African Health Sciences
Makerere University Medical School
Vol. 15, No. 2, 2015, pp. 690-700
Bioline Code: hs15095
Full paper language: English
Document type: Research Article
Document available free of charge
African Health Sciences, Vol. 15, No. 2, 2015, pp. 690-700
© Copyright 2015 - African Health Sciences
Children with bronchial asthma assessed for psychosocial problems in a teaching hospital in Nigeria|
Tunde-Ayinmode, Mosunmola Florence
Background: Paediatric bronchial asthma causes respiratory related mortality and morbidity globally and elevates the risk
of psychological and social problems (psychosocial problems); which may result in poorer asthma control. The rate of and
associated factors for psychosocial problems among our asthmatic children was assessed in this study.
Methods: Seventy five (75) children aged 7 to 14 years with bronchial asthma who were attending clinics at the University
of Ilorin Teaching Hospital, Ilorin, Nigeria, were assessed with Child behaviour questionnaire and a semi-structured questionnaire.
Results: Probable psychological morbidity was present in 25% of the children. The most frequently reported social impairments
associated with the disease were: interference with play (60%), domestic work (49%), fear of dying anytime (29%)
and feeling of being a burden on the family (25%). Psychological morbidity was significantly associated with lower maternal
education (p=0.020) and occupation (p=0.038), polygamy (p=0.012), fathers having more than 5 children (p=0.027) and
mothers having inadequate spousal support (p=0.012). Inadequate spousal support and lower maternal occupational level
were the significant predictors of morbidity following logistic regression.
Conclusion: Routine psychosocial assessment and care for children with asthma needs to be introduced into our clinics to
help protect them and their families from avoidable suffering.
Keywords:Bronchial asthma; psychosocial problems; teaching hospital; Nigeria
Bronchial asthma; psychosocial problems; teaching hospital; Nigeria