Development the guideline of the caring and following asthma child, In the context of a secondary care hospital and service network

Abstract

The Asthma disease is the problem of the public health around the world. It was born with every the gender and nationality. The signs and symptoms of the asthma is coughing, gasping, subcostal and sternal retraction. Report of world health organization: WHO that in 2005, the asthma is often in the child. Thailand, Philippines, and Singapore have the most of prevalence rate in the continent of Asia   

            In Thailand country, the incidence of the asthma is in the percentile of 4-13 all of people. In the present, the patients who were admitted in the hospital, have the trends of increase in every years. Because of the environment is exchanging every days, affection of the child and adult able to be the asthma too. (Ministry of  the public health,2559)

The report to the top of five diseases at the center of the health promotion in area of seven. Asthma disease on the top of 1 in 5. (Statistics,2558) And, the asthma child have the trends of increasing the patients in the future, who has the acute asthma severe and on ET-tube in order to referral in a tertiary care hospital. Care givers have the knowledge in caring insufficiency and lacking of the awareness in nebulizers and disappointment. The including of the asthma child must be often treatment in the emergency room.

The dead rate of asthma child is equal 0.86 per 100,000 the patient of people (kolrat Yodduangjai, 2560) So the assessment of severe in asthma by the guideline of diagnosis and treatment the asthma in Thailand for the asthma child, as the important of the treatment in precision. Include of helping the safety and prolong of the treatment will be making the asthma child has the good health and quality of life. (Ongart Kosinjit, 2558)

The above of problems, multidisciplinary teams and service network have the conference in order to making the process of solving the summary of problems by the collaborative action and the cycles of the mutual collaborative action and Kemmis S., Mc.Taggart. Including of the three action research cycles were as following and have four process by including of plan, acting, observe, and reflecting 

So the mutual collaborative action and  and Kemmis S, McTaggart are propelling of hand in hand with decided and practicing in development the guideline of the caring and following asthma child, in the Context of a Secondary Care Hospital and Service Network during 1-5 years old. In order to the patients receive the benefit of efficacy, decrease of severe in asthma.   

The process of the nursing care in asthma child of the pediatric ward, Wapipathum hospital, Mahasarakham province. Asthma 1 in 5 disease of frequently in the pediatric ward that problems of caring asthma child were reported in both process and outcome domains that In 2558-2560 have asthma child include 412 people who were diagnosis by the pediatric doctor. Personal have knowledge, assessment, screening surveillance of the incomprehensive asthma child and notify the doctor insufficiently. the study of the assessment of severe have the important of treatment in order to the patient were the receives of treatment accurently. (Ongart Kosinjit, 2558.) The Patient have labored breathing in asthma rate ≥ 3 % and on ET-Tube and refer ≥ 3-5 child/month, the re-admit rate 13.5%, and Lacking of the appointment and nebulizers. The Care Givers have the insufficient and lacking of awareness and knowledge in caring asthma child in the percent of 52.28”. The study of main cause of asthma form the lacking of medicine, appointment ,the care giver have the knowledge insufficiency, So the treatment of asthma as the care givers need to participation in everything caring. (Chalermpol Somsap, 2559.)

The research teams aimed to the important in nursing care of asthma child, so planning the Development the Guideline of the Caring and Following Asthma Child, in the Context of a Secondary Care Hospital and Service Network during 1-5 years old. For development of the excellence nursing care and service, and in order to the asthma child has the good health and quality of life.