The Effect of Family-Centered Smoking Cessation Counseling on the Respiratory Function of Asthmatic Children With a Smoker in the Family Referred to Besat Hospital Children’s Clinic, Sanandaj in 2019

Abstract

Background: Asthma is the most prevalent allergic respiratory condition and may be triggered by tobacco smoke. The aim of the present study was to investigate the effect of family-centered counseling on the respiratory function of children with asthma referred to the pediatric clinic of Besat hospital, Sanandaj in 2019. Materials and Methods: The present randomized quasi-experimental study was performed on 60 children with asthma from a smoking family who were referred to the pediatric clinic of Besat hospital in Sanandaj. The participants were placed into comparison and intervention groups (30 per group). No intervention was performed in the comparison group, and they only received general education by a specialist doctor. The intervention group received family-centered smoking cessation counseling. The child’s forced expiratory volume in the first second (FEV1) level was measured before and three months after the intervention, and clinical symptoms, including daily cough, night cough, sputum production, wheezing, and dyspnea, were determined before, one, and three months after the intervention in both groups. Finally, the results were compared between the two groups. Results: The results showed that clinical symptoms (daily cough, wheezing, and dyspnea) decreased, while FEV1 increased in the intervention group compared to the comparison group, and the difference was significant (P<0.05). The amount of sputum production and night cough decreased in both groups, and the decrease was higher in the intervention group, but it was not statistically significant. Conclusion: According to the results, it is recommended that intervention strategies such as family-centered counseling be adopted to stop smoking and improve clinical symptoms in children with asthma.