Factors Influencing Adherence to Inhaled Corticosteroids in Preschool Children with Asthma
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Abstract
Background: Asthma is a common chronic disease in children that requires consistent use of inhaled corticosteroids to control airway inflammation, improve lung function, and reduce bronchial fibrosis.
Objectives: To investigate adherence to inhaled corticosteroids and the factors influencing adherence to inhaled corticosteroids in the caregivers of pre-school children with asthma
Methods: An analytical cross-sectional study was conducted with a sample of 120 caregivers caring for pre-school children with asthma. The research instruments consisted of a questionnaire on demographic data of the caregivers, 2) a questionnaire on demographic and health data of the children, 3) a questionnaire on health literacy, 4) a questionnaire on health perception, and 5) a questionnaire on adherence to inhaled corticosteroids. The data were analyzed using descriptive statistics and logistic regression.
Results: Approximately 65.80% of caregivers adhered to the use of inhaled corticosteroids. Health literacy, health perception, duration of treatment, and frequency of inhaled corticosteroid use together predicted adherence 62.80% (Nagelkerke R2=.628). Health literacy and health perception significantly predicted adherence to inhaled corticosteroid use (OR=0.85, 95% CI=0.77–0.93, p<.001; OR=0.93, 95% CI=0.87–0.99, p<.05).
Conclusion: The healthcare team should promote health literacy and health perception among caregivers to enhance adherence to inhaled corticosteroids in preschool children with asthma.
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บทความที่ได้รับการตีพิมพ์เป็นลิขสิทธิ์ของวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี
ข้อความที่ปรากฏในบทความแต่ละเรื่องในวารสารวิชาการเล่มนี้เป็นความคิดเห็นส่วนตัวของผู้เขียนแต่ละท่านไม่เกี่ยวข้องกับวิทยาลัยพยาบาลบรมราชชนนี จังหวัดนนทบุรี และคณาจารย์ท่านอื่น ในวิทยาลัยฯ แต่อย่างใด ความรับผิดชอบองค์ประกอบทั้งหมดของบทความแต่ละเรื่องเป็นของผู้เขียนแต่ละท่าน หากมีความผิดพลาดใด ๆ ผู้เขียนแต่ละท่านจะรับผิดชอบบทความของตนเองแต่ผู้เดียว
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