Factors Predicting Disease Control in Patients with Asthma, Banphaeo General Hospital, Samut Sakhon
Article Sidebar
Main Article Content
Abstract
Purpose: This study aimed to examine the predictive power of body mass index (BMI), comorbidity (hypertension, gastroesophageal reflux disease, or GERD), sleep quality, and trigger avoidance behavior on disease control in patients with asthma.
Design: Predictive correlational research.
Methods: The sample consisted of 139 patients with asthma, aged 20 years and older, who had been admitted to the lung clinic of Banphaeo General Hospital in Samut Sakhon Province. Convenience sampling was used to select those having normal cognition, no other type of lung disease, no psychiatric disorder, and no comorbidities with severe symptoms. Data were collected by using personal data questionnaire and an asthma control assessment form based on Global Initiative for Asthma (GINA) criteria, the Pittsburgh Sleep Quality Index, the GERD-Q Questionnaire, and a questionnaire on trigger avoidance behavior. The data were analyzed by employing descriptive statistics and logistic regression.
Main findings: The results revealed that 74.8% of the respondents were female, with a mean age of 60.41 years (SD = 13.9), and 59% had good control of asthma. BMI, GERD, and sleep quality were associated with asthma control (2 = 17.19, p < .01;
2 = 9.09, p < .01;
2 = 4.83, p = .028, respectively). The analysis of predictive power showed that BMI (OR = 9.98, 95%CI [2.76, 36.08], p < .001), GERD (OR = 2.78, 95%CI [1.25, 6.21], p = .012), and sleep quality (OR = 2.53, 95%CI [1.03, 6.18], p = .042) were able to significantly predict asthma control in patients.
Conclusion and recommendations: BMI, GERD, and sleep quality were predictors of asthma control. The findings recommend that nurses should promote the control of body weight and GERD and improve sleep quality for better asthma control.
Article Details
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Copyright Notice: Nursing Science Journal of Thailand has exclusive rights to publish and distribute the manuscript and all contents therein. Without the journal’s permission, the dissemination of the manuscript in another journal or online, and the reproduction of the manuscript for non-educational purpose are prohibited.
Disclaimer: The opinion expressed and figures provided in this journal, NSJT, are the sole responsibility of the authors. The editorial board bears no responsibility in this regard.
References
Global Initiative for Asthma (GINA). 2022 GINA Report, Global strategy for asthma management and prevention [Internet]. Fontana, WI: Global Initiative for Asthma; 2022 [cited 2022 Jul 5]. Available from: https://ginasthma.org/gina-reports/
World Health Organization. Asthma: key facts [Internet]. Geneva, Switzerland: WHO; 2022 [cited 2022, Jun 30]. Available from: https://www.who.int/news-room/fact-sheets/detail/asthma.
Lung clinic; Banphaeo General Hospital, data of persons with asthma 2020-2022. Samut
Sakhon: Banphaeo General Hospital; 2022. (in Thai).
Thai Asthma Counsil and Association, Thoracic Society of Thailand under Royal Patronage. Guideline for adult asthma management in Thailand 2022. [Internet]. Bangkok: Thai Asthma Council; 2022 [cited 2022 Jun 20]. Available from: https://www.tac.or.th/wp-content/uploads/2022/03/แนวทางการรักษาโรคหืดในประเทศไทย-TAC-2022-TK-edited.pdf. (in Thai).
Arpibanwana S, Wattanakitkrileart D, Pongthavornkamol K, Dejsomritrutai W. Factors influencing disease control in patients with asthma. Journal of Nursing Science. 2018;36(4):39-51. (in Thai).
Kawamatawong T, Sangasapaviriya A, Saiphoklang N, Oer-Areemitr N, Sriprasart T, Kamalaporn H, et al. Guidelines for the management of asthma in adults: evidence and recommendations. Asian Pac J Allergy Immunol. 2022;40(1):1-21. doi: 10.12932/AP-210421-1118.
Bedolla-Barajas M, Morales-Romero J, Fonseca-López JC, Pulido-Guillén NA, Larenas-Linnemann D, Hernández-Colín DD. Anxiety and depression in adult patients with asthma: the role of asthma control, obesity and allergic sensitization. J Asthma. 2021;58(8):1058-66. doi: 10.1080/02770903.2020.1759087.
Baffi CW, Winnica DE, Holguin F. Asthma and obesity: mechanisms and clinical implications. Asthma Res Pract. 2015;1:1. doi: 10.1186/s40733-015-0001-7.
Yotmon K. The factors predicting the level of asthma control among adult and elderly asthmatic patients [master’s thesis]. Bangkok: Thammasat University; 2021. 199 p. (in Thai).
Abrahamsen R, Gundersen GF, Svendsen MV, Klepaker G, Kongerud J, Fell AKM. Possible risk factors for poor asthma control assessed in a cross-sectional population-based study from telemark, Norway. PLoS One. 2020;15(5):e0232621. doi: 10.1371/journal.pone.0232621.
Tomisa G, Horváth A, Sánta B, Keglevich A, Tamási L. Epidemiology of comorbidities and their association with asthma control. Allergy Asthma Clin Immunol. 2021;17(1):95. doi: 10.1186/s13223-021-00598-3.
Christiansen SC, Zuraw BL. Treatment of hypertension in patients with asthma. N Engl J Med. 2019;381(11):1046-57. doi: 10.1056/NEJMra1800345.
Grandes XA, Talanki Manjunatha R, Habib S, Sangaraju SL, Yepez D. Gastroesophageal reflux disease and asthma: a narrative review. Cureus. 2022;14(5):e24917. doi: 10.7759/cureus.24917.
Mallah N, Turner JM, González-Barcala FJ, Takkouche B. Gastroesophageal reflux disease and asthma exacerbation: a systematic review and meta-analysis. Pediatr Allergy Immunol. 2022;33(1):e13655. doi: 10.1111/pai.13655.
Alanazi TM, Alghamdi HS, Alberreet MS, Alkewaibeen AM, Alkhalefah AM, Omair A, et al. The prevalence of sleep disturbance among asthmatic patients in a tertiary care center. Sci Rep. 2021;11(1):2457. doi: 10.1038/s41598-020-79697-x.
Kabengele BO, Kayembe J-MN, Kayembe PK, Kashongue ZM, Kaba DK, Akilimali PZ. Factors associated with uncontrolled asthma in adult asthmatics in Kinshasa, Democratic Republic of Congo. PLoS One. 2019;14(4):e0215530. doi: 10.1371/journal.pone.0215530.
Akinwalere OO, Adeniyi BO, Awopeju OF, Erhabor GE. Impact of sleep quality on asthma control amongst asthmatics at Federal Medical Centre, Owo, Ondo State. West Afr J Med. 2020;37(5):460-7.
Yung J, Osahan S, Friedman SM, Li J, Cone JE. Air pollution/Irritants, asthma control, and health-related quality of life among 9/11-exposed individuals with athma. Int J Environ Res Public Health. 2019;16(11):1924. doi: 10.3390/ijerph16111924.
Poljarus R, Charoenkitkarn V, Wattanakitkrileart D, Rattanasumawong P. Factor influencing self-care behavior in patients with asthma. Journal of The Police Nurses. 2019;11(1):129-38. (in Thai).
Roy SC, Andrews HA. The Roy adaptation model. 2nd ed. Stamford, CT: Appleton & Lange; 1999. 574 p.
Jirapramukpitak T, Tanchaisawat W. Sleep disturbances among nurses of Songklanagarind Hospital. Journal of the Psychiatrist Association of Thailand. 1997;42(3):123-32.
Trongsakul S, Lambert R, Clark A, Wongpakaran N, Cross J. Development of the Thai version of mini-cog, a brief cognitive screening test. Geriatr Gerontol Int. 2015;15(5):594-600. (in Thai).
Liang B, Yi Q, Feng Y. Association of gastroesophageal reflux disease with asthma control. Dis Esophagus. 2013;26(8):794-8. doi: 10.1111/j.1442-2050.2012.01399.x
AstraZeneca Thailand Limited. Gastroesophageal reflux disease questionnaire: GQQ [Internet]. Bangkok: AstraZeneca Thailand Limited; [cited 2022 Aug 10]. Available from: https://images.app.goo.gl/qzcqQDH7Hb23cB13A. (in Thai).
Thichumpa W, Howteerakul N, Suwannapong N, Tantrakul V. Sleep quality and associated factors among the elderly living in rural Chiang Rai, northern Thailand. Epidemiol Health. 2018;40:e2018018. doi: 10.4178/epih.e2018018.