Pediatric Asthma Case Study

Training parents on identifying and avoiding risk factors which trigger pediatric asthma and recognizing asthma attack symptoms can improve the disease control. Parents should be encouraged to monitor frequently their child’s respiratory function with a peak flow meter while at home, and to record the results in a journal. Peak flow meters are available at pharmacies. According to GINA, this is the best way to monitor patient’s condition and achieve control of persistent pediatric asthma.

Nonadherence to asthma therapy is a common problem resulting from doubts about the necessity of regular treatment, overestimation of treatment effects or concerns about potential adverse effects. Parents are primarily at fault for poorly controlled pediatric

In terms of asthma control, the confidence interval on the mean of a normal distribution (=0,05) in this sample group is 17,87 ≤ CI 95% ≤ 21,41.

Results show that asthma control is comparatively better in children aged 6-12 than in children aged 13-16.

The summary data from asthma control tests administered to both groups is on the borderline between the categories “partially controlled” and uncontrolled” (19,83).

A follow-up CACT test was administered to 107 participants after their parents had been counselled by pharmacists in accordance with our algorithm. Seven participants in the baseline test voluntarily withdrew from the study before the follow-up test.

Figure 4 below displays the results of the follow-up CACT administered to children in the age group of 6-12 years. Fig.4 Asthma control level in children aged 6-12 years after the introduction of the algorithm

The sample mean is 22,15, which defines pediatric asthma of children aged 6-12 years as “partially

Figure 5 below displays the results of the follow-up CACT administered to children in the age group of 13-16 years.

According to the data provided by the follow-up asthma CACT, the sample mean is 21,49, which defines pediatric asthma within the age group of 13-16 years as “partially controlled”. Fig.5 Asthma control level in children aged 13-16 years after the introduction of the algorithm

In comparison to the baseline data, mean values have increased by 9.40% largely as a result of the increased share of children with controlled asthma (an increase of 2.05%) and the decreased share of children with uncontrolled asthma (a reduction of 5.05%).

In the follow-up test of asthma control, the confidence interval on the mean of a normal distribution (α=0,05) in this sample group is 18,65 ≤ CI95% ≤ 20,63.

Data analysis reveals that pharmaceutical care provided in accordance with our algorithm has improved asthma control.

Table 1 below shows a summary of test results received in both focus groups of children aged 6-12 and 13-16.

Data age 6-12 age 13-16

Fемп 0,376 0,279

Fкр 0,678 0,570 tемп 2,433 1,706 tкр 1,655