he02.tci-thaijo.org/index.php/reg45/article/view/183024. (in Thai).

Punnasiri K, Tawatsupa B, Chatwilai N, Pumipan T, Posrithong A. Studying impacts and predicting health impacts from air pollution and development of health indices due to air quality in Thailand. Report. Nonthaburi, Health Impact Assessment. Department of Health. Ministry of Public Health [homepage on the internet]. 2020 [cited 2023 May 6]. Available from: https://hia.anamai.moph.go.th/th/research/208776. (in Thai).

Liu S, Wu R, Li L, Liu L, Li G, Zhang X, et al. The prevalence of anxiety and depression in Chinese asthma patients. PLos One. 2014; 9: e103014. doi: 10.137/journal.pone. 0103014.

Foong RX, du Toit G, Fox AT. Asthma, food allergy, and how they relate to each other. Front Pediatr. 2017; 5: 89. doi: 10.3389/fped.2017.00089.

Evaristo KB, Saccomani MG, Martins MA, Cukier A, Stelmach R, Rodrigues MR, et al. Comparison between breathing and aerobic exercise a clinical control in patients with moderate-to-severe asthma: protocol of a randomized trial. BMC Plum Med. 2014; 14: 160. doi: 10.1186/1471-2466-14-160.

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Published

2024-05-24

How to Cite

1.
Yotmon K, Thongthawee B, Poachanukoon O. Health behaviors and risk factors management of the non-pharmacological treatment among asthmatic patients in Health Region 4, Thailand. Thai J Cardio-Thorac Nurs. [Internet]. 2024 May 24 [cited 2024 Dec. 27];35(1):99-116. Available from: https://he02.tci-thaijo.org/index.php/journalthaicvtnurse/article/view/263799

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Research Articles