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Abstract: Slide Presentations |

Measuring Quality Of Life In Young Children With Asthma In Amritsar (India) FREE TO VIEW

Nirmal Chand, MD*; M. S. Singh, PhD; Poonam Brar, MD; A. S. Bhatia, MD; Jorawar Singh, MBBS
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Medical College, Amritsar, Punjab, India


Chest


Chest. 2004;126(4_MeetingAbstracts):762S. doi:10.1378/chest.126.4_MeetingAbstracts.762S
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Abstract

PURPOSE:  Chronic illness like Asthma episode may force children to frequent absence from school. This could compromise their education, socialization and physical activity. The purpose of study was to quantify impaired quality of life and employing pretested questionnaire.

METHODS:  In all 826 school children between 12 to 17 children were given 10 items athma questionnaire (based on study of Gison et al, 1995). Only 795 (96.2 %) retured the proforma. One hundred of them (13.4 %) were identified to be asthmatic. To assess asthma quality of life (QOL)these 100 students were administered semistructured questionnaire based on work of Juniper et al (1993). Questionnaire had 32 items divided into four domains i. e. symptoms, activity limitation, emotional funtion ang environmental stimuli.

RESULTS:  Out of 100 students 61 were males and 39 were females. Mean age of students was 16.6 years. Asthma appears to be common health problem in high school children, with 13.4 % children experiencing moderate to severe impairment of life style due to asthma. Behavior of life style appeared to be major barriers for effective self management in this group. Summarily results are as follows on the average. Mild to moderate QOL impairment of symptoms domain (mean score 4.82). Mild QOL impairment in activity domain (mean score 5.17). Mild to moderate QOL impairment in emotional domain (mean score 4.94). Mild QOL impairment in environment trigger domains (mean score 5.00). Overall mild to moderate QOL impairment in young asthmatic children in the region with mean overall quality of life score 4.98. The most important concern among asthmatic children on this study were asthma symptoms followed by emotional disturences, environment triggers and activity limitaions.

CONCLUSION:  This of questionnaire Juniper et al(1993) is usable in this region. QOL measures, thus obtained, provide hard data on health but are not substitute for real benefits from treatments under study .

CLINICAL IMPLICATIONS:  Despite limitation QOL measures provide valuable information for routine clinical management and compliment but not replace physiological measurements.

DISCLOSURE:  N. Chand, None.

Tuesday, October 26, 2004

2:30 PM- 4:00 PM


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