How asthmatic children dealt with the coronavirus pandemia? Adherence to Controller Medications and Level of Control among Children with Asthma Registered in Mashhad University of Medical Sciences | ||
| Journal of Pediatric Perspectives | ||
| مقاله 8، دوره 11، شماره 2، اردیبهشت 2023، صفحه 17405-17415 اصل مقاله (215.92 K) | ||
| نوع مقاله: original article | ||
| شناسه دیجیتال (DOI): 10.22038/ijp.2023.69008.5120 | ||
| نویسندگان | ||
| Nasrin Moazzen1؛ Hamid Ahanchian2؛ Zahra Abbasi Shaye3؛ Ahmad Habibi Dashtebayaz* 2؛ Alireza Peyvandi1 | ||
| 1Allergy Research Center, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| 2Clinical Research Development Unit of Akbar Hospital, Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran. | ||
| 3Community Medicine, Treatment Affairs, Mashhad University of Medical Sciences, Mashhad, Iran | ||
| چکیده | ||
| Background: Coronavirus disease 2019 pandemic had a great effect on the lives of asthmatic children. In this study we assessed changes in medication adherence and asthma control rate among our registered children with pediatric asthma. Methods: This cross-sectional study was conducted on 113 patients registered in our asthma and allergy clinic in Mashhad, Iran. We called them via phone and completed a questionnaire on the level of asthma medication adherence and the asthma control test (ACT) before and in the 6 months after COVID-19 emergence. We investigated the changes in medication adherence and asthma control due to COVID-19 pandemic. Results: A total of 113 asthmatic children in the age range of 1 to 15 (mean, 7.02±3.24 years) were included in the study. There were zero confirmed positive cases among them since COVID-19 introduction. The minority of patients (8.8%) had weak adherence, most of the children (35.4%) completed one course of prescribed medications, 33% had longer adherence, and only 25 patients (22.1%) had full adherence during the pandemic. Overall, our patients experienced better asthma control with a 1.51 rise in ACT score to arrive in 23.64 points out of 25. They had no asthma exacerbation and emergency visit. Over half of the families compiled the national preventive measures; as 85% of children had followed the stay-at-home order during the first peak of the pandemic. Conclusion: Our patients managed to come to a higher asthma control level despite their generally decreased adherence to medications during the pandemic. COVID-19 not only could not worsen asthma status in our children but surprisingly improved it. This shows that the preventive measures should be strongly applied for the asthmatic population. | ||
| کلیدواژهها | ||
| pediatric asthma,,؛ ,،COVID-19,,؛ ,،asthma control,,؛ ,،medication adherence | ||
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