Assessment of Asthma-Related Stressors among Bronchial Asthma Patients in Jordan

Mona Abed El-Rahman Mohammed^1, and Fakhria Jaber Muhbes²

¹Medical Surgical Nursing, Faculty of Nursing, Port- Said University

²University of Babylon, Iraq

Cite this paper:
Mona Abed El-Rahman Mohammed and Fakhria Jaber Muhbes. Assessment of Asthma-Related Stressors among Bronchial Asthma Patients in Jordan. American Journal of Nursing Research. 2015; 3(3):54-58. doi: 10.12691/ajnr-3-3-2

Abstract

Background: Bronchial asthma is a long-life illness that requires sensitive management since diagnosis. The relationship between asthma and physiological functioning is well established. However, stressors related to asthma treatment, family and other people influence, and disease impact on living activities is still unjustifiable. Aim: The aim of this study was to assess stressors facing patients with bronchial asthma. Methods: a descriptive, cross-sectional design was used. Participants were recruited from out-clinic asthma patients from two major hospitals in Amman, Jordan. Participants completed a predetermined questionnaire through individual interviews. Results: A total of 120 joined the study. Generally, management-related issues were the most prominent distressing domain for those patients with asthma followed by family-related domain and disease-related domain. Conclusion: Asthma can produce physical, psychological, and social distress. The role of nurses is pivotal in eliminating these stressors. An effective health education is the key to attain sufficient knowledge which contributes to lower incidences of these stressors.

Keywords:
asthma nurse stressors

This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

References:

[1]	Abuekteish F, Alwash R, Hassan M, Daoud AS. Prevalence of asthma and wheeze in primary school children in Northern Jordan. Annals of Tropical Paediatrics 1996; 16: 227-231.
[2]	Agency for Healthcare Research and Quality. (2007). National healthcare quality report. AHRQ Pub No. 07-0013. Rockville, MD: U.S. Department of Health and Human Services.
[3]	Aguilaniu,B Gonzalez-Bermejo ,J. Rgnault A,Barbosa C,D, Arnould B. Disability related to COPD tool (Direct ):toward an assessment of COPD-related disability in routine practice. International journal of chronic obstructive pulmonary disease Dovepress 2011; 6 pp.387-398
[4]	Al-Akour N & Khader YS. Quality of life of Jordanian children with asthma. International Journal of Nursing Practice 2008; 14: 418-426.
[5]	Balkissoon R. Asthma overview. Primary Care-Clin Office Pract. 2008 ;35(1): 41-60.
[6]	Behbehani NA, Abal A, Syabbalo NC, Abd Azeem A, Shareef E, Al-Momen J. Prevalence of asthma, allergic rhinitis, and eczema in 13- to 14-year-old children in Kuwait: An ISAAC study. International study of asthma and allergies in childhood. Annals of Allergy, Asthma & Immunology 2000; 85: 58-63.
[7]	Choi JY & Cho Chung H-I. (2010). Effect of an individualised education programme on asthma control, inhaler use skill, asthma knowledge and health-related quality of life among poorly compliant Korean adult patients with asthma. 2010 Blackwell Publishing Ltd, Journal of Clinical Nursing, 20, 119-126.
[8]	Choi JY & Hwang SY (2009) Factors associated with health-related quality of life among low-compliant asthmatic adults in Korea. Research in Nursing & Health 32, 140-147.
[9]	Chrystyn H & Price D. Not all asthma inhalers are the same: factors to consider when prescribing an inhaler. Primary Care Respiratory Journal (2009); 18(4): 243-249.
[10]	Cohen, M.S. (1999). Families coping with childhood chronic illness: A research review. Families, Systems, and Health, 17, 149-164.
[11]	Coughlin AM. (2007). Helping patients with COPD. LPN. 3(3):47-55, May/June.
[12]	Emilsson.M; Berndtsson. I; Lِtvall. J; Millqvist .E; Lundgren J; Garcia-Rio F, Lores V, Mediano O. Daily physical activity in patients with chronic obstructive pulmonary disease is mainly associated with dynamic hyperinflation. Am J Respir Crit Care Med. 2009;180(6):506-512.
[13]	Feldman JM, Siddique MI, Moralis E, Kaminski B, Lou SE, Lehrer PM. Psychiatric disorders and asthma outcomes among high-risk inner-city patients. Psychosom Med 2005;67:989-96.
[14]	Ford ES, Mannino DM, Homa DM, Gwynn C, Stephen C, Redd, Moriarty DG, Mokdad AH. Self-reported asthma and health-related quality of life. Chest 2003; 123 (123).
[15]	Global Initiative for Asthma (GINA). Global Strategy for Asthma Management and Preventation. Revised 2009. http://www.ginasthma.com.
[16]	Goodwin RD, Fergusson DM, Horwood LJ. Asthma and depressive and anxiety disorders among young person in the community. Psychol Med 2004;34:1465-74.
[17]	Hijazi N, Abalkhail B, Seaton A. Asthma and respiratory symptoms in urban and rural Saudi Arabia. Eur Respir J 1998;12:41-44.
[18]	Hockemeyer J, Smyth J (2002). Evaluating the Feasibility and Efficacy of a Self-Administered Manual-Based Stress Management Intervention for Individuals With Asthma: Results From a Controlled Study. Behavioral Medicine. Vol 27, Winter. 161-172.
[19]	Johansson. A & Brink. E. The influence of personality traits and beliefs about medicines on adherence to asthma treatment. Primary Care Respiratory Journal (2011); 20(x): xxx-xxx.
[20]	Kamps AW, Brand PL, Kimpen JL,. Outpatient management of childhood asthma by paediatrician or asthma nurse: randomised controlled study with one year follow up. Thorax 2003; 58(11):968-73.
[21]	Kaptein AA, van Klink RC, de Kok F,. Sexuality in patients with asthma and COPD. Respir Med. 2008;102(2):198-204.
[22]	Karadag F, Ozcan H, Eskin M, Karul AB, Ceylan E, Tufek Y, Gildag O (2008). Psychological distress in chronic obstructive pulmonary disease patients. Stress and Health 24:115-122.
[23]	Katz, S. When the Child's Illness Is Life Threatening: Impact on the Parents. Pediatr Nurs. 2002;28(5) © 2002 Jannetti Publications, Inc.
[24]	Kepreotes E, Keatinge D & Stone T (2010). The experience of parenting children with chronic health conditions: a new reality. Journal of Nursing and Healthcare of Chronic Illness 2, 51-62.
[25]	Kuethea M, Vaessen-Verbernea A, Mulderb P, Bindelsc P, Aalderen W. Paediatric asthma outpatient care by asthma nurse, paediatrician or general practitioner: randomised controlled trial with two-year follow-up. Primary Care Respiratory Journal (2011); 20(x): xxx-xxx.
[26]	Magnus P, Jaakola JK. Secular trend in the occurrence of asthma among children and young adults critical appraisal of repeated cross sectional surveys. British Medical Journal 1997; 315: 1795-1799.
[27]	Nathan JA, Pearce L, Field C, et al. A randomized controlled trial of follow-up of patients discharged from the hospital following acute asthma: best performed by specialist nurse or doctor? Chest 2006; 130(1):51-7.
[28]	Nici L, Donner C, Wouters E.(2006) American Thoracic Society/European Respiratory Society statement on pulmonary rehabilitation. Am J Respir Crit Care Med.;173:1390-1413.
[29]	Oraka E & King ME. Asthma and Serious Psychological Distress: Prevalence and Risk Factors among US Adults, 200-–2007. Chest. 2010; 137(3):609-616.
[30]	Panicker N R, Sharma P N, AL-Duwaisan A R. Psychological Distress and Associated Risk Factors in Bronchial Asthma Patients in Kuwait. Indian J Med Sci, Vol. 62, No. 1, January 2008.
[31]	Peltzer K, Shisana O, Zuma K, Wyk BV, Dirwayi NZ. Job stress, job satisfaction and stress-related illnesses among south African educators. Stress and Health 25: 247-257 (2009).
[32]	Sandberg S, Paton JY, Ahola S, McCann DC, McGuinness D, Hillary CR. The role of acute and chronic stress in asthma attacks in children. Lancet 2000; 356: 982-87.
[33]	Schneider A, Biessecker K, Quinzler R, Meyer FJ, Wensing M, Szecsenyi J. Asthma patients with low perceived burden of illness a challenge for guideline adherence. Journal of evaluation in clinical practice. 13 (2007)-846-852.
[34]	Skrypulec V ;Drosdzol A; Nowosielski K .The influence of bronchial asthma on the quality of life and sexual functioning in of women Journal of physiology and pharmacology 2007;Nov;Vol 58 supplement 5 pp.647-55.
[35]	Smith S, Mitchell C, Bowler S. Standard versus patient-centred asthma education in the emergency department: a randomised study. Eur Respir J 2008;31(5):990-7.
[36]	Theadom A, Smith H, Horne B, Bowskill R, Christion J (2010). Participant experience of written emotional disclosure intervention in asthma. Stress and Health 26:45-50.
[37]	Theander K, Jakobsson P, Jorgenson N, Unosson M. Effects of pulmonary rehabilitation on fatigue, functional status and health perceptions in patients with chronic obstructive pulmonary disease: A randomized controlled trial. Clin Rehabil. 2009; 23: 125-136.
[38]	Walters S, Gaafary M, Fahim HI, Georgy V. Prevalence and socioeconomic associations of asthma and allergic rhinitis in northern Africa. Dept of Public Health and Epidemiology, University of Birmingham, Birmingham, UK. Faculty of Medicine, Ain Shams University, Cairo, Egypt.
[39]	Wong CJ, Goodridge D, Marciniuk DD, Rennie D (2010). Fatigue in patients with COPD participating in pulmonary rehabilitation program. International journal of chronic obstructive pulmonary disease. (5) 319-326.
[40]	Yang BH, Chen YC, Chiang BL, Chang YC. Effects of nursing instruction on asthma knowledge and quality of life in school children with asthma. Journal of nursing research vol. 13, No. 3, 2005-174-182.
[41]	Zakrisson AB & Hagglund. The asthma/COPD nurses experience of educating patients with chronic obstructive pulmonary disease in primary health care. Scand j Caring Sci; 2010; 24; 147-155.