Astımlı Çocuk ve Aölesanların Öz-Etkililiklerinin Yaşam Kalitesine Etkisi

Yıl 2023, Cilt: 8 Sayı: 1, 19 - 25, 31.01.2023

Duygu Karaarslan , Zümrüt Başbakkal

Öz

Amaç: Bu araştırma astımlı çocuk ve adölesanların öz-etkililiklerinin yaşam kalitelerine etkisini belirlemek amacıyla yapıldı.
Gereç ve Yöntem: Tanımlayıcı tipteki bu çalışma, bir üniversite hastanesinin solunum alerjileri kliniğinde Astımlı Çocuk ve Adölesan Bilgi Formu, Astımlı Çocuk ve Adölesanlar için Öz-Etkililik Ölçeği ve Çocuklar için Astım Yaşam Kalitesi Ölçeği kullanılarak, takip edilen 10-18 yaş arası 137 çocuk ve adölesan ile yapıldı.
Bulgular: Çalışmaya dahil edilen astımlı çocuk ve adölesanlarda astım ataklarını tetikleyen faktörlerin %34,3'ünün polen, %27,7'sinin ev tozu akarları, %16,8'inin hayvanlar olduğu ve çocuk ve adölesanların fiziksel aktiviteleri sonrasında %46.0' sının astım atağı geçirdiği bulundu. Çocukların yaşam kalitesi puan ortalamalarına göre alt boyutlara bakıldığında; en yüksek ortalama puanı "semptom" grubundadır. Astımlı çocuk ve adölesanların toplam yaşam kalitesi ve alt boyutları puanları orta ve yüksek düzeyde iken, öz-etkililik ve alt boyutları orta düzeyde olduğu saptandı.
Sonuç: Pediatri hemşireleri, astım atakları sırasında çocuklara ve ergenlere başedici yaklaşımlar öğretmek ve yaşam kalitelerini ve öz-yeterlik düzeylerini artırmak için tanı başlangıcından itibaren desteklemelidir.

Anahtar Kelimeler

Astım, öz-etkililik, yaşam kalitesi, çocuk ve adölesan.

Destekleyen Kurum

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Proje Numarası

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Teşekkür

Sayın İlgili, İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, Bilimsel Danışma Kurulu Üyelerinin katkılarından dolayı teşekkür ederiz. Saygılarımızla.

The Effect of Self-Efficacy of Children and Adolescents with Asthma on Their Quality of Life

Öz

Objective: This study was conducted to determine the effect of self-efficacy of children and adolescents with asthma on their quality of life.
Material and Method: This descriptive study was conducted with 137 children and adolescents between the ages of 10-18 who were followed up by the respiratory allergies clinic of a university hospital by using the Asthmatic Child and Adolescent Information Form, Asthmatic Child and Adolescent Self-Efficacy Scale and Pediatric Asthma Quality of Life Questionnaire.
Results: The study showed that 34.3% of the factors triggering asthma attacks in children and adolescents with asthma included in the study were pollen, 27.7% were house dust mites, 16.8% were animals and 46.0% of children and adolescents had an asthma attack after physical activities. Considering the sub-dimensions according to the children's quality of life score averages, the highest mean score was in the "symptom" group. While the total quality of life and its sub-dimension scores of children and adolescents with asthma were moderate and high, self-efficacy and its sub-dimensions scores were found to be moderate.
Conclusion: Pediatric nurses should support children and adolescents from the beginning of diagnosis in order to teach coping approaches, and increase their quality of life and self-efficacy levels during asthma attacks.

Anahtar Kelimeler

Asthma, self-efficacy, quality of life, child and adolescent

Proje Numarası

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Kaynakça

• Demirbas BC, Cekic S, Canıtez Y, Sapan N. Evaluation of school age asthmatic cases with childhood asthma control test. JCP. 2017;15:11-16.
• Ghaffari J, Hadian A, Daneshpoor SM, Khademloo M. Asthma burden in the hospitalized patients in North of Iran. Int J Pediatr. 2014;2:257-66.
• Topal E, Kaplan F, Türker K, Gozukara Bag H. The prevalence of allergic diseases and associated risk factors in the 6-7 age children who are living in Malatya, Turkey. AAI. 2017;15:129-34.
• Duksal F, Becerir T, Ergin A, Akçay A, Güler N. The prevalence of asthma diagnosis and symptoms is still increasing in early adolescents in Turkey. JSA. 2014;63:189-97.
• Tamay Z, Akçay A, Ergin A, Güler N. Prevalence of allergic rhinitis and risk factors in 6 to 7 year old children in Istanbul, Turkey. Turk J Pediatr. 2014;56:32-40.
• Yüzer S, Polat S. Nursing management in asthmatic children. J Pediatr Nurs. 2015;1:36-39.
• aaaai.org [Internet]. Pet Allergy: American Academy of Allergy Asthma; 2019 [cited 2019 Sep 2]. Available from: https:// aaaai.org/.
• Törüner EK, Büyükgönenç L. Child health basic nursing approaches. Gökçe Offset. Göktuğ Publishing. Ankara. 2017;614-25.
• Kara M. Asthma and care. Durna Z (ed.). Chronic diseases and care. Istanbul: 1st Edition. Nobel Medical Bookstore; 2012;65-73.
• toraks.org.tr [Internet]. Childhood Asthma. Turkish Thoracic Society (TTD) 2018. [cited 2019 Decem 6]. Available from: https://toraks.org.tr/.
• sign.ac.uk [Internet]. British Guideline on The Management of Asthma. A National Clinical Guideline; 2019 [cited 2019 Decem 10]. Available from: https://sign.ac.uk/.
• Özdemir Ö, Sürücü M. Assessment of knowledge levels of elementary and high school teachers on childhood asthma. İstanbul Med J. 2019;20: 273-78.
• Cevik U, Celebioglu A. The validity and reliability of Turkish form of self efficacy scale for children and adolescents with asthma. J Anatolia Nurs Health Sci. 2012;15:55–62.
• Özkaya E, Sancar Ö, Dundaroz MR. The effect of risk factors on quality of life in childhood asthma. Bezmialem Science. 2014;1:52-57.
• Mert K, Kadıoğlu H, Aksayan S. Validity and reliability of the self- efficacy scale-child's form. Kocaeli Med J. 2018;7(3):135-39.
• Gözüm S, Aksayan S. The reliabillty and validity of Turkish form of the self-effıcacy scale. JANHS. 1999;2:21-32.
• Bandura A. Self efficacy. In. V.S. Ramachaudran (Ed) Encylopedia of Human Behaviour. 1998;4:71-81. New York: Academic Press (Reprinted in H. Friendman (Ed), Encyclopedia of Mental Health. San Diego: Academic Press.
• Schlösser M, Havermans G. A self-efficacy scale for children and adolescents with asthma: construction and validation. J Asthma.1992;29(2),99-108.
• Juniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Grith LE, Townsend M. Measuring quality of life in children with asthma. Qual Life Res. 1996:5:35–46.
• Yüksel H, Yılmaz Ö, Kırmaz C, Eser E. Validity and reliability of the Turkish translation of the pediatric asthma quality of life questionnaire. Turk Journal of Pediatric. 2009;51:154-60.
• Kocaaslan EN, Akgün Kostak M. Effect of disease management education on the quality of life and self‐efficacy levels of children with asthma. J Spec in Pediatr Nurs. 2019;24(2): e12241.
• Zahran HS, Bailey CM, Damon SA, Garbe PL, Breysse PN. Vital signs: Asthma in children, United States, 2001–2016. MMWR. 2018; 67(5):149- 55.
• Kılıç M, Taşkın E. Evaluation of clinical features and risk factors of children with allergic asthma. Firat Med J. 2015;20(4):199-205.
• González-Conde VM, Pérez-Fernández V, Ruiz-Esteban C, Valverde- Molina J. Impact of self-efficacy on the quality of life of children with asthma and their caregivers. Arch Bronconeumol. (English Edition). 2019;55(4),189-94.
• Silva CM, Barros L, Simões F. Health-related quality of life in paediatric asthma: children’s and parents’ perspectives. PHM. 2015;20(8),940-54.
• Taylor YJ, Tapp H, Shade LE, Liu TL, Mowrer JL, Dulin MF. Impact of shared decision making on asthma quality of life and asthma control among children. J Asthma. 2018;55(6): 675-83.
• Kan K, Fierstein J, Boon K, Kanaley M, Zavos P, Volerman A, et al. Parental quality of life and self-efficacy in pediatric asthma. J Asthma. 2020;1-8.
• Horner SD, Brown A. An exploration of parent-child dyadic asthma management influences on quality of life. Compr Pediatr Nurs. 2015;38(2):85–104.
• Carpenter DM, Ayala GX, Williams DM, Yeatts KB, Davis S, Sleath B. The relationship between patient provider communication and quality of life for children with asthma and their caregivers. J Asthma. 2013;50(7):791-98.
• Cevik Güner U, Celebioglu A. Impact of symptom management training among asthmatic children and adolescents on self-efficacy and disease course. J Asthma. 2015;52(8):858-65.
• Yıldız I, Bayat M. The effect of motivational interviewing on asthma control, self-effıcacy and quality of life in adolescents with asthma. J Pediatr. 2016;175:1862.
• ginasthma.org [Internet]. Global Strategy for Asthma Management and Prevention. Global Initiative for Asthma Report; 2018. [cited 2019 June 20]. Available from: https://ginasthma.org/.
• Türkeli A, Yılmaz Ö, Yüksel H. Metered dose inhaler-space ruse education effects on achieve asthma control in children. Tuberc Thorax. 2016;64(2):105-11.
• Kanık ET, Yılmaz Ö, Türkeli A, Yüksel H. The effect of standard education on the use of nebulizer on disease control in children with asthma and wheezing. JCHD.2015;58(3):96-101.
• Capanoglu M, Dibek Misirlioglu E, Toyran M, Civelek E, Kocabas N. Evaluation of inhaler technique, adherence to therapy and their effect on disease control among children with asthma using metered dose or dry powder inhalers. J Asthma. 2015;52(8):838-84
• Cekingen YŞ, Büyükgönenç LA. Determination of factors affecting the quality of life in children with asthma. EuRJ. 2019;1-10.
• Ekici B, Cimete G. Effects of an asthma training and monitoring program on children’s disease management and quality of life. Turk Thorac J. 2015;16(4):158-65.
• Chogtu B, Holla S. Magazine R, Kamath A. Evaluation of relationship of inhaler technique with asthma control and quality of life. Indian J Pharmacol. 2017;49(1):110-23.
• Mosenzadeh A, Ahmadipour S, Mardani M, Ebrahimzadeh F, Shahkarami K. The effect of self-care education on the quality of life in children with allergic asthma. CCAN. 2019;42(4):304-12.
• Cicutto L, Gleason M, Szefler SJ. Establishing school-centered asthma programs. J Allergy Clın Immunol. 2014;134(6):1223–30.