Investigation On The Compliance Of Inhaled Corticosteroid Treatment In Children With Bronchial Asthma In Meizhou

Objectives:To investigate the compliance of inhaled corticosteroid treatment in children with bronchial asthma in Meizhou, and study the influential factors on the compliance. The study can provide intervention strategies for children with asthma for the clinical therapy.Methods:The study was performed on 186 patients with bronchial asthma (120 males and 66 females; ages,3-12 yr; mean age,7.5 yr), who received inhaled corticoids (budesonide, fluticasone propionate, etc.) in Meizhou People's Hospital from Oct.2008 to Oct.2009 out-patient. The diagnostic criteria of children with asthma by the National Pediatric Asthma Collaborative Group was used. The survey included:â‘ the basic status:including the living environment, parent's educational level (either father or mother up to the level of education), economic income and severity of the disease;â‘¡the situation of using inhaled steroid:including the time of inhaled steroids, dosage, usage, drug awareness, etc.â‘¢the reason why not following the doctor's prescription. The information was collected on a systematic classification and statistical analysis.Results:In 186 cases of children with inhaled steroid therapy, only 59 patients followed their doctor's prescription that make compliance rate 31.7%. Multiple stepwise regression analysis showed following factors affected the compliance of inhaled corticosteroid treatment in children with bronchial asthma such as acquired information about asthma and the medication by their parents, parent's education level, trust on the health care, medication factors (inhalation devices, treatment scheme and side effects), the severity of asthma, family economic status and environmental factors.Conclusions:The compliance is too limited, which inhaled corticosteroid treatment in children with bronchial asthma in Meizhou. The factors which affected the compliance of inhaled corticosteroid treatment in children with bronchial asthma in Meizhou include parent's education background, acquired information about asthma and the medication by their parents, the severity of asthma, medication factors, trust on the health care, family economic status and environmental factors.