Asthma Self-Management Practices among Patients with Asthma at Chuka County Referral Hospital (CCRH)
DOI:
https://doi.org/10.47604/jhmn.3390Keywords:
Health Behavior, General Health, Public Health, Self-managementAbstract
Purpose: Asthma is a global public health problem that affects people of all ages contributing significantly to morbidity and mortality.It is a chronic inflammatory disease of the respiratory tract. This study aimed at assessing self-management practices for asthma control among adult patients with asthma.
Methodology: The study adopted a descriptive cross-sectional survey design. A sample size of 118 patients was obtained using Fisher’s et al formula and the sample was selected using simple random sampling. A researcher administered questionnaire was used to collect data. Data was analyzed using statistical package for social sciences version 26 to generate frequencies, mean and measures of central tendency. Pearson’s correlation coefficient was used to determine the relationship between self-management practices and asthma control.
Findings: The study concluded that there is a negative correlation between self- management practices and Frequency of Asthma Control, r = -0.190 with a significance p-value = 0.045. This implies that frequency of asthma symptoms and practice of trigger identification and control are statistically significant at 0.05 level (2-tailed). Key facilitators of asthma self-management practices include; effective communication with healthcare workers, availability and affordability of medications in government hospitals. Some of the reported barriers to asthma self-management include presence of comorbidities, poor self-control and lack of knowledge on ASM.
Unique Contribution to Theory, Practice and Policy: This study recommends implementation of outreach programs in the community to increase awareness about asthma and associated self-management essentials.
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Alomary, S. A., Al Madani, A. J., Althagafi, W. A., Adam, I. F., Elsherif, O. E., Al-Abdullaah, A. A., ... & Alfawaz, R. A. (2022). Prevalence of asthma symptoms and associated risk factors among adults in Saudi Arabia: A national survey from Global Asthma Network Phase Ⅰ. World Allergy Organization Journal, 15(1), 100623. https://doi.org/10.1016/j.waojou.2022.100623
Amin, S., Soliman, M., McIvor, A., Cave, A., & Cabrera, C. (2020). Understanding patient perspectives on medication adherence in asthma: A targeted review of qualitative studies. Patient Preference and Adherence, 14, 541–551. https://doi.org/10.2147/PPA.S249823
Anekwe, T. D., & Rahkovsky, I. (2018). Self-management: A comprehensive approach to management of chronic conditions. American Journal of Public Health, 108(S6), S430–S436. https://doi.org/10.2105/AJPH.2018.304551
Asher, M., García-Marcos, L., Pearce, N., & Strachan, D. (2020). Trends in worldwide asthma prevalence. European Respiratory Journal, 56(6), 2002094. https://doi.org/10.1183/13993003.02094-2020
Bandura, A. (2004). Health promotion by social cognitive means. Health Education & Behavior, 31(2), 143–164. https://doi.org/10.1177/1090198104263660
Bhatiaa, M., Chaudharya, J., Jaina, A., & Pareekb, B. (2022). Pathophysiology and management of asthma. In Contemporary Advances in Science & Technology Volume-IV: Medicinal Chemistry & Pharmaceutical Sciences (Vol. 4, pp. 17). [Publisher if known].
Burnier, M., & Egan, B. M. (2019). Adherence in hypertension: A review of prevalence, risk factors, impact, and management. Circulation Research, 124(7), 1124–1140. https://doi.org/10.1161/CIRCRESAHA.118.313220
Chakaya, J., Mecha, J., & Beekman, M. (2023). Over-prescription of short-acting β2-agonists remains a serious health concern in Kenya: results from the SABINA III study. BMC Primary Care, 24(1), 141.
Georga, G., Chrousos, G., Artemiadis, A., Panagiotis, P., Bakakos, P., & Darviri, C. (2019). The effect of stress management incorporating progressive muscle relaxation and biofeedback-assisted relaxation breathing on patients with asthma: A randomized controlled trial. Advances in Integrative Medicine, 6(2), 73–77. https://doi.org/10.1016/j.aimed.2019.05.002
Global Initiative for Asthma. (2020). Global strategy for asthma management and prevention. https://ginasthma.org/
Irungu, A., Simba, J., Njoroge, T., & Tumwa, D. (2022). Childhood asthma control: Implications of current strategies in sub-Saharan Africa. Journal of the Pan African Thoracic Society, 3(3), 103–104. https://doi.org/10.11604/pacts.2022.3.3.34207
Karmakar, R. (2017). Guidelines for stress management. Psychology and Behavioral Science, 3, 1–6. https://doi.org/10.11648/j.pbs.20170303.11
King'e, M., Musoke, R., & Kumar, R. (2021). Prevalence of indoor-allergen sensitivity among asthmatic children aged 5–17 years in Nairobi. East African Medical Journal, 98(5), [page numbers if available].
Mohan, A., Grace, J., Wang, B., & Lugogo, N. (2019). The effects of obesity in asthma. Current Allergy and Asthma Reports, 19(10), 51. https://doi.org/10.1007/s11882-019-0871-x
Muhonja, F. (2023). Knowledge, Attitude and Practices on the Use of Asthma Action Plans among Adult Asthmatic Patients Aged 18-65 in Nyamira, Kenya.
Nyenhuis, S., Krishnan, J., Berry, A., Calhoun, W., Chinchilli, V., Engle, L., & Ackerman, S. (2017). Race is associated with differences in airway inflammation in patients with asthma. Journal of Allergy and Clinical Immunology, 140(1), 257–265. https://doi.org/10.1016/j.jaci.2016.09.049
Okoniewski, W., Lu, K., & Forno, E. (2019). Weight loss for children and adults with obesity and asthma: A systematic review of randomized controlled trials. Annals of the American Thoracic Society, 16(5), 613–625. https://doi.org/10.1513/AnnalsATS.201809-695OC
Perez-Jover, V., Sala-González, M., Guilabert, M., & Mira, J. (2019). Mobile apps for increasing treatment adherence: Systematic review. Journal of Medical Internet Research, 21(6), e12505. https://doi.org/10.2196/12505
Peters, U., Dixon, A. E., & Forno, E. (2018). Obesity and asthma. Journal of Allergy and Clinical Immunology, 141(4), 1169–1179. https://doi.org/10.1016/j.jaci.2017.12.974
To, M., Tsuzuki, R., Katsube, O., Yamawaki, S., Soeda, S., Kono, Y., & To, Y. (2020). Persistent asthma from childhood to adulthood presents a distinct phenotype of adult asthma. The Journal of Allergy and Clinical Immunology: In Practice, 8(6), 1921–1927. https://doi.org/10.1016/j.jaip.2020.02.019
Toomey, A., & Alligood, M. (2006). Nursing theorists and their work (6th ed.). Mosby.
Van de Velde, D., De Zutter, F., Satink, T., Costa, U., Janquart, S., Senn, D., & De Vriendt, P. (2019). Delineating the concept of self-management in chronic conditions: A concept analysis. BMJ Open, 9(7), e027775. https://doi.org/10.1136/bmjopen-2018-027775
Wilson, J., & Platts-Mills, T. (2018). Home environmental interventions for house dust mite. The Journal of Allergy and Clinical Immunology: In Practice, 6(1), 1–7. https://doi.org/10.1016/j.jaip.2017.09.010
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Copyright (c) 2025 Hellen Njeri Micheni, Prof. Lucy Gitonga PhD, Dr. Beth Gichobi PhD, Purity Micheni
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