Abstract
Background and purpose: ICS controller treatment should be established before the age of puberty, the effective patients' education to support of self-management accomplished training of improving adherence to daily ICS treatments were evaluated in the cases of 5 pre-puberty asthmatics with daily ICS therapies, when they lost their adherence to those.
Subjects and Methods: 5 pre-puberty asthmatics of moderate-continuous-type in the definition of JPGL 2005, who were outpatients of the department of pediatrics in Osaka Kaisei hospital, were evaluated. The reasons of loss in adherence to their ICS treatments were evaluated by psychological intervention. Respiratory functions (%FEV1.0 · %V'50) were used to discuss about clinical effects of patients 'education.
Results: Realization of parents' especially mother's support was considered as the most effective factor to improve their adherence. Psychological interventions were effective to discover their reasons for loss of adherence to accomplish self-management training of daily ICS treatments.
Conclusion: Interventions and patients' educations for a good communication between pre-puberty asthmatics and their parents, especially mothers, are important in some pre-puberty asthmatics to improve and keep their adherence to ICS therapies.
