Holistic Management of Pediatric Patients with Asthma through the Family Medicine Approach: A Case Series
Downloads
Introduction: Asthma is a global problem, with around 100-150 million people estimated to suffer from this disease. Based on data from the Centers for Disease Control and Prevention (CDC), around 8.4% of people in the United States suffer from asthma. Asthma requires holistic treatment, one of which is family medicine. However, there is a lack of data or research discussing this matter. Hence, this case report aims to provide an overview of family medicine in asthma, especially in children.
Case: This study is a case series report involving four pediatric patients with asthma. Data collection was performed by conducting home visits and hetero-anamnesis. Many things affect asthma treatment apart from pharmacology, including family medicine. In this case series, the role of the family proved significant in the patient's healing and daily functioning.
Conclusion: Family medicine is a type of holistic management critical in various diseases, especially asthma. Support from the patient's family and environment has an essential role in the success of asthma therapy in children.
(GINA) GI for A. Global Strategy for Asthma Management and Prevention (2020 Update). Wisconsin, https://ginasthma.org/wp-content/uploads/2020/06/GINA-2020-report_20_06_04-1-wms.pdf (2020).
Zampogna E, Zappa M, Spanevello A, et al. Pulmonary Rehabilitation and Asthma. Front Pharmacol 2020; 11: 542.
Al Ghriwati N, Winter MA, Everhart RS, et al. Family Functioning and Child Asthma Severity: A Bio-Behavioral Approach. Fam Syst Health 2017; 35: 439–449.
Kashaninia Z, Payrovee Z, Soltani R, et al. Effect of Family Empowerment on Asthma Control in School-Age Children. Tanaffos 2018; 17: 47–52.
Weinstein SM, Pugach O, Rosales G, et al. Family Chaos and Asthma Control. Pediatrics 2019; 144: e20182758.
Sousa Félix AF, Branco Rocha Lopes BA, Pereira Henriques MA, et al. Control del Asma Infantil: Principales Factores Asociados. Enfermería Glob 2019; 19: 1–41.
Putera AM, Maramis MM. The Success of Elimination Diet in Indonesian Children with Food Allergy: The Role of Caregiver's Stress, Family Activities, and Coping. Syst Rev Pharm; 11.
Ren J, Xu J, Zhang P, et al. Prevalence and Risk Factors of Asthma in Preschool Children in Shanghai, China: A Cross-Sectional Study . Frontiers in Pediatrics ; 9, https://www.frontiersin.org/articles/10.3389/fped.2021.793452 (2022).
Dzakiyyah SA, Endaryanto A, Dewanti L, et al. Second-Hand Smoke and Early Allergic Manifestation in Children. J Respirasi 2022; 8: 126–132.
Beyene T, Harvey ES, Van Buskirk J, et al. ‘Breathing Fire': Impact of Prolonged Bushfire Smoke Exposure in People with Severe Asthma. International Journal of Environmental Research and Public Health; 19. Epub ahead of print 2022.
Ogbu CE, Ogbu SC, Khadka D, et al. Childhood Asthma and Smoking: Moderating Effect of Preterm Status and Birth Weight. Cureus 2021; 13: e14536.
Putri PD, Susanto AD, Hudoyo A, et al. Correlation between Domestic Cigarette Smoke Exposure and Respiratory Complaints, Hospitalization and School Absence due to Respiratory Complains in the Indonesian Elementary School-Aged Children. Int J Appl Basic Med Res 2018; 8: 244–248.
Yu H, Su F, Wang L-B, et al. The Asthma Family Tree: Evaluating Associations between Childhood, Parental, and Grandparental Asthma in Seven Chinese Cities. Frontiers in Pediatrics; 9, https://www.frontiersin.org/articles/10.3389/fped.2021.720273 (2021).
Yu H, Guan Q, Hemminki K, et al. Familial Risk of Asthma for Children with Affected Family Members in Multiple Generations. 2020. Epub ahead of print 22 July 2020.
Custovic A, de Moira AP, Murray CS, et al. Environmental Influences on Childhood Asthma: Allergens. Pediatr Allergy Immunol 2023; 34: e13915.
Gergen PJ, Mitchell HE, Calatroni A, et al. Sensitization and Exposure to Pets: The Effect on Asthma Morbidity in the US Population. J Allergy Clin Immunol Pract 2018; 6: 101-107.e2.
Ochoa-Avilés C, Morillo D, Rodriguez A, et al. Prevalence and Risk Factors for Asthma, Rhinitis, Eczema, and Atopy among Preschool Children in an Andean City. PLoS One 2020; 15: e0234633.
(CDC) C for DC and P. Most Recent National Asthma Data. Centers for Disease Control and Prevention, https://www.cdc.gov/asthma/most_recent_national_asthma_data.htm (2022).
Nurmagambetov T, Kuwahara R, Garbe P. The Economic Burden of Asthma in the United States, 2008–2013. Ann Am Thorac Soc 2018; 15: 348–356.
Plaza-González S, Zabala-Baños MDC, Astasio-Picado Á, et al. Psychological and Sociocultural Determinants in Childhood Asthma Disease: Impact on Quality of Life. Int J Environ Res Public Health; 19. Epub ahead of print February 2022. DOI: 10.3390/ijerph19052652.
López-Tiro J, Contreras-Contreras A, Rodríguez-Arellano ME, et al. Economic Burden of Severe Asthma Treatment: A Real-Life Study. World Allergy Organ J 2022; 15: 100662.
Lim J, Miller BD, Wood BL. An Application of the Biobehavioral Family Model: Examining the Impact of Maternal Depression on Child Asthma Mediated by Insecure Attachment and Child Depression. Fam Process 2022; 61: 1610–1628.
Al-Zalabani AH, Almotairy MM. Asthma Control and Its association with Knowledge of Caregivers among Children with Asthma. Saudi Med J 2020; 41: 733 LP – 739.
Salsabila HY, Putera AM, Baskoro A. Correlation between Nutritional Status and Children's Activity with Food Allergy: A Cross-Sectional Study. Ann Med Surg; 68, https://journals.lww.com/annals-of-medicine-and-surgery/fulltext/2021/08000/correlation_between_nutritional_status_and.103.aspx (2021).
Botero-Carvajal A, Urrego ÁMJ, Gutierrez-Posso AG, et al. Factors Associated with Family Function in School Children: Case-Control Study. Heliyon 2023; 9: e14595.
Kuti BP, Omole KO, Kuti DK. Factors associated with Childhood Asthma Control in a Resource-Poor Center. J Fam Med Prim Care 2017; 6: 222–230.
Copyright (c) 2023 Azwin Mengindra Putra, Dinda Sella Octaviana, Fanny Gunawan, Manika Putri Kunigara, Junjungan Nimasratu Rahmatsani, Lavenia Kurniawati, Ferrel Bramasta, Istianah Istianah, Jihan Nabila Pranjasdhina, Gerald Sebastian Davis, Ashfa Diniyya Assabella, Akbar Rizky Ramadhan, Veronika Intan Krismaningrum, Wigaviola Socha Purnamaasri Harmadha
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
1. The journal allows the author to hold the copyright of the article without restrictions.
2. The journal allows the author(s) to retain publishing rights without restrictions.
3. The legal formal aspect of journal publication accessibility refers to Creative Commons Attribution Share-Alike (CC BY-SA).
4. The Creative Commons Attribution Share-Alike (CC BY-SA) license allows re-distribution and re-use of a licensed work on the conditions that the creator is appropriately credited and that any derivative work is made available under "the same, similar or a compatible license”. Other than the conditions mentioned above, the editorial board is not responsible for copyright violation.
JR (