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Dissertations / Theses on the topic 'Asthma in children Nursing'

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Published: 10 December 2022
Last updated: 29 January 2023

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1

Cox, Karen R. (Karen Rose). "Effects of a self-care deficit nursing theory-designed nursing system on symptom control in children with asthma." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036817.

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2

Ferrugio, Carla Ianni. "Caregivers description of illness in children with asthma." FIU Digital Commons, 1998. http://digitalcommons.fiu.edu/etd/3315.

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Recent studies identify infants, toddlers and preschoolers as high risk groups exhibiting vulnerability and increased morbidity rates associated with asthma. The data collected via review of ER medical records, were analyzed using descriptive and inferential statistics, where appropriate. The study was conducted on a convenience sample of 110 asthmatic children brought to a Children's Emergency Room (ER) in West Palm Beach, Florida for urgent care. This retrospective descriptive correlational study examined the relationship between the caregiver's description of the child's presenting illness and degree of the asthma exacerbation upon admission to the emergency department for management. Relationships between/among these variables were also explored for children with or without a primary care provider and health insurance. Research findings lend support to the hypothesis (p = .001) that the lesser the degree of severity of the child's asthma exacerbation, the less likely caregivers will describe respiratory distress as the presenting illness. However, the findings fail to support the hypotheses that caregivers of children with a primary care provider or health insurance coverage are more likely to appropriately describe the presenting illness as respiratory distress. Other findings point to the need for client-tailored management plans to maximize caregivers and/or child learning about asthma and its management, client education and follow up.
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3

Dolinar, Rose-Marie E. "Influence of a home-based asthma health education program on quality of life and coping in parents of children with asthma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq26316.pdf.

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4

Hu, Shenhua, and Yixuan Wang. "The Effects of Home-Based Nursing Intervention on Children with Asthma A Descriptive Review." Thesis, Högskolan i Gävle, Avdelningen för vårdvetenskap, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-36629.

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5

Keraitė, Kristina. "Kineziterapijos efektyvumas, gydant bronchine astma sergančius 11-15 metų vaikus." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2005. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2005~D_20050523_222003-67436.

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60 children with bronchial asthma were investigated of the age of 11-15. Children, who were investigated, were divided into 2 groups: the first group consisted of 30 children, who did exercises in the sport hall; the second group consisted of 30 children, who did exercises in the water. Physical therapy for both groups was provided for 30 minutes 6 days a week 1 time per day. Physical therapy included active gymnastic exercises using various physical therapy tools. It was provided two lung ventilation tests with spirometer “Spiromed 250”: the first test was taken before starting to do physical therapy, the second one was taken in the end of physical therapy. We examined the forced expiratory vital capacity (FVC), volume of forced expiration within the first second (FEVı), Gaensler index (FEVı/FVC), peak expiratory flow (PEF), maximum expiratory flow, when 50% of the forced vital capacity has been exhaled (MEF50%). The results of our investigation showed that gymnastic exercises in the water have more positive effect than gymnastic exercises in the sport hall for children with bronchial asthma.
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6

Wood, Anne Akins. "School Nursing and Asthma the relationship between evidence-based practice, best practice and individualized healthcare plans /." Lynchburg, Va. : Liberty University, 2009. http://digitalcommons.liberty.edu.

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7

Ng, Yuk-ling, and 伍玉玲. "An evidence-based education program to promote health outcomes in asthmatic children." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48335988.

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Asthma is a common chronic disease for children and is a leading cause for their hospitalization. Despite its negative health impact, a local survey has shown that children with asthma as well as their parents have a lack of understanding for asthma management (Wong, Wong, Chung & Lau, 2001). However, to help asthmatic children to better cope with their condition, it is important for health care professional such as nurses to enhance their knowledge in asthma management. Recent empirical research has shown that education promoting knowledge of asthma management can improve health outcomes in asthmatic children. Therefore, it is important to develop an evidence-based asthma education guideline for them. This dissertation aims to evaluate the empirical evidence of the education program for asthmatic children, with the age ranging from 5 to 18, and their parents. The goal of the proposed program is to reduce their re-hospitalization rate by enhancing their knowledge of asthma care. A translational nursing research was conducted and 10 studies focusing on asthma education program for children and their parents were identified from electronic databases. Critical appraisal was performed using the recognized assessment tool, named the Scottish Intercollegiate Guidelines Network (SIGN) (2008). Recommendations were developed based on the data extracted from the review. Based on the literatures reviewed, it was found that a 45-to-60 minute one-to-one educational intervention conducted by nurses using self-management plan is the most effective method for improving the health outcomes for asthmatic children. A plan of translating the empirical information extracted from the review into practice was developed and the potential of implementation was assessed. Based on the assessment, it was found that there is high transferability of the findings from the review and the proposed innovation is feasible in the selected clinical setting. In addition, the benefits generated from the proposed innovation also outweigh its cost. An evidence-based guideline was then developed based on the high and medium level of evidence. The grades of the recommendation were stated as well. A comprehensive communication plan targeting on various stakeholders was prepared. A pilot study was designed to examine the feasibility of the proposed innovation before the full-scale implementation. The outcomes of the proposed innovation include the re-hospitalization rate of asthmatic children, the patients’ and nurses’ level of knowledge in asthma care, the satisfactory level of patients and nurses towards the innovation, the competency of nurses in conducting the innovation, and the utilization rate and the cost of the innovation. They would be evaluated using appropriate methodologies. The proposed innovation would be considered as effective if the primary outcome, the re-hospitalization rate of asthmatic children is reduced.
published_or_final_version
Nursing Studies
Master
Master of Nursing
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8

McGovern, Colleen M. "COPE for Asthma: A Cognitive Behavioral Skills-Building Intervention for Children with Asthma and Anxiety." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1541269539391523.

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9

Jenkins, Bradlee A. "Effect of Asthma and Cystic Fibrosis on Health Utilization and Education Progress in Children and Adolescents." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/honors/108.

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Aims. To determining the effect of asthma, cystic fibrosis (CF), and both on healthcare utilization, absences from school, and rate of progress in school. Background. Previous studies on academic progression and health care utilization in children with the respiratory diseases of asthma and CF have been limited or conflicting. Design. Non experimental, cross-sectional, secondary data analysis using a multilevel probability sample. Methods. The response of all persons under 18 years of age in the U.S. 1997-2012 National Health Interview Survey to interviewer questions on demographic, educational, and health care utilization items were analyzed. The mean and 95% confidence intervals for these variables were compared for children with asthma, CF, and controls. Results/Findings. Children with asthma, CF, or both had a higher utilization of all major types of healthcare services than children with neither of these conditions. Children with asthma or CF were more likely to have not only poor health, but more rapid declines in recent health with the greatest decline in those with both conditions. The number of missed school days was also higher, and highest in children with both CF and asthma. Despite the many missed school days, children with asthma paradoxically had a greater rate of progression in school than those without asthma. Those with CF or CF with asthma had a slower rate. Conclusion. Asthma in CF has a negative impact on attendance and progress in school largely opposite that of asthma alone.
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10

Engelin, Magnus, and Lovisa Hokkinen. "Familjens upplevelser när ett barn får diagnosen astma : Och sjuksköterskans betydelse." Thesis, University of Skövde, School of Life Sciences, 2008. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-564.

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Bakgrund: Tidigare studier har fokuserat på de fysiologiska aspekterna i bearbetningen av astma, både för patienterna och för deras närstående. Astma har under de senaste årtiondena ökat i prevalens och sjukdomen skapar emotionell och psykologisk stress som drabbar hela familjen runt den astmasjuke.

Syfte: Syftet med denna litteratur studie var att uppmärksamma familjens upplevelser när ett barn har sjukdomen astma, samt belysa sjuksköterskans betydelse

Metod: Till denna litteraturstudie samlades data in från databaserna Academic Search Elite och CINAHL. Under analysen skapades fyra teman. Dessa var: Första tiden efter diagnosen, anpassning, när astman blir en del av livet. Sista temat var sjuksköterskans betydelse.

Resultat: Resultatet visar att föräldrar till barn med nydiagnostiserad astma känner osäkerhet, rädsla och betvivlar sin förmåga att vårda sitt barn. Föräldrarna uppgav också att de upplevde en tuffare ekonomisk situation relaterat till ökat frånvaro från arbetet, mediciner och förändringar i hemmiljön. Det visade sig också att sjuksköterskan och den information som gavs från sjukvårdspersonalen spelade en central roll i föräldrarnas förmåga att anpassa sig.


Background: Earlier studies have focused on the physiological aspects of coping with asthma, both on patients and their relatives. Asthma is a disease that has been increasing over the last decades and it puts a lot of emotional and psychological stress on the entire family.

Aim: The aim of this literature review was to observe the family’s experiences when a child has asthma, and illuminate the importance of the nurse.

Method: For this literature review, data was collected from the databases Academic Search Elite and CINAHL. During analyse four themes appeared. These were the first period after diagnose, adapting, when asthma becomes a part of life. The last theme was named the importance of the nurse.

Result: The result showed that parents to children whose been newly diagnosed with asthma feels insecure, afraid and feel doubts their capability to care for their child. The parents also reported that they had a tougher economical situation due to higher absence from work, medicines and changes required in their home environment. It also showed that the nurse and the information from healthcare providers have a central role in the parents coping capabilities.

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11

Sweet, Laura Louise. "The Impact of an Urban Intervention to Mediate Indoor Environmental Hazards on Asthma Outcomes in Children." The Ohio State University, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=osu1343509149.

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12

Stankutė, Romena. "Tai Chi pratimų poveikis 8–11 metų vaikų, sergančių bronchų astma, kvėpavimo funkcijai." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2011. http://vddb.laba.lt/obj/LT-eLABa-0001:E.02~2011~D_20110630_135700-28399.

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Tyrimo problema. Bronchų astma tampa globaline sveikatos problema: ji dažnėja, jaunėja. Manoma, kad šia liga daugelis žmonių suserga ankstyvoje vaikystėje (Anandan et al., 2010). Tai Chi – kinų kovos menas apimantis suderintą kvėpavimą su kūno judesiais, tai padeda mažinti stresą, atsipalaiduoti, išlaikyti kūno pusiausvyrą. Taip pat gali padėti sergantiems astma geriau kontroliuoti astmos priepuolius ir pagerinti fizinį pajėgumą (Kiatboonsri et al., 2008). Moksliniuose straipsniuose (Fanelli et al., 2007; Chang et al., 2008) teigiama, jog Tai Chi pratimai žymiai pagerina vaikų, sergančių bronchų astma, kvėpavimo funkciją. Tyrimo objektas: 8–11 metų vaikų, sergančių bronchų astma kvėpavimo funkcijos kitimas taikant Tai Chi pratimus ir įprastinę kineziterapiją. Tyrimo hipotezė: manome, kad Tai Chi pratimų taikymas vaikų, sergančių bronchų astma, kvėpavimo funkcijai turėtų būti veiksmingesnis nei įprastinė kineziterapija Tyrimo tikslas: įvertinti Tai Chi pratimų poveikį kvėpavimo funkcijai, gydant 8–11 metų vaikus, sergančius bronchų astma. Tyrimo uždaviniai: 1. Nustatyti kvėpavimo funkcijos rodiklių kitimą taikant įprastinę kineziterapiją. 2. Nustatyti kvėpavimo funkcijos rodiklių kitimą taikant Tai Chi pratimus. 3. Nustatyti, kuri pratimų programa buvo veiksmingesnė gerinant kvėpavimo funkciją. Tyrimas buvo atliktas VŠĮ Kačerginės vaikų sanatorijoje „Žibutė“. Buvo ištirtos dvi grupės po 25 vaikus, sergančius bronchų astma, kurių amžius nuo 8 iki 11 metų. Tiriamajai grupei... [toliau žr. visą tekstą]
Research Problem: Bronchial asthma is becoming a global health issue: it is an increasingly common illness diagnosed in very young children. It is believed that the majority of people develop this disease in the early childhood (Anandan et al., 2010). Tai Chi, which is a Chinese martial art combining harmonious breathing and body movements, can help to reduce stress, relax and maintain body balance. In addition, it allows those with asthma to better control their asthmatic fits and to improve physical potential (Kiatboonsri et al., 2008). According to scientific articles (Fanelli et al., 2007; Chang et al., 2008), Tai Chi exercises improve the respiratory function of children who suffer from bronchial asthma. Research Object: How Tai Chi exercises and regular physiotherapy cause changes in the respiratory function of 8–11 years-old children who have bronchial asthma. Research Hypothesis: In terms of the respiratory function Tai Chi exercises seem to be more effective in children with bronchial asthma than regular physiotherapy. Research Objectives: To assess how Tai Chi exercises affect the respiratory function of 8–11 years – old children who undergo treatment for bronchial asthma. Research Tasks: 1. To establish how respiratory function indicators begin to change when applying regular physiotherapy. 2. To determine how respiratory function indicators begin to change when applying Tai Chi exercises. 3. To find out which exercise programme proved to be the most effective... [to full text]
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13

Sawyer, Susan S. "Factors Affecting the School Nurse's Role in Effectively Managing the Child with Asthma: A Dissertation." Diss., eScholarship@UMMS, 2002. http://escholarship.umassmed.edu/gsn_diss/6/.

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Thesis (Ph. D.)--University of Massachusetts Worcester and University of Massachusetts Amherst, 2002.
Title from opening page (viewed Oct. 10, 2007). "February 2002, Collaborative PhD in Nursing Program, Worcester and Amherst." Includes bibliographical references (p. 86-97).
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14

Sousa, Etelvaldo Francisco Rêgo. "Convivência com a asma da criança: a interface entre a família e o apoio profissional." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/7/7141/tde-18072014-143854/.

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Introdução: A convivência com a doença crônica da criança torna a presença dos profissionais de saúde uma constante na vida das famílias, havendo na literatura lacunas no que diz respeito à perspectiva da unidade familiar quanto ao apoio profissional recebido. A asma é uma doença que geralmente inicia-se na infância, e tem ganhado destaque nas políticas de saúde brasileiras, em virtude da transição epidemiológica vivida pelo país. A família da criança com asma passa a necessitar do apoio profissional para lidar com este novo evento. Objetivo: Esta pesquisa objetivou compreender a experiência da família acerca do apoio dos profissionais de saúde no convívio com a doença crônica da criança. Método: Teve como referencial teórico o Interacionismo Simbólico e a Pesquisa de Narrativa como referencial metodológico. Os dados foram coletados através de entrevistas com nove famílias, totalizando 30 sujeitos, que convivem com a asma da criança, selecionadas por meio do Ambulatório de Cuidados Pediátricos de um hospital universitário. Resultados: Da análise dos dados emergiram três temas que descrevem a experiência da família em relação ao apoio recebido dos profissionais da saúde na sua convivência com a asma da criança: O QUE É PRECISO PARA COMEÇAR; COM QUEM CONTAR: PROFISSIONAIS DE REFERÊNCIA; A FORÇA QUE VEM DA AJUDA: REDEFINIÇÃO DE CAMINHOS. Conclusões: Este estudo propiciou um maior entendimento das potencialidades da atuação profissional no cuidado à família que experiência a asma da criança. Os resultados evidenciam a necessidade de novas abordagens que considerem o caminho que a família percorre na convivência com a doença da criança. Os profissionais devem conscientizar-se de que sua atuação é importante elemento na construção dos significados que a família atribui à convivência com a asma da criança. É necessário pensar em novas praticas para a relação profissional com a família, pois esta relação é capaz de suscitar e/ou fortalecer na família habilidades amenizadoras de sofrimento
Introduction: Living with a chronic illness of the child makes the presence of health professionals is a constant in the lives of families, with gaps in the literature with regard to the perspective of the family unit as the professional support received. Asthma is a disease that usually begins in childhood, and has gained prominence in health policies in Brazil, due to the epidemiological transition experienced by the country. The family of the child with asthma starts to require professional support to deal with this new event. Objective: This study aimed to understand the experience of the family about the support of health professionals to living with the chronic illness of the child. Method: Had the theoretical Symbolic Interaction and Narrative Research as a methodological reference. Data were collected through interviews with nine families, totaling 30 people, who live with childhood asthma were selected by the Ambulatory Pediatric Care of a university hospital. Results: Data analysis revealed three themes that describe the experience of the family in relation to the support received from health professionals in their coexistence with childhood asthma: WHAT YOU NEED TO START, WITH WHO COUNT: PROFESSIONAL REFERENCE; STRENGTH COMING OF HELP: WAYS RESET. Conclusions: This study provided a better understanding of the potential of professional practice in the care of family experience childhood asthma. The results highlight the need for new approaches that consider the road that runs in the family living with the child\'s illness. Practitioners should be aware that their performance is an important element in the construction of meanings that the family attaches to living with childhood asthma. It is necessary to think of new practices to the professional relationship with the family, because this relationship is able to raise and / or strengthen family skills decrease suffering
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15

Kamath, S. V. "Inflammation in paediatric asthma." Thesis, Queen's University Belfast, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.269034.

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16

Russell, Linda Moreno. "The effects of family functioning, child behaviors, and asthma beliefs on asthma management in children and adolescents /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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17

Toop, Leslie John. "Cough sound analysis in children with asthma." Thesis, University of Bristol, 1996. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.361104.

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18

Myslytska, H. O., and U. I. Marusyk. "Аtopic reactivity in children with bronchial asthma." Thesis, БДМУ, 2021. http://dspace.bsmu.edu.ua:8080/xmlui/handle/123456789/18411.

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19

Tan, Chee Chun. "Spirometry Use in Children Hospitalized with Asthma." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1321888428.

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20

Smith, Nerida Ann. "The effects of intervention on medication compliance and asthma control in children with asthma." University of Sydney, 1987. http://hdl.handle.net/2123/1613.

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Doctor of Philosophy
Asthma can be a chronic disorder requiring regular medications if the symptoms are persistent. The regimen is often complex, involving a number of drugs and a variety or routes of administration. Although drug therapy may not alter the natural history of asthma it can improve lung function enabling those with asthma to lead as near a normal life as possible. Thus medication compliance is an important factor in the managemnt of asthma. (Note : Special enclosures (Publication reprints) at end of thesis have been removed for digital submission, with permission of author)
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21

溫煜讚 and Yuk-tsan Wun. "A study of the peak expiratory flow rates in children in a general practice." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31981422.

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22

Sonney, Jennifer Tedder. "Parent-Child Asthma Illness Representations." Diss., The University of Arizona, 2015. http://hdl.handle.net/10150/594958.

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Asthma management in school-aged children, particularly controller medication use, is best conceptualized as parent-child shared management. Controller medication nonadherence is common, and leads to higher disease morbidity such as cough, sleep disruption, poor activity tolerance, and asthma exacerbation. The purpose of this study was to describe asthma illness representations of both school-aged children (6-11 years) with persistent asthma and their parents, and to examine their interdependence. The Common Sense Model of Self-regulation, modified to include Parent-Child Shared Regulation, provided the framework for this descriptive, cross-sectional study. Thirty-four parent-child dyads independently reported on asthma control, controller medication adherence, and asthma illness representations by completing the Childhood Asthma Control Test, Medication Adherence Report Scale for Asthma, Brief Illness Perception Questionnaire, and Beliefs about Medicines Questionnaire. Using intraclass correlations, moderate agreement was evident between the parent and child timeline (perceived duration) illness representation domain (ICC= .41), and there was a weak association between the parent and child symptoms domain (ICC = .13). The remaining controllability and consequences domains showed no agreement. Hierarchical regression analyses were used to test parent and child illness representation domain variables as predictors of parent or child estimates of medication adherence. With parent-reported medication adherence as the dependent variable, regression models used parent illness representation variables followed by the corresponding child variable. Parent beliefs about medication necessity versus concerns was a significant predictor of parent-reported treatment adherence (β = .55, p < .01). Child-reported treatment control was also predictive of parent-reported treatment adherence (β -.50, p < .01). When child-reported medication adherence was the dependent variable, the child illness representation variable was entered first followed by the parent variable. Child beliefs about medication necessity versus concerns was the only significant predictor of child-reported adherence (child β .50, p < .01), none of the parent variables reached significance. Findings from this study indicate that although there are similarities between parent and child asthma illness representations, parental illness representations do not predict children's estimation of controller medication adherence. These findings indicate that school-aged children develop illness representations somewhat independent from their parents and, therefore, are critical participants in both asthma care as well as research.
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23

Modi, Avani C. "Adherence in children with cystic fibrosis and asthma." [Gainesville, Fla.] : University of Florida, 2004. http://purl.fcla.edu/fcla/etd/UFE0005641.

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Thesis (Ph.D.)--University of Florida, 2004.
Typescript. Title from title page of source document. Document formatted into pages; contains 94 pages. Includes Vita. Includes bibliographical references.
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24

Mai, Xiao-Mei. "Asthma, bronchial hyperresponsiveness and body weight in children /." Linköping : Univ, 2003. http://www.bibl.liu.se/liupubl/disp/disp2003/med806s.pdf.

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25

Hijazi, Nariman. "Epidemiology of asthma among children in Saudi Arabia." Thesis, University of Aberdeen, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.322584.

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26

Sinha, Ian. "Outcomes in clinical trials in children with asthma." Thesis, University of Liverpool, 2011. http://livrepository.liverpool.ac.uk/3193/.

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The selection of outcomes is a critically important decision when designing randomised controlled trials (RCTs). Informed clinical decisions can only be based on the results of RCTs that have measured outcomes of importance to both clinicians and patients. It can be difficult to know which outcomes should be measured in RCTs. Some groups advocate core outcome sets, which are a minimum set of outcomes that should be measured, and reported, in all clinical trials in a given condition. These increase the likelihood that important outcomes are measured, reduce nonuniformity between studies, and reduce the risk of outcome reporting bias. We systematically reviewed studies that determined which outcomes to measure in clinical trials in children, and found that such work had been conducted in only few conditions, and the quality of existing work was variable. Few studies used structured consensus techniques to reach agreement about which outcomes to measure in trials, and parents were seldom involved. No studies included children. One condition in which there were no robust recommendations about which outcomes to measurein RCTs was childhood asthma, which is a condition of considerable global importance. We subsequently aimed to assess whether the absence of a core outcome set for RCTs of children with asthma meant that certain outcome domains were measured less frequently than others, and whether there was nonuniformity between studies in terms of outcomes selected. We conducted a systematic review of RCTs of children with asthma, published between January 1988 and December 2007, and found that the included studies focussed on short-term disease activity, but quality of life, functional status, and long-term outcomes were infrequently measured. Certain outcomes were measured and reported in various ways. We recommended that a core outcome set should be developed for childhood asthma, using structured consensus techniques, such as the Delphi process. In order to aid the development of such a core set, we first systematically reviewed studies that used the Delphi process to determine which outcomes to measure in clinical trials. We observed variations in the methodology used, identified potential sources of bias, and provided recommendations about how such studies could be conducted and reported. In order to develop a core outcome set for childhood asthma, we used a Delphi process to ascertain the views of 46 clinicians, and around 100 parents and young people, about which outcomes are most important and relevant from their perspective, when making shared decisions about regular therapies which control asthma. The most important outcomes were symptoms, exacerbations, and quality of life. Although consensus still needs to be reached amongst other groups of individuals involved in clinical trials, we conclude that these outcomes should be measured, and reported, in all RCTs that aim to evaluate the effectiveness of regular therapies for children and young people with asthma.
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27

Piotrowska, Zofia. "Rhinovirus-associated wheezing and asthma in young children." [New Haven, Conn. : Yale University], 2008. http://ymtdl.med.yale.edu/theses/available/etd-12092008-151207/.

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28

Erasmus, Esther W. "Insights into the psychobiology of personality of individuals living with chronic asthma to inform treatment planning." Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-06292007-163159.

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29

Khan, Md Sanaur Rahman School of Women?s &amp Children?s Health UNSW. "Improving the management of childhood asthma." Awarded by:University of New South Wales. School of Women?s and Children?s Health, 2003. http://handle.unsw.edu.au/1959.4/19256.

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Objectives: To improve the management of childhood asthma. Subjects & Setting: Children admitted with asthma from 1st January 2000 to 31st December 2000; and children discharged with asthma from Emergency Department (ED) of Sydney Children?s Hospital (SCH) between 16th October 2000 and 28th February 2002. Methods: There were two major studies addressing aspects of asthma management, namely the retrospective in-patient study and the prospective ED presentation study. Each of these was subdivided in two different studies to address different research questions. In the first retrospective study, a priori criteria for theoretical "time ready for discharge" (TRD) for asthmatic admissions were defined based on frequency of use of salbutamol. In the second retrospective study, we followed 361 children for 1 year from the date of their discharge, to find out whether those who received asthma education, written asthma action plan, and preventer medications at the time of discharge and whose follow?up was arranged prior to discharge, represented to the ED or were readmitted. The prospective study, which also addressed two different research questions, was a randomised-controlled trial in which parents of 310 children who had been discharged from ED with asthma, received written asthma materials only or received telephone consultation in addition to written materials. Background severity and control of asthma were assessed in baseline study from parent?s reported symptom frequency and medication uses. Outcome measures: readmission and representation to the ED, regular use of preventer medications, possession and use of written asthma action plan, and asthma symptom measures. Results: (1) 116 (27.7%) children were discharged before our theoretical TRD and only 2 child who were discharged after achieving TRD, developed symptoms which required oxygenation and more frequent doses of salbutamol. Both readmission and representation to ED within one week of discharge were uncommon. (2) 121 children represented within 1 year of their discharge, of whom 68 children were readmitted. Both receiving asthma education during admission and arranging follow-up prior to discharge were associated with a decreased likelihood of representation as well as readmission (P > 0.001). (3) In RCT, the baseline study showed that 14% of children were not receiving appropriate preventer therapy despite indications; and a further 34% had frequent symptoms despite receiving preventer therapy. 62% of the parents reported of having written asthma action plan but less than 50% of them reported using it regularly. At follow up we observed both possession and use of written asthma action plan (p = 0.002) as well as regular use of preventer medications (p = 0.001) were improved in the intervention group compared with the control group. Conclusions: Discharge on 3-hourly rather than 4-hourly doses of salbutamol appears safe and shortens length of stay by an average of 5.5 hrs. Both asthma education and follow-up at the time discharge appear to reduce readmission and representation to ED. Telephone consultation can increase the regular use of preventer medications and written asthma action plan.
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30

Jenkins, Bradlee A., and L. Lee Glenn. "Morbidity Indicators of Asthma in Cystic Fibrosis." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7555.

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31

Hederos, Carl-Axel. "Asthma in young children : epidemiology, burden of asthma and effects of a parental information program /." Stockholm : Karolinska institutet, 2007. http://diss.kib.ki.se/2007/978-91-7357-251-4/.

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32

McCants, Kellie M. "Factors affecting treatment regimen adherence in children and adolescents with asthma." Connect to this title online, 2003. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1041866923.

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Thesis (Ph. D.)--Ohio State University, 2004.
Title from first page of PDF file. Document formatted into pages; contains xv, 134 p.; also includes graphics Includes bibliographical references (p. 101-108). Available online via OhioLINK's ETD Center
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33

Chong, Germaine (Yen Ping) Lynn. "Parents' trust in nurses: an ethnographic study of the nurse-parent relationship within the paediatric setting." Thesis, Curtin University, 2005. http://hdl.handle.net/20.500.11937/355.

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The establishment of trust in the nurse-parent relationship is espoused to be fundamental in achieving partnership-in-care within paediatric nursing. Paediatric nursing has progressed since the 1960's and in the 1990's, the major breakthrough was the emergence of the partnership model. Hence, it would be ideal to investigate the elements facilitating the foundation of trust in the formation of a nurse-parent relationship. The purpose of this study is to identify the concept of formation of trust in the relationship between parents whose children suffer from chronic asthma and the paediatric nurses responsible for their care in a paediatric medical setting. The study also determined and explored the characteristics of a trustworthy nurse, and identified those factors which facilitated or impeded the development of trust between the paediatric nurse and the parent within the culture of the paediatric medical setting. Parents of hospitalised children were sought for data collection. Data was collected using field observations and semi-structured interviews. Participant observation and all ethnographic field notes were used to describe culture in relation to the concept of trust in the nurse-parent relationship. The findings indicated that elements vital to the development of trust between parents and paediatric nurses were pre-existing trust, knowledge of asthma, communication, building a relationship and confidentiality. Based on these findings, a model of trust and partnership was developed. The implications of the findings have been significantly related to keeping parents informed of their child's condition, the continuity in nursing care and paediatric nurses to introduce themselves at the beginning of each change of shift.
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34

HOWARD, JOANNE KAY HERGENROTHER. "COGNITIVE ADAPTATION AND THE SCHOOLAGER WITH ASTHMA." Diss., The University of Arizona, 1986. http://hdl.handle.net/10150/183895.

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The purpose of this study was to examine the interrelationships among the themes of Taylor's (1983) Cognitive Adaptation Theory for schoolagers with asthma. In addition, the influence of Taylor's (1983) themes on the children's social behavior was also tested. The three themes of Taylor's (1983) theory included A Search for Meaning, Restoration of Self-Esteem, and Gaining a Sense of Self-Mastery. Two components of A Search for Meaning included the Impact of Disease and the Cause of Disease. Relating Behaviors-Cooperating Behaviors was the index of social behavior. Forty-five Caucasian children between the ages of seven and ten years who had a diagnosis of asthma and did not have any mental disability were the convenient sample. Data were collected in the children's homes. Three questionnaires and two interviews were used to measure Taylor's (1983) themes and Relating Behaviors-Cooperating Behaviors. Descriptive statistics were used to answer the research questions and provide additional findings related to the conceptual framework. Two relationships among Taylor's (1983) themes were significant (p ≤ .05). Children who reported greater impact of asthma upon their lives (Impact of Disease) reported lower self-esteem (Restoration of Self-Esteem). Children who reported greater impact of asthma upon their lives (Impact of Disease) also reported a lesser internal locus of control orientation (Gaining a Sense of Self-Mastery). The Cause of Disease was the only concept which correlated significantly with Relating Behaviors-Cooperating Behaviors and thus, influenced this concept. Children who named a cause for their asthma reported more relating and cooperating skills. The Cause of Disease explained 6.5% of the variance for Relating Behaviors-Cooperating Behaviors. Characteristics of the children's asthma condition and their families were significantly related to the themes of Taylor's (1983) theory and Relating Behaviors-Cooperating Behaviors. Developmental differences were found from age group analyses. The classification of the children's responses for the cause of asthma and reliability and validity estimation for the HIIS were also reported. Five potential sources of error which may have affected the findings included design, instrument, subject, investigator, and specification errors. Suggestions for future research with the conceptual framework were discussed.
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35

Turczynowicz, Leonid. "Asthma and risk factors in South Australia : an ecologic analysis." Title page, table of contents and abstract only, 2000. http://web4.library.adelaide.edu.au/theses/09MPM/09mpmt933.pdf.

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Includes CD-ROM inside back cover of volume 2. Bibliography: p. 178-222. Aims to identify current risk factors for asthma and to determine which of these factors, at the population level, is associated with asthma prevalence in children in South Australia. In addition, modelling techniques are used to determine which factors are significant predictors of asthma prevalence in 4 to 5 year old children in S.A. Study results show that at the population level, 9 risk factors are significantly associated with lifetime prevalence and 24 factors with period prevalence. Study findings are generally consistent with existing literature.
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36

Friedman, Abby H. "Parenting factors related to asthma and anxiety in children." Morgantown, W. Va. : [West Virginia University Libraries], 2007. https://eidr.wvu.edu/etd/documentdata.eTD?documentid=4983.

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37

Schuckard, Eeuwe. "Functional Asthma Severity and Impulsive Behaviour in 6 and 7 Year-old Children." Thesis, University of Canterbury. College of Education, 2007. http://hdl.handle.net/10092/1705.

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There is evidence that children with asthma exhibit more externalizing behaviour problems than other children. Impulsive behaviours can mark the onset and severity of externalizing behaviour problems. The present paper reports an exploratory examination of relationships between functional asthma severity and impulsivity in 6 and 7 year old children with asthma (N = 16). Participants with varying functional asthma severity were recruited at age 5 from a larger community study (the Children’s Learning Study). Parents completed items from three subscales of the Connors’ Parent Rating Scale-Revised (CPRS-R), the Hyperactive-Impulsive, Conners’ Global Index: Restless-Impulsive and the DSM-IV Hyperactive-Impulsive subscales. Children completed the Two Choice Paradigm (TCP), a computer program measuring delay aversion type impulsive behaviours. Mean (SD) CPRS-R Hyperactive-Impulsive, Conners’ Global Index: Restless-Impulsive and DSM-IV Hyperactive-Impulsive subscale scores were 59 (11), 56 (10) and 59 (10) respectively. There was no correlation between functional asthma severity and delay aversion or CPRS-R subscale scores and there was no evidence of a trend for such a relationship. Preliminary investigations conducted with a small sample of 6-7 year-old children with asthma thus suggest that functional asthma severity is not related to impulsivity.
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38

Jenkins, Bradlee A., and L. Lee Glenn. "Effect of Asthma on Morbidity in Cystic Fibrosis." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/7554.

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39

Gupta, Atul. "Vitamin D and severe therapy resistant asthma in children." Thesis, Imperial College London, 2013. http://hdl.handle.net/10044/1/40890.

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Background There is increasing evidence that low vitamin D levels are implicated in paediatric asthma Hypotheses Children with severe, therapy resistant (STRA) have low serum vitamin D levels which are associated with worse asthma control and airway pathology. In vitro, steroid responsiveness of peripheral blood mononuclear cells (PBMCs) from STRA is improved by vitamin D. Methods Serum 25-hydroxyvitamin D (25[OH]D3) was measured in 36 STRA, 26 mild/moderate asthmatics (MA) and 24 non-asthmatic controls, and related to asthma control and exacerbations. 22/36 children with STRA underwent bronchoscopy with assessment of airway inflammation and remodelling. The in vitro steroid responsiveness of PBMC was assessed, in the absence or presence of dexamethasone and vitamin D. Results Median 25[OH]D3 levels were significantly lower in STRA (28nmol/L) than MA (42.5nmol/L) and controls (56.5nmol/L). There were positive relationships between 25[OH]D3 levels and %predicted first second forced expired volume (r=0.4, p<0.001) and forced vital capacity (r=0.3, p=0.002). 25[OH]D3 levels were positively associated with asthma control test (ACT) (r=0.6, p<0.001) and inversely associated with exacerbations (r=-0.6, p<0.001) and inhaled steroid dose (r=-0.39, p=0.001) in asthmatics. Airway smooth muscle (ASM) mass was inversely related to 25[OH]D3 levels (r=-0.6, p<0.01). Asthmatic children had diminished levels of bronchoalveolar lavage IL-10 (p<0.001). Their PBMC also demonstrated significantly impaired capacity to secrete IL-10 in culture (p<0.001) and the inclusion of vitamin D, enhanced dexamethasone-induced IL-10 (p<0.05), production. Furthermore vitamin D status correlated with airway IL-10 (r=0.6, p<0.01) and CD4+ FoxP3 T regulatory cells (r=0.6, p<0.01). Children with STRA had significantly higher vitamin D binding protein (VDBP) levels in BAL compared to MA (p<0.05) and controls (p<0.01) and these were positively associated with symptoms (ACT) (r=0.5, p=0.01) and inhaled corticosteroid usage (r=0.6, p=0<0.01). Summary Lower serum vitamin D levels in STRA children were associated with increased ASM mass, worse asthma control, lung function and reduced BAL IL-10 and T regulatory cells. In vitro vitamin D enhanced dexamethasone-induced IL-10 production. These data suggest vitamin D supplementation may be useful in STRA and support the need for a clinical trial.
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40

Murdoch-Schon, Allison. "A study of parents and their children with asthma." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq23436.pdf.

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41

Wallace, Andrea Schneider. "Accessing asthma care : a case study of urban children /." Connect to full text via ProQuest. IP filtered, 2006.

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Thesis (Ph.D. in Nursing) -- University of Colorado at Denver and Health Sciences Center, 2006.
Typescript. Includes bibliographical references (leaves 188-199). Free to UCDHSC affiliates. Online version available via ProQuest Digital Dissertations;
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42

Beynon, Stephanie Jane. "Behaviour Problems in Children with Asthma and their Siblings." Thesis, University of Canterbury. Educational Studies and Human Development, 2008. http://hdl.handle.net/10092/3158.

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The aim of this study was to examine the relationship between asthma and behaviour, between children with asthma (mean age= 6.11), and their siblings without asthma (mean age= 6.03). Maternal reports of children’s behaviour with asthma (N=10) and their siblings without asthma (N=10) were measured using the Strengths and Difficulties Questionnaire. Additional questions on asthma severity and general health were also included. Using a Chi-square method for matched pairs, the findings indicated that children with asthma did not have more behaviour problems than their siblings who did not have asthma. However, children with asthma were more likely to have tantrums and problems with attention than were their siblings without asthma. The total behaviour score indicated that for seven of the sibling pairs their behaviour was similar, in that there were no problems. Additionally, children who had asthma and took preventer medication were less likely to have behaviour problems than children who did not use asthma preventers. This study was limited by the small sample size and the reliance on maternal reported measure of behaviour. Important factors that might affect behaviour in children with asthma and their siblings were identified, and directions for future research and clinical practice have been proposed.
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43

Tang, Ho-ming Raymond. "Empathy and psychological adjustment in Chinese children with asthma." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1996. http://hub.hku.hk/bib/B29789497.

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44

Crowley, Suzanne. "Growth and endocrine function in prepubertal children with asthma." Thesis, University of Southampton, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.245044.

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45

Ross, Kristie R. "Sleep Disordered Breathing, Obesity, and Asthma Severity in Children." Case Western Reserve University School of Graduate Studies / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=case1291296902.

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46

Dawson, Caroline W. "The Lived Experience of Caregivers for Children with Asthma." Thesis, State University of New York at Albany, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10284037.

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The purpose of this study is to describe the meaning of the lived experiences of caregivers of rural children with asthma In order to study the meaning of the experiences for caregivers of asthmatic children with moderate to severe asthma, it was essential that a qualitative methodology in order to explore contextual aspects of the participants’ lives, and the in-depth meaning of their experiences.

The research question was: What is the lived experience of caregivers of children with moderate to severe asthma? Sub-questions included: - What was their understanding of asthma? - How did they respond to their child’ symptoms? - How did their symptoms affected their siblings and spouse? - How did their care needs impact family communication and activities? - What was the impact of care needs on the child’s psychosocial development? - How the child and family response to negative stressors? - What was their perception of social support; and the kinds of support that were - available to them? - What was their perception of control over the management of symptoms? - What was their perception of the social and physical environmental factors affecting asthma symptom management.

The researcher’s primary goal was to learn the lived experience of families with children with asthma from the perspective of the participant. This narrowed the choice of qualitative methodologies to a phenomenological study. The overall intent of the phenomenological study was to learn the meanings that participants attributed to their experiences.

Four overall themes emerged from the study. The themes and sub-themes were: Uncertainty and fear (fear and helplessness; child might die; relief when the symptoms were under control; and long-term effects on the child’s life): Vigilance (potential triggers; early symptoms; emotional changes before the attack; medical regimen; consultation with the physician; and emotional control): Family impact (maternal focus of attention; effects of the hospitalization on child, siblings, and spouse; family social impacts; effects on the child and physical activities; caregivers’ employment; caregiver and child psychological impacts): Social support (spousal; sibling; and physician support).

Earlier studies had identified three primary themes: uncertainty and fear, vigilance, and family impacts. A fourth theme was identified in this study; that asthma is perceived as a chronic condition.

The results demonstrated that there is a need to address both the physiological and the developmental needs not only of the child with asthma but also the child’s family. The results also found that the majority of the caregivers might experience less stress if there were additional sources of social support.

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47

Shaw, Michele R. "Perceptions of Exercise Among School Aged Children with Asthma." Diss., The University of Arizona, 2010. http://hdl.handle.net/10150/194722.

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This grounded theory driven study explored the predominant categories and concepts involved with perceptions of exercise among school aged children with asthma. Ten children (five males, five females), ages 8-12, with various asthma disease severity, were interviewed in their homes. In addition, nine parents completed a health history questionnaire. The emergent grounded theory: The process of creating perceptions of exercise was identified from the data. The ongoing creation of perceptions of exercise was influenced by four predominant categories: perceived benefits, striving for normalcy, exercise influences, and asthma's influence. Because process is an ongoing occurrence, the four predominant categories may influence the creation of exercise perceptions simultaneously, or at different times and in various ways dependent upon the characteristics of the child and their unique situations and experiences (context). Perceived benefits, striving for normalcy, exercise influences, and asthma's influence were identified categories involved with the interactions, actions, and consequences interwoven throughout the creation of perceptions of exercise process. These categories help explain how exercise perceptions are developed from the participants' perspective. The process of creating perceptions of exercise is a continuous, circular, happening with the consequences leading to the development of exercise perceptions. The context may change but the overall process retains applicability to creating perceptions of exercise. The subjective insight gained throughout the development of the theory: the creation of perceptions of exercise, gives light to numerous areas for future nursing research and practice in hopes of improving the overall quality of life among this population.
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48

Holzheimer, Leisa E. "Asthma education for young children aged 2-5 years." Thesis, Queensland University of Technology, 1994.

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Childhood asthma is a significant health problem in Australia. The disease affects approximately 25% of children, of whom 5% require daily medication for the control of frequent or persistent symptoms. Many children who experience their first symptomatic episode of asthma prior to the age of 5 years continue to experience symptoms on an intermittent and variable basis throughout their childhood and adult years. The prevalence of asthma is increasing in Australia and other western countries, and the condition has been associated with high rates of mortality and morbidity. Ironically, these increases have occurred despite a greater understanding of the mechanisms of asthma and improvements in pharmacotherapy. Numerous asthma education programs have been developed with the goal of increasing patient knowledge of the condition, improving compliance with medication regimens and encouraging greater involvement in the management of the disease. Many of these programs have not been founded on sound theoretical principles and their effectiveness in improving asthma management has rarely been evaluated. Additionally, these programs have focused on older children with few programs designed to meet the needs of young children at the time when they first experience symptomatic episodes. This study is concerned with the development and evaluation of asthma education materials which have been specifically designed for children aged 2-5 years. A video tape and children's picture book developed in accordance with the principles of content analysis, social learning theory and consideration of the developmental stages of children, present information about the prevention and management of an acute asthma attack.
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Gaytan, Monika. "The association of dust events with asthma exacerbation in the U.S.-Mexico Border children." To access this resource online via ProQuest Dissertations and Theses @ UTEP, 2009. http://0-proquest.umi.com.lib.utep.edu/login?COPT=REJTPTU0YmImSU5UPTAmVkVSPTI=&clientId=2515.

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50

Irwin, Taylor. "Exploring the Vicious Cycle of Pediatric Asthma and Anxiety." Honors in the Major Thesis, University of Central Florida, 2014. http://digital.library.ucf.edu/cdm/ref/collection/ETH/id/1601.

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Asthma is the most common chronic disease of childhood. Children diagnosed with asthma are twice as likely to have a comorbid anxiety disorder as their non-asthmatic peers. The presence of both asthma and anxiety in the pediatric patient creates an environment of poor asthma control, and places them at risk for a variety of negative health events. Little is known about comorbid anxiety’s role in asthma health maintenance. Research has identified the link between these two conditions but causation is difficult to conclude. The aim of this thesis is to assess the current state of the science regarding pediatric asthma and anxiety. This integrated review of the literature will identify the factors contributing to the vicious cycle of pediatric anxiety and asthma. Recommendations for practice and future research will be made.
B.S.N.
Bachelors
Nursing
Nursing
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