Discharge Plan for School-Aged Children having Bronchial Asthma

Abstract

Summary B ronchial asthma is the most frequent chronic disease in children. Epidemiological data suggest that in some countries the frequency and severity of its course, especially in children, has been increasing. Asthma, like any other chronic disease contributes to the deterioration of quality of life and may impair child’s development. Bronchial asthma is related to a high morbidity rate, leading to an increased frequency of emergency room visits, hospital admissions, and poor scholastic performance in addition to the physical, psychological, and social impact. BA mortality and morbidity are still unacceptably high due to lack of knowledge, perception, and skills of mothers who provide care for their children. Management of asthma requires open communication and cooperation between child, family and all health team who provide care for this child, so, the child can lead a relatively normal life. The present study was aiming to assess effect of discharge plan on school aged children having bronchial asthma. This aim was achieved through assessing the common physical and psychological and social problems perceived by the children having asthma, Constructing and implementing a discharge plan for children having asthma and evaluating the effect of discharge plan on children having asthma. The subjects and methods of the current study are discussed under the following designs: V- Technical design VI- Operational design VII- Administrative design VIII- Statistical design I-Technical design: Technical design includes; the research design, setting, subjects and tools for data collection. Research Design: A quasi-experimental study design was utilized in carrying out this study. Settings: The study was conducted at Emergency Department and Outpatient Clinic in Children Hospital affiliated to Ain Shams University Hospitals. Subjects: A purposive sample was compromised of (86) school aged children were attending with their mothers to the previously mentioned settings. Under the following inclusion criteria:  Age from 6-12years.  Both genders.  Confirmed diagnosis of being bronchial asthma. Exclusive Criteria:  Children with cystic fibrosis and other chest diseases. Tools of data collection Data were collected through the following tools. 1- An Interviewing Questionnaire: (Appendix I) It was designed by the researcher after reviewing related literatures and it was translated into Arabic Language. It was comprised from three parts: Part one: It was concerned with children and their mothers’ demographic characteristics such as age, sex, education, residence, mother characteristics. Part two: It was concerned with children health history such as