Exacerbations of bronchial asthma, relation between level of knowledge and access to medical care

Authors

  • William Quintero Pérez Especialista de Primer Grado en Inmunología. Profesor Auxiliar. Máster Urgencias Médicas. Diplomado Cuidados Intensivos. Facultad de Ciencias Médicas Dr. "Ernesto Che Guevara de la Serna". Pinar del Río.
  • Juana María Rivera Hernández Licenciada de Enfermeréa. Intensivista. Máster Urgencias Médicas. Policlínico Universitario "Hermanos Cruz". Pinar del Río.
  • Yanín Arteaga Prado Especialista de Primer Grado en Medicina General Integral. Máster en Atención Integral al Niño. Asistente. Facultad de Ciencias Médicas "Dr. Ernesto Che Guevara de la Serna". Pinar del Río.
  • José Luis Fernández González Especialista de Segundo Grado en Cuidados Intensivos. Máster Urgencias Médicas. Hospital General Docente "Abel Santamaría Cuadrado". Pinar del Río.
  • Luis Alexis Peláez Yañez Especialista de Primer Grado en Inmunología. Máster en Atención Integral al Niño. Hospital Pediátrico "Pepe Portilla". Pinar del Río.

Keywords:

Bronchial asthma/complications, Psychosomatic, Primary Health Care/classification.

Abstract

An analytical, cross-sectional and retrospective study was conducted at 29 and 30 Doctor´s Offices with the purpose of specifying the relation among levels of knowledge concerning bronchial asthma exacerbation together with its onset, access to medical care and duration of the status asthmaticus, during September 2010 to September 2011 at «Hermanos Cruz» Health Area. 34 patients presenting exacerbations of bronchial asthma, and other 84 who did not present exacerbations participated in the study. A questionnaire to explore variables of interest was applied, and chi square test was used to verify the association of variables up to a value of ƒ¿=0.05 of statistical significance. An association between exacerbation and level of knowledge was observed (X2= 15, 04; p= 0, 00011); OR= 5, 8. Triggering factors were: weather changes (91, 5%), inhalation of substances (88, 98%) and contagious respiratory diseases (54, 2%). Less than 6 hours was the time (47, 1%) from the onset of symptoms to the exacerbations; 67,6% attended to medical care 12 hours after (Z= 2,57; p=4,94 E-03). Prevailing this last group of patients with an exacerbation of asthma greater than 24 hours (X2=12, 36; p=0,014). The relationship between level of knowledge to avoid exacerbations of asthma and the onset was confirmed. The majority of patients presented short periods of symptoms and delayed medical care, which was related to the durations of these prolonged exacerbations of bronchial asthma.

Downloads

Download data is not yet available.

References

1. Smith JM. Atopy and asthma: an epidemic of unknown cause. J Allergy Clin Immunol [on line]. 2005 Jul [cited july 2011]; 116(1):231-2. Available from: http://download.journals.elsevierhealth.com/pdfs/journals/0091-6749/PIIS0091674905005294.pdf

2. Abdo Rodríguez A, Cué Brugueras MG. Día Mundial del Asma. El asma bronquial en Cuba. La Habana: Infomed. Departamento de Información - Infomed; 2010.Disponible en: http://www.sld.cu/aldia/archivos/saluden/cuba5.html [Acceso 15 de julio de 2010]

3. Quirce S, Plaza V, Picado C, Vennera M, Casafont J.Prevalence of Uncontrolled Severe Persistent Asthma in Pneumology and Allergy Hospital Units in Spain. J Investig Allergol Clin Immunol [Seriada en línea] 2011 [Citado 2011 Dic. 2]; 21(6): 466-471. Disponible en: http://www.jiaci.org/issues/vol21issue6/5.pdf

4. De la Vega Pazitková T, Pérez Martínez VT, Bezos Martínez L. Factores de riesgo de asma bronquial en niños y su relación con la severidad de las manifestaciones clínicas. Revista Cubana de Medicina General Integral [Serie en Internet]. 2010[Acceso 25 de junio de 2010]; 26(2): Disponible en: http://www.bvs.sld.cu/revistas/mgi/vol_26_2_10 /mgi02210.htm

5. Rivero Martínez HB, Arocha Hernández RM, Gutiérrez Núñez CA. Asma Bronquial. Enfoque intensivo. Rev Cuba Med Int Emerg[en internet]. 2004; 2(2)[citado sept. 2011]: 67-82. Disponible en: http://bvs.sld.cu/revistas/mie/vol2_2_03/mie12104.htm

6. De la Vega Pazitková T, Pérez Martínez VT, Bezos Martínez L. Comportamiento del asma bronquial en adolescentes tratados en el Policlínico Universitario "Ana Betancourt". Rev Cubana Med Gen Integr [revista en la Internet]. 2010 Mar [citado 2011 Nov 30]; 26(1): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252010000100005&lng=es

7. Coronel Carvajal C. Crisis de asma según factores desencadenantes. Revista Mexicana de Pediatría [revista en internet]. 2006[citado julio 2011]; 73(3): 107-111. Disponible en: http://www.imbiomed.com.mx/1/1/articulos.php?method=showDetail&id_articulo=5101&id_seccion=195&id_ejemplar=559&id_revista=45

8. Parra Cruz JM, Fagés Ramírez M, González Oro M, Peña Hidalgo B, Rodríguez González B, Mallo Cordón R. Guía de buenas prácticas clínicas asma bronquial en el niño. Rev Ped Elec [Serie en Internet] 2010. [Acceso 20 de diciembre de 2010]; 7(1): (aprox. 35h). Disponible en: http://www.revistapediatria.cl/vol7num1/pdf/4_GUIA_ASMA.pdf

9. EE.UU. Biblioteca Nacional de Medicina de EE.UU. Asma [monografía en internet]. Bethesda: MedlinePlus; enero 2011. [aprox. 3 pantallas]. Disponible en: http://www.nlm.nih.gov/medlineplus/spanish/ency/article/000141.htm [acceso 2 de enero de 2011]

10. Valencia LP, Valencia ML, Lopera J. Evaluación y seguimiento de un programa de Asma por Atención Grupal en el Hospital Infantil Consejo de Medellín 1993- 1994. [Seriada en línea] 1995 [Citado 2011 Dic 2]; 9(1):21-3]. Disponible en: http://www.ces.edu.co/Descargas/evaluacion_seguimiento_programa_asma_grupal.pdf

11. Cates CJ, Lasserson TJ , Jaeschke R . Regular treatment with salmeterol and inhaled steroids for chronic asthma: serious adverse events. Cochrane Database Syst Rev. [Serie en Internet] 2009 [Acceso 25 de junio de 2010]; 8(3): (aprox. 5 h). Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD006922.pub2/full

Downloads

Published

2011-12-23

How to Cite

1.
Quintero Pérez W, Rivera Hernández JM, Arteaga Prado Y, Fernández González JL, Peláez Yañez LA. Exacerbations of bronchial asthma, relation between level of knowledge and access to medical care. Rev Ciencias Médicas [Internet]. 2011 Dec. 23 [cited 2025 Aug. 29];15(4):75-88. Available from: https://revcmpinar.sld.cu/index.php/publicaciones/article/view/839

Issue

Vol. 15 No. 4 (2011)

Section

ORIGINAL ARTICLES

License

Authors who have publications with this journal agree to the following terms: Authors will retain their copyrights and grant the journal the right of first publication of their work, which will be publication of their work, which will be simultaneously subject to the Creative Commons Attribution License (CC-BY-NC 4.0) that allows third parties to share the work as long as its author and first publication in this journal are indicated.

Authors may adopt other non-exclusive license agreements for distribution of the published version of the work (e.g.: deposit it in an institutional telematic archive or publish it in a volume). Likewise, and according to the recommendations of the Medical Sciences Editorial (ECIMED), authors must declare in each article their contribution according to the CRediT taxonomy (contributor roles). This taxonomy includes 14 roles, which can be used to represent the tasks typically performed by contributors in scientific academic production. It should be consulted in monograph) whenever initial publication in this journal is indicated. Authors are allowed and encouraged to disseminate their work through the Internet (e.g., in institutional telematic archives or on their web page) before and during the submission process, which may produce interesting exchanges and increase citations of the published work. (See The effect of open access). https://casrai.org/credit/