[Group education for asthmatic children: our experience]. 1998

C Calvo Rey, and R Albañil Ballesteros, and M Sanchez Martín

OBJECTIVE Asthma is a chronic disease of great prevalence among children and with complex treatment. Health education is considered a very important therapeutic tool, but it has been poorly assessed in our environment. The main objectives of this work were to assess the utility of the education in groups of asthmatic children and parents in order to improve the knowledge about the disease, to raise the profile of the self-management concept and to improve the clinical evolution. METHODS Sixty-one asthmatic children and their parents were distributed into groups according to the age of the patients (less than 2 years, between 2 and 5 years and more than 5 years) and each group attended 6 theoretical and practical sessions on asthma. Theoretical knowledge about the disease and its management was evaluated by using questionnaires before and after the sessions. The clinical evolution of the children was assessed for a period of two years, from the year before the training started until 1 year after it ended. RESULTS Theoretical knowledge about the disease clearly improved both in children (p = 0.2) and their tutors (p < 0.00001). The yearly number of crises and hospitalizations were not reduced by the training; however, the number of visits to the outpatient clinic significantly decreased (p < 0.001). Patients started using the flow-meter (p < 0.001) and started proper treatment (p < 0.00001) more frequently after attending the group session. CONCLUSIONS Group health education for asthmatic children improves both the knowledge and the self-management of the disease by the patients and their parents, but does not modify the clinical evolution.

UI MeSH Term Description Entries
D008297 Male Males
D009035 Mothers Female parents, human or animal. Mothers' Clubs,Club, Mothers',Clubs, Mothers',Mother,Mother Clubs,Mother's Clubs,Mothers Clubs,Mothers' Club
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D002675 Child, Preschool A child between the ages of 2 and 5. Children, Preschool,Preschool Child,Preschool Children
D002908 Chronic Disease Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care (Dictionary of Health Services Management, 2d ed). For epidemiological studies chronic disease often includes HEART DISEASES; STROKE; CANCER; and diabetes (DIABETES MELLITUS, TYPE 2). Chronic Condition,Chronic Illness,Chronically Ill,Chronic Conditions,Chronic Diseases,Chronic Illnesses,Condition, Chronic,Disease, Chronic,Illness, Chronic
D005260 Female Females
D006266 Health Education Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis. Community Health Education,Education, Health,Education, Community Health,Health Education, Community
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001249 Asthma A form of bronchial disorder with three distinct components: airway hyper-responsiveness (RESPIRATORY HYPERSENSITIVITY), airway INFLAMMATION, and intermittent AIRWAY OBSTRUCTION. It is characterized by spasmodic contraction of airway smooth muscle, WHEEZING, and dyspnea (DYSPNEA, PAROXYSMAL). Asthma, Bronchial,Bronchial Asthma,Asthmas
D012657 Self-Help Groups Organizations which provide an environment encouraging social interactions through group activities or individual relationships especially for the purpose of rehabilitating or supporting patients, individuals with common health problems, or the elderly. They include therapeutic social clubs. Social Clubs, Therapeutic,Support Groups,Clubs, Therapeutic Social,Therapeutic Social Clubs,Club, Therapeutic Social,Group, Self-Help,Group, Support,Groups, Self-Help,Groups, Support,Self Help Groups,Self-Help Group,Social Club, Therapeutic,Support Group,Therapeutic Social Club

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