الفهرس 
BRONCHIAL ASTHMAOnly 14 pages are availabe for public view
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Abstract
Asthma is one of the most frequent chronic diseases in children and young people, and it presents an important public health problem. It is a major cause of hospitalization and interferes with the normal activity of families and their quality of life.
The aim of the present study was designed to investigate the quality of life for pediatric asthmatic patients assessing patients’ and caregivers’ perception of such parameter compared to controls. This study was also designed to study the psychosocial function of these children in comparison to controls.
This study comprised 40 children. They were classified into two groups. Group I (asthmatic children) which comprised 20 children; 5 of them were females (25%) and 15 were males (75%); their ages ranged from 8 to 12 years with mean value of 10.35±1.39 years, group II (controls) which comprised 20 healthy children; 8 of them were females (40%) and 12 were males (60%); their ages ranged from 8 to 12 years with mean value of 9.7±1.42years.
All children in this study were subjected to full history taking, thorough clinical examination, assessment socioeconomic standard, pulmonary function tests, assessment of pediatric quality of life using PedsQL™ Inventory both child self report and parent proxy report ,a battery of psychometric tests included pediatric checklist, anxiety, depression, and self- esteem scores.
The age and sex distribution, there were statistically non significant differences between studied groups; (p>0.05 for all).
Comparing patients with bronchial asthma to controls as regards socioeconomic Showed highly significant statistical difference as regard distribution of socioeconomic scale in both groups as 65 % of patient is very low socioeconomic level, 10% low ,15% sub- moderate, 10 %moderate; (p≤0.01 for all).
Studied patients with bronchial asthma were found to rate significantly lower on self- esteem scale in comparison to controls as 100 % of patient is low self -esteem. On the other hand, patients had lower Self- esteem score when compared to controls.
Studied patients with bronchial asthma were found to rate significantly higher on anxiety scale in comparison to controls as 85 % of patients have anxiety. On the other hand, patients had higher Anxiety score when compared to controls.
Studied patients with bronchial asthma were found to rate significantly higher on depression scale in comparison to controls as 35 % of patients have mild depression, 40% have moderate depression, 10% have severe depression. On the other hand, patients had higher depression score when compared to controls.
Studied patients with bronchial asthma were found to rate significantly higher on PCL scale in comparison to controls as 90 % of patients have psychosocial dysfunction. On the other hand, patients had higher PCL score when compared to controls.
The prevalence of clinically manifest anxiety scores, depression scores, psychosocial dysfunction, socioeconomic scores, poor self-esteem scores and anxiety scores were highly significant compared to controls; (p≤0.01 for all).
FEV1, FVC, FEF 25%-75% and FEV1% were lower in asthmatic children compared to control; the different was statically significant for FEV1 and FEF 25%-75% only (p = .003, .016 respectively).
The child perception of quality of life total summary score as will as physical, emotion, social, school, psychological sub scores were significantly lower among asthmatic children compared to control (P < 0.01 in all except social p = 0.004 ).
The parent perception of quality of life total summary score as will as physical, emotion, social, school, psychological sub scores were significantly lower among asthmatic children compared to control (P < 0.01 for all).
In conclusion, pediatric asthma had a direct impact on the child psychological and physical well being as documented by a higher frequency of anxiety, depression, psychosocial dysfunction, and poor self esteem in asthmatic children compared to controls. Also, quality of life of asthmatic children and their parents is markedly compromised by the child illness as proved by lower both quality of life total score as will as all its sub scores (physical, emotion, social, school, and psychological health scores).