Effect of treatment on quality of life of rural asthmatic children
DOI:
https://doi.org/10.13112/PC.2024.24Keywords:
PAQLQ, quality of life, pediatric asthma, physical-emotional improvementAbstract
Introduction: Medications relieve symptoms of asthma but affected children are significantly bothered by physical, educational and emotional impairments. Urban studies from India evaluated on how this disease affects quality of life. Aim of our study was to evaluate quality of life of rural asthmatic children both before as well as after the treatment.
Methods: Asthmatic children 7 to 17 years visiting to rural tertiary care teaching hospital were included. Tool used for the study was Pediatric Asthma Quality of Life Questionnaire - Standard (PAQLQS) which were measured at the time of inclusion and four weeks after treatment. It assessed the QOL (Quality of Life) under symptoms, activity limitation and emotional function domains. Mean difference in pre and post treatment PAQLQ score was assessed.
Results: Total 46 children were included from rural setup. Majority were male 60% and had a normal BMI (54%) which was followed by undernutrition (28%). Majority children in both age group 7-11year and 12-17 year, presented with moderate asthma (80%) and (62%) (according to GINA 2022) respectively followed by mild. The rural cohort post treatment showed significant improvement in individual (p<0.005) as well as in overall PAQLQ post treatment (p<0.002).
Conclusion: The study has highlighted that good asthma control even after short duration of treatment helped in improvement quality of life of affected children. To maintain quality of life it is expected that the patient remains adhered to proper treatment.
References
1. Asher I, Pearce N. Global burden of asthma among children. Int J Tuberc Lung Dis. 2014 Nov;18(11):1269–78.
2García-Marcos L, Asher MI, Pearce N, et al. The burden of asthma, hay fever and eczema in children in 25 countries: GAN Phase I study. Eur Respir J. 2022;60:2102866. doi: 10.1183/13993003.02866-2021.
3. Okelo SO, Wu AW, Krishnan JA, Rand CS, Skinner EA, Diette GB. Emotional quality-of-life and outcomes in adolescents with asthma. The Journal of Pediatrics [Internet]. 2004 Oct 1;145(4):523–9.
4. Goeman DP, Thien FCK, Abramson MJ, Douglass JA, Aroni RA, Sawyer SM, et al. Patients’ views of the burden of asthma: a qualitative study. Medical Journal of Australia. 2002 Sep;177(6):295–9.
5. Gustafsson D, Olofsson N, Andersson F, Lindberg B, Schollin J. Effect of asthma in childhood on psycho-social problems in the family. Journal of Psychosomatic Research. 2002 Dec;53(6):1071–5.
6. Sennhauser FH, Braun-Fahrländer C, Wildhaber JH. The burden of asthma in children: a European perspective. Paediatric Respiratory Reviews. 2005 Mar;6(1):2–7.
7. Singh M. The burden of asthma in children: an Asian perspective. Paediatric Respiratory Reviews. 2005 Mar;6(1):14–9.
8. Annett RD. Assessment of health status and quality of life outcomes for children with asthma. Journal of Allergy and Clinical Immunology. 2001 May;107(5)–81.
9. Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in children with asthma. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation [Internet]. 1996 Feb 1;5(1):35–46.
10. Sanjuás C, Alonso J, Ferrer M, Curull V, Broquetas JM, Antó JM. Adaptation of the Asthma Quality of Life Questionnaire to a second language preserves its critical properties. Journal of Clinical Epidemiology. 2001 Feb 1;54(2):182–9.
11 C E, S S, Cf T, Shek Lp, Mital R, Bee Wah L. Pediatric asthma quality of life questionnaire: validation in children from Singapore. PubMed. 1999 Sep 1;17(3):155–61.
12. Global Initiative for Asthma. Global strategy for Asthma Management and Prevention, 2022.
13. Pal R, Dahal S, Pal S. Prevalence of bronchial asthma in Indian children. Indian Journal of Community Medicine [Internet]. 2009;34(4):310.
14. Gomes P, Clemax Couto Sant’Anna, Maria. Quality of Life in Children with Asthma in Rio de Janeiro, Brazil. Indian Journal of Pediatrics. 2012 Dec 21;80(7):544–8.
15. Knibbs LD, Woldeyohannes S, Marks GB, Cowie CT. Damp housing, gas stoves, and the burden of childhood asthma in Australia. Medical Journal of Australia [Internet]. 2018 Apr;208(7):299–302.
16. Nogueira KT, Silva JRL, Lopes CS. Quality of life of asthmatic adolescents: assessment of asthma severity, comorbidity, and lifestyle. Jornal de Pediatria [Internet]. 2009 Dec 15;85(6):523–30.
17. Lau S, Wahn U. Pets—good or bad for individuals with atopic predisposition? Journal of Allergy and Clinical Immunology. 2003 Aug;112(2):263–4.
18. Ratageri VH, Kabra SK, Dwivedi SN, Seth V. Factors associated with severe asthma. Indian Pediatrics. 2000 Oct 1;37(10):1072-82.
19. Battula M, Arunashekar P, Nagarajan VP. A Prospective Study to Assess the Quality of Life in Children with Newly Diagnosed Asthma and Their Caregivers using the Pediatric Asthma Quality of Life Questionnaire. Journal of Primary Care & Community Health. 2020 Jan;11(1):215013272096127.
20. Nair S, Nair S, Sundaram KR. A prospective study to assess the quality of life in children with asthma using the pediatric asthma quality of life questionnaire. Indian Journal of Allergy, Asthma and Immunology. 2014;28(1):13.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 Dr Prasad Muley, Dr Hemal Dave, Dr Hardik Dave, Dr Sargam Bhatt, Dr Vaibhavi Mithaiwala
This work is licensed under a Creative Commons Attribution 4.0 International License.
By publishing in Paediatria Croatica, authors retain the copyright to their work and grant others the right to use, reproduce, and share their research articles in accordance with the Creative Commons Attribution License (CC BY 4.0), which allows others to distribute and build upon the work as long as they credit the author for the original creation.