Measuring asthma control in asthma patients referred to Amir al-Momenin Hospital in Arak based on the health belief model

Document Type : Original Article

Authors

1 1Student Research Committee, School of Health, Arak University of Medical Sciences, Arak, Iran, (email: f97bagheri@gmail.com)

2 Department of environmental health enginerring School of Health, Arak University of Medical Sciences, Arak, Iran,

3 Department of Epidemiology, School of Health, Arak University of Medical Sciences, Arak, Iran

4 Department of Health Education and Health Promotion, School of Health, Arak University of Medical Sciences, Arak, Iran

Abstract

Introduction: Asthma is one of the most common respiratory disorders, the management of which requires understanding the attitudinal and behavioral bases of patients.
Materials and Methods: This cross-sectional study was conducted on 200 patients with asthma in Arak city who were selected by convenient sampling method in 2024. The data collection tools were the standard asthma control assessment questionnaire and the researcher-made health belief model questionnaire. Data were collected through interviews and patient information files and analyzed using regression, correlation coefficient, and Kruskal-Wallis tests.
Results: mean years of asthma in this population was 14.18 ± 10.75 years. The mean and standard deviation of asthma control of patients was 13.81 ± 5.29 (range 5 to 25), of which 168 patients (84%) had poor control, 19 patients (9.5%) had moderate control, and 13 patients (6.5%) had good control. The highest positive correlation coefficient with performance was perceived sensitivity with a correlation coefficient of 0.514, asthma control with 0.39, and self-efficacy with a correlation coefficient of 0.275 (p<0.001). Based on the regression analysis of the perceived sensitivity constructs, self-efficacy and perceived barriers were calculated as the strongest predictors of behavior and were calculated to be 0.31 in total.
Conclusion: The majority of patients had poor asthma control. The results of this study can be used in providing educational interventions with emphasis on predictive constructs. It is also recommended to establish a counseling unit in hospitals and specialized asthma clinics to teach self-management skills to asthma patients.

Main Subjects

References

  1.  

    1- Melén E, Zar HJ, Siroux V, Shaw D, Saglani S, Koppelman GH, Hartert T, Gern JE, Gaston B, Bush A, Zein J. Asthma Inception: Epidemiologic Risk Factors and Natural History Across the Life Course. American Journal Respiratory Critical Care Medicine. 2024 Sep 15;210(6):737-754..

    1. Nunes C, Pereira AM, Morais-Almeida M. Asthma costs and social impact. Asthma research and practice. 2017;3(1):1-11.
    2. Ehteshami-Afshar S, FitzGerald J, Doyle-Waters M, Sadatsafavi M. The global economic burden of asthma and chronic obstructive pulmonary disease. The International Journal of Tuberculosis and Lung Disease. 2016;20(1):11-23.
    3. Fazlollahi MR, Najmi M, Fallahnezhad M, Sabetkish N, Kazemnejad A, Bidad K, et al. The prevalence of asthma in Iranian adults: The first national survey and the most recent updates. The clinical respiratory journal. 2018;12(5):1872-81.
    4. Le TT, Bilderback A, Bender B, Wamboldt FS, Turner CF, Rand CS, Bartlett SJ. Do asthma medication beliefs mediate the relationship between minority status and adherence to therapy? Journal of Asthma. 2008;45(1):33-7.
    5. Engelkes M, Janssens HM, de Jongste JC, Sturkenboom MCJM, Verhamme KMC. Medication adherence and the risk of severe asthma exacerbations: a systematic review. European Respiratory Journal. 2015;45(2):396-407.
    6. Shames RS, Sharek P, Mayer M, Robinson TN, Hoyte EG, Gonzalez-Hensley F, et al. Effectiveness of a multicomponent self-management program in at-risk, school-aged children with asthma. Annals of Allergy, Asthma & Immunology. 2004;92(6):611-8.
    7. Mahouti F, Sadat Tavafian. Effect of an educational preventive program on asthma outcomes. Clinical trial preventiv care in nursing & midwifery journal. 2016;5(2):-.
    8. Lawson PJ, Flocke SA. Teachable moments for health behavior change: a concept analysis. Patient Education Counsel. 2009;76(1):25-30.
    9. Amir A. Investigating factors affecting air pollution in Arak metropolis. The first national conference of applied researches in the preservation of environment, water and natural resources 2015.
    10. Vahedian M. The association between ambient air pollutants of Arak City and respiratory and cardiovascular disease admissions and deaths and years of life loss due to death. Kerman, Iran. Kerman University of Medical Sciences. 2017; 3(1):22.

    12-Nathan RA, Sorkness CA, Kosinski M, Schatz M, Li JT, Marcus P, & Pendergraft TB. Development of the asthma control test: a survey for assessing asthma control. Journal of Allergy and Clinical Immunology. 2014; 113(1), 59-65.

    13-Mohajjel Aghdam A, Hasankhani H, Gharemohammadlu R, Esmaeily M. Relation of patients self-efficacy with control of asthma symptoms. Journal Gorgan University of Medical Sciences. 2013; 15 (2) :70-76.

    URL: http://goums.ac.ir/journal/article-1-1722-fa.html

    14-Sigari N, Sigari N, Ghasri H, Rahimi E, Mohammadi S. Validation of Persian version of asthma control test based on new global initiative for asthma guidelines. Tanaffos .2011;10(4):49.

    1. Sharifi L, Pourpak Z, Heidarnazhad H, Bokaie S, Moin M. Asthma knowledge, attitude, and self-efficacy in Iranian asthmatic patients. Archive Iranian Medical. 2011;14(5):315-20.
    2. Mazloomi SS, Abacci A, Saba MA, Morovati MA. The relation of knowledge, attitude and selfmanagment behaviour in ashthmatic patientes with cntroling ashtma. Zahedan Journal Resarch in Medical Sciences (Tabib-E-Shargh). 2012;14(1):30.
    3. Roger A, Vázquez R, Almonacid C, Padilla A, Serrano J, García-Salmones M, et al. Knowledge of their own allergic sensitizations in asthmatic patients and its impact on the level of asthma control. Archive Bronconeumol. 2013;49(7):289-96.
    4. Sadghi A, Kokabi s, OSHVANDI K, Tapak L. The Effect of Self-care Education on knowledge and Attitude in Patients with Asthma: A Randomized Clinical Trial. Avicina Journal of Nursing and Midwifery Care (SCIENTIFIC JOURNAL OF HAMADAN NURSING & MIDWIFERY FACULTY). 2019;27(5 ):25-32.
    5. Saleem SS, Khan A, Aman R, Saleem SS, Bibi A, Ahmad N, et al. Impact of pharmacist-led educational intervention on knowledge of self-management among asthmatic patients: a prospective cohort study. Biomed Medicine Journal Open. 2022;12(6):e058861.
    6. Glanz K, Rimer BK, Viswanath K. Health behavior and health education: theory, research, and practice: John Wiley & Sons; 2008.
    7. DeDonno MA, Longo J, Levy X, Morris JD. Perceived Susceptibility and Severity of COVID-19 on Prevention Practices, Early in the Pandemic in the State of Florida. Journal of Community Health. 2022;47(4):627-34.
    8. Sukeri S, Zahiruddin WM, Shafei MN, Hamat RA, Osman M, Jamaluddin TT, Daud AB. Perceived Severity and Susceptibility towards Leptospirosis Infection in Malaysia. International Journal of Environmental Research and Public Health. 2020;17(17):6362.
    9. Sari LA. The Health Belief Model of Asthma Control Among Adult Asthmatic Patients in Yogyakarta Indonesia. Belitung Nursing Journal. 2018;4(5):469-75.
    10. Emami Moghadam Z, Ajami B, Behnam Vashani HR, Sardarabady F. Perceived benefits based on the health belief model in oral health related behaviors in pregnant women, Mashhad, 2012. The Iranian Journal of Obstetrics, Gynecology and Infertility. 2013;16(44):21-7.

    25-Salahshouri A, Harooni J, Salahshouri S, Hassanzadeh A, Mostafavi F, Molaei M. Investigation on association between self-efficacy, perceived barriers and social supports with health promoting behaviors in elderly in Dena city. Journal Health System Research 2015; 11 (1) :30-42

    URL: http://hsr.mui.ac.ir/article-1-763-fa.html

    1. Mohajjel Aghdam A, Hasankhani H, Gharemohammadlu R, Esmaeily M. Relation of patients self-efficacy with control of asthma symptoms. Journal of Gorgan University of Medical Sciences. 2013;15(2):70-6.
    2. Davari L, Eslami A, Hasanzadeh A. Evaluation of Self-care and its Relationship with Perceived Self- efficacy in Patients Type 2 Diabetes in Khorramabad City. Iranian Journal of Endocrinology and Metabolism. 2015;16(6):402-10.
    3. Almutary H, Tayyib N. Evaluating Self-Efficacy among Patients Undergoing Dialysis Therapy. Nursing Reports Journal. 2021;11(1):195-201.
    4. Behroozpour A, Shams M, Mousavi M, Ostovar R. Application of the Health Belief Model to Change Women's Self-Medication Behavior regarding Prescription-Only Medicines in Yasuj City, Iran. Tolooebehdasht Journal. 2019;18(5):1-14.
    5. Simon J. Attitudes of Hungarian asthmatic and COPD patients affecting disease control: empirical research based on Health Belief Model. Frontier Pharmacology. 2013;4:135.
    6. Shakerian S, Fakhari A, Fakhari E. Knowledge, Attitude and Practice of Diabetic Patients about Periodontal Disease in Gorgan, North of Iran (2019). Journal of Gorgan University of Medical Sciences. 2021;23(4):52-7.
    7. Morowatisharifabad M, Nadrian H, Falahi A, Mohammadi M. Predictors of self-management behaviors in patients with asthma based on Green's Model of Health Education Planning. Journal of School of Public Health and Institute of Public Health Research. 2009;7(3):37-49.
Daneshvar Medicine
Volume 33, Issue 1 - Serial Number 176
March and April 2025
Pages 37-46

Files

Share

How to cite

Statistics