2.50
Hdl Handle:
http://hdl.handle.net/10755/153827
Type:
Presentation
Title:
Lessons Learned from Asthma Diary by Adolescents with Uncontrolled Asthma
Abstract:
Lessons Learned from Asthma Diary by Adolescents with Uncontrolled Asthma
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Rhee, Hyekyun, PhD, RN, PNP
P.I. Institution Name:University of Rochester
Title:Associate Professor
Co-Authors:Eileen Fairbanks RN, MS, Study Coordinator
[22nd International Nursing Research Congress - Research Presentation] Purpose: To summarize a 24-hour asthma diary completed by adolescents with uncontrolled asthma. The diary provided information including asthma symptoms, feelings, activities and medications. Additionally, this study examines how much self-reported symptoms and medications are consistent with audio-recorded asthma symptoms and medications reported in medical records.
Methods: Twenty-nine adolescents (13-17 years; mean=14.6) with current uncontrolled asthma were recruited from the Emergency Department (n=19; 66%), and pediatric practices (n=10; 34%). The subjects provided a 24-hour asthma diary and audio-recording of symptoms using a digital audio-recorder. Electronic medical records were reviewed at the time of study enrollment for prescribed asthma medications. 
Results: Females accounted for 55% (n=16), and the majority (66%) were from non-White background. Coughing was the most common symptom (96%) followed by wheezing (79%) and shortness of breath (72%). Chest/back pain and chest tightness were reported by 28% and 24%, respectively. Self-reported coughing and wheezing were consistent with the audio-recorded symptoms in 93% (n=27). Participants reported a wide range of negative feelings: tired, uncomfortable, irritated, panicked, scared, afraid and sad. Activities were rated on a 4-point scale (1being sedentary and 4 being intense), and most (n=21, 72%) reported the activity level at 2 or below. Discrepancies in medications between self-report and medical records were found in all participants (n=27) whose records were available electronically. Common inconsistencies in medications were: anticholinergics (83%), leukotriene antagonists (73%), inhaled corticosteroids (64%) and oral steroids (42%). Primarily, the inconsistencies were due to participants? under-report of their medications.
Conclusion: An asthma diary is a valuable tool for adolescents with uncontrolled asthma to monitor symptoms, feelings and activity. While self-report symptoms in the diary are highly valid, adolescents tend to underreport medications, suggesting questionable adherence to prescribed medications. Preponderances of negative feelings and low activity levels may indicate poor quality of life and call for appropriate interventions.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLessons Learned from Asthma Diary by Adolescents with Uncontrolled Asthmaen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153827-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Lessons Learned from Asthma Diary by Adolescents with Uncontrolled Asthma</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Rhee, Hyekyun, PhD, RN, PNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Rochester</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hyekyun_rhee@urmc.rochester.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Eileen Fairbanks RN, MS, Study Coordinator</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose: To summarize a 24-hour asthma diary completed by adolescents with uncontrolled asthma. The diary provided information including asthma symptoms, feelings, activities and medications. Additionally, this study examines how much self-reported symptoms and medications are consistent with audio-recorded asthma symptoms and medications reported in medical records. <br/>Methods: Twenty-nine adolescents (13-17 years; mean=14.6) with current uncontrolled asthma were recruited from the Emergency Department (n=19; 66%), and pediatric practices (n=10; 34%). The subjects provided a 24-hour asthma diary and audio-recording of symptoms using a digital audio-recorder. Electronic medical records were reviewed at the time of study enrollment for prescribed asthma medications.&nbsp; <br/>Results: Females accounted for 55% (n=16), and the majority (66%) were from non-White background. Coughing was the most common symptom (96%) followed by wheezing (79%) and shortness of breath (72%). Chest/back pain and chest tightness were reported by 28% and 24%, respectively. Self-reported coughing and wheezing were consistent with the audio-recorded symptoms in 93% (n=27). Participants reported a wide range of negative feelings: tired, uncomfortable, irritated, panicked, scared, afraid and sad. Activities were rated on a 4-point scale (1being sedentary and 4 being intense), and most (n=21, 72%) reported the activity level at 2 or below. Discrepancies in medications between self-report and medical records were found in all participants (n=27) whose records were available electronically. Common inconsistencies in medications were: anticholinergics (83%), leukotriene antagonists (73%), inhaled corticosteroids (64%) and oral steroids (42%). Primarily, the inconsistencies were due to participants? under-report of their medications. <br/>Conclusion: An asthma diary is a valuable tool for adolescents with uncontrolled asthma to monitor symptoms, feelings and activity. While self-report symptoms in the diary are highly valid, adolescents tend to underreport medications, suggesting questionable adherence to prescribed medications. Preponderances of negative feelings and low activity levels may indicate poor quality of life and call for appropriate interventions.</td></tr></table>en_GB
dc.date.available2011-10-26T12:32:44Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:32:44Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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