(Hacettepe Üniversitesi Hemşirelik Fakültesi, Çocuk Hemşireliği Anabilim Dalı, Ankara)
(Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Alerjisi Anabilim Dalı, Ankara, Türkiye)
(Hacettepe Üniversitesi Tıp Fakültesi, Çocuk Alerjisi Anabilim Dalı, Ankara, Türkiye)
Yıl: 2020Cilt: 62Sayı: 5ISSN: 0041-4301Sayfa Aralığı: 734 - 745İngilizce

45 0
The experiences, perceptions and challenges of mothers managing asthma in their children: a qualitative study
Background. Despite the fact that childhood asthma poses an important burden, especially on the families, little is known about the emotional experiences of mothers. This article describes the predominant emotional challenges and experiences reported by mothers of children with asthma. Methods. Individual, semi-structured, in-depth interviews with a qualitative study method was used in collection of the data. Face-to-face interviews with mothers of children with asthma were conducted using socio-demographic data form and semi-structured interview forms developed by the investigators. The transcribed interview texts were analyzed according to a qualitative content analysis.Results. A total of 20 mothers were interviewed. We found that the experience of mothers of the children with asthma was a strenuous journey of overriding an emotional rollercoaster, that is, from being thrown into a chaotic situation to later processing the difficult situation affected by the asthma. First moment at diagnosis, relaxation against uncertainties, anxiety, fear, truly acceptance, sadness were the predominant emotions. Mothers described experiences and challenges of frequent admission to emergency, administration of medication and treatments, school problems, limitations in physical activity and spouse relationship problems. Experiences of problems contributed to hopelessness, abandoned, angry and burnout. Mothers had concerns about the chronic nature of the disease, side effects of medications, complications that might develop, factors influencing the disease, and future plans.Conclusions. Mothers of children with asthma described complex emotional journeys. This has implications for healthcare providers who need to be aware of the complexity of these emotional journeys to support parents more effectively, thereby helping improve patient outcomes. Parents should be trained for symptoms and disease management with a written action plan. It is imperative to realize multi-disciplinary team collaboration and to regularly review training and information. Future research should concentrate on promoting awareness, education, advocacy, and support for parents of asthmatic children.
DergiAraştırma MakalesiErişime Açık
  • .Misra SM. The current evidence of integrative approaches to pediatric asthma. Curr Probl Pediatr Adolesc Health Care 2016; 46: 190-194.
  • 2.Cavkaytar O, Sekerel BE. Baseline management of asthma control. Allergol Immunopathol (Madr) 2014; 42: 162-168.
  • 3.Civelek E, Cakir B, Boz AB, et al. Extent and burden of allergic diseases in elementary schoolchildren: a national multicenter study. J Investig Allergol Clin Immunol 2010; 20: 280-288.
  • 4.Weinstein SM, Pugach O, Rosales G, Mosnaim GS, Walton SM, Martin MA. Family chaos and asthma control. Pediatrics 2019; 144: e20182758.
  • 5.Lakhanpaul M, Culley L, Robertson R, et al. A qualitative study to identify parents’ perceptions of and barriers to asthma management in children from South Asian and white British families. BMC Pulm Med2017; 17: 126.
  • 6.Brown N, Gallagher R, Fowler C, Wales S.. Asthma management self-efficacy in parents of primary school-age children.J Child Health Care 2014; 18: 133-144.
  • 7.Brooks JL, Asafu-Adjei J, Currin EG, Beeber LS. Exploring a broader context of the home environment and its relationship with asthma control in American Indian children. Res Nurs Health 2020; 43: 218-229.
  • 8.Sekerel BE, Saraclar Y, Ones U, et al; Turkish National Allergy and Clinical Immunology Society. Childhood asthma perception in Turkey under real-life environment (CAPTURE) study. Pediatr Allergy Immunol 2001; 12: 266-273.
  • 9.Dizdar EA, Civelek E, Sekerel BE. Community pharmacists’ perception of asthma: a national survey in Turkey. Pharm World Sci 2007; 29: 199-204.
  • 10.Soyer OU, Civelek E, Sekerel BE. Physicians’ perception of childhood asthma in Turkey: more appropriate practice among female physicians. BMC Health Serv Res 2008; 23: 155.
  • 11.Smith JA. Qualitative psychology: a practical guide to research methods (3rd ed.). Thousand Oaks, California: Sage, 2015.
  • 12.Başkale H. Nitel araştırmalarda geçerlik, güvenirlik ve örneklem büyüklüğünün belirlenmesi. Dokuz Eylül Üniversitesi Hemşirelik Fakültesi Elektronik Dergisi 2016; 9: 23-28.
  • 13.Murphy KR, Zeiger RS, Kosinski M, et al. Test for respiratory and asthma control in kids (TRACK): a caregiver- completed questionnaire for preschool-aged children. J Allergy Clin Immunol 2009;123: 833-839.e9.
  • 14.Buyuktiryaki B, Sahiner UM, Yavuz ST, et al. Validation of the Turkish version of “Test for Respiratory and Asthma Control in Kids (TRACK)” questionnaire. J Asthma 2013; 50: 1096-1101.
  • 15.O’Byrne PM, Pedersen S, Schatz M, et al. The poorly explored impact of uncontrolled asthma. Chest 2013; 143: 511-523.
  • 16.Cousino MK, Hazen RA. Parenting stress among caregivers of children with chronic illness: a systematic review. J Pediatr Psychol 2013; 38: 809-828.
  • 17.Grover C, Armour C, Van Asperen PP, Moles RJ, Saini B. Medication use in Australian children with asthma: user’s perspective. J Asthma 2013; 50: 231-241.
  • 18.Walker VG. Minority caregivers’ emotional responses and perceptions of the emotional responses of their children to asthma: comparing boys and girls. Issues Ment Health Nurs 2013; 34: 325-334.
  • 19.Chen SH, Huang JL, Yeh KW, Tsai YF. The stress of caring for children with asthma: a qualitative study of primary caregivers. J Nurs Res 2015; 23: 298-307.
  • 20.Bellin MH, Land C, Newsome A, et al. Caregiver perception of asthma management of children in the context of poverty. J Asthma 2017; 54: 162-172.
  • 21.Gibson-Scipio W, Krouse HJ. Goals, beliefs, and concerns of urban caregivers of middle and older adolescents with asthma. J Asthma 2013; 50:242-249.
  • 22.Weber CL. Understanding fragile X syndrome from a mother’s perspective: challenges and resilience. Int J Qual Stud Health Well-being 2016; 1: 29512.
  • 23.Fawcett R, Porritt K, Stern C, Carson-Chahhoud K. Experiences of parents and carers in managing asthma in children: a qualitative systematic review. JBI Database System Rev Implement Rep 2019; 17: 793-984.
  • 24.Lakhanpaul M, Bird D, Manikam L, et al. A systematic review of explanatory factors of barriers and facilitators to improving asthma management in South Asian children. BMC Public Health 2014; 14: 403.
  • 25.Ahmad A, Sorensen K. Enabling and hindering factors influencing adherence to asthma treatment among adolescents: a systematic literature review. J Asthma 2016; 53: 862-878.
  • 26.van Asperen PV. Deaths from childhood asthma, 2004–2013: what lessons can we learn? Med J Aust 2015; 202: 125-126.
  • 27.Santer M, Ring N, Yardley L, Geraghty AW, Wyke S. Treatment non-adherence in pediatric long-term medical conditions: systematic review and synthesis of qualitative studies of caregivers’ views. BMC Pediatr 2014; 14: 63.
  • 28.Coffey J, Cloutier M, Meadows-Oliver M, Terrazos C. Puerto Rican families’ experiences of asthma and use of the emergency department for asthma care. J Pediatr Health Care 2012; 26: 356-363.
  • 29.Klok T, Brand PL, Bomhof-Roordink H, Duiverman EJ, Kaptein AA. Parental illness perceptions and medication perceptions in childhood asthma, a focus group study. Acta Paediatr 2011; 100: 248-252.
  • 30.Freidin B, Timmermans S. Complementary and alternative medicine for children’s Asthma: satisfaction, care provider responsiveness, and networks of care. Qual Health Res 2008; 18: 43-55.
  • 31.Sonney JT, Gerald LB, Insel KC. Parent and child asthma illness representations: a systematic review. J Asthma 2016; 53: 510-516.
  • 32.Carroll WD, Wildhaber J, Brand PL. Parent misperception of control in childhood/adolescent asthma: the Room to Breathe survey. Eur Respir J 2012; 39: 90-96.
  • 33.Archibald MM, Caine V, Ali S, Hartling L, Scott SD. What is left unsaid: an interpretive description of the information needs of parents of children with asthma. Res Nurs Health 2015; 38: 19-28.
  • 34.Carrillo G, Perez-Patron MJ, Lucio RL, et al. The benefits and challenges of managing asthma in hispanic families in South Texas: a mixed- methods study. Front Public Health 2017; 5: 150.
  • 35.Al Aloola NA, Nissen L, Alewairdhi HA, Al Faryan N, Saini B. Parents’ asthma information needs and preferences for school-based asthma support. J Asthma 2017; 54: 946-956.
  • 36.Shaw MR, Oneal G. Living on the edge of asthma: a grounded theory exploration. J Spec Pediatr Nurs 2014; 19: 296-307.
  • 37.Foronda CL, Jawid MY, Alhusen J, Muheriwa SR, Ramunas MM, Hooshmand M. Healthcare providers’ experience with gaps, barriers, and facilitators faced by family caregivers of children with respiratory diseases. J Pediatr Nurs 2020; 52: 49-53.
  • 38.Tiggelman D, van de Ven MO, van Schayck OC, Kleinjan M , Engels RC. The Common Sense Model in early adolescents with asthma: longitudinal relations between illness perceptions, asthma control and emotional problems mediated by coping. J Psychosom Res 2014; 77: 309-315.
  • 39.Guarnaccia S, Quecchia C, Festa A, et al. Evaluation of a diagnostic therapeutic educational pathway for asthma management in children and adolescents. Front Pediatr 2020; 8: 39.
  • 40.Anderson ME, Zajac L, Thanik E, Galvez M. Home visits for pediatric asthma-a strategy for comprehensive asthma management through prevention and reduction of environmental asthma triggers in the home.Curr Probl Pediatr Adolesc Health Care 2020: 50: 100753.
  • 41.Swann JL, Griffin PM, Keskinocak P, et al. Return on investment of self-management education and home visits for children with asthma. J Asthma 2019; 1-10. doi: 10.1080/02770903.2019.1690660. [Online ahead of print].
  • 42.Wang L, Timmer S, Rosenman K. Assessment of a University-Based Outpatient Asthma Education Program for Children.J Pediatr Health Care 2020; 34: 128-135.
  • 43.Pedersen SE, Hurd SS, Lemanske RF, et al; Global Initiative for Asthma. Global strategy for the diagnosis and management of asthma in children 5 years and younger. Pediatr Pulmonol 2011; 46: 1-17

TÜBİTAK ULAKBİM Ulusal Akademik Ağ ve Bilgi Merkezi Cahit Arf Bilgi Merkezi © 2019 Tüm Hakları Saklıdır.