Abstract | Uvod: Duhanski dim, bogat brojnim štetnim kemikalijama, predstavlja ozbiljan javnozdravstveni problem s kojim se susrećemo širom svijeta. Osim što predstavlja direktnu i ozbiljnu prijetnju zdravlju samoga pušača, duhanski dim ima potencijalno razarajuće učinke na osobe izložene pasivnom pušenju, posebice u skupine djece s kroničnim bolestima. Poznato je da duhanski dim ima brojne štetne učinke u djece s astmom. Izloženost pasivnom pušenju djece povezana je s pojavom astme u djece; težinom bolesti, pogoršanjima bolesti, odgovorom na terapiju, kvalitetom života djece itd.
Ciljevi: Cilj ovog istraživanja je ispitati izloženost djece s astmom duhanskom dimu te percepciju roditelja o štetnosti duhanskog dima na zdravlje njihove djece.
Metode: Za potrebe ovog rada provelo se presječno istraživanje. Ispitanici su roditelji djece do 18. godine života koja imaju ili nemaju astmu, a provelo se u Dječjoj bolnici Srebrnjak. Podaci su se prikupljali putem anonimnog upitnika, koji su ispunjavali ispitanici. Upitnik je publiciran, preveden i dostupan te je dio EDIAQI (Evidence Driven Indoor Air Quality Improvement) projekta. Sudjelovanje je anonimno i dobrovoljno, a ispitanici su bili informirani o anonimnosti i cilju istraživanja.
Rezultati: Prema istraživanju, djeca s astmom su jednako izložena duhanskom dimu kao i njihovi zdravi vršnjaci. Također, rezultati ukazuju na to da su roditelji djece s astmom svjesniji povezanosti između izloženosti duhanskom dimu i pogoršanja zdravstvenog stanja njihove djece, što implicira da savjeti pedijatara mogu igrati ključnu ulogu u povećanju svijesti.
Zaključak: Ovo istraživanje pokazuje da su djeca s astmom izložena duhanskom dimu jednako kao i njihovi zdravi vršnjaci, unatoč svijesti roditelja o štetnosti pasivnog pušenja. Iako neki roditelji poduzimaju korake da smanje izloženost, rezultati sugeriraju potrebu za većom edukacijom i intervencijama. Pedijatri, medicinske sestre i tehničari, kao i drugi zdravstveni djelatnici trebaju igrati ključnu ulogu u savjetovanju roditelja o rizicima pušenja i izloženosti duhanskom dimu. |
Abstract (english) | Introduction: Tobacco smoke, rich in numerous harmful chemicals, represents a serious public health issue worldwide. Besides being a direct and serious threat to the smoker's health, tobacco smoke has potentially devastating effects on individuals exposed to secondhand smoke, especially among children with chronic diseases. It is well-known that tobacco smoke has numerous harmful effects on children with asthma. Children's exposure to secondhand smoke is associated with the onset of asthma; disease severity, exacerbations, response to therapy, quality of life, and more.
Objectives: The aim of this study is to examine the exposure of children with asthma to tobacco smoke and the parents' perception of the harmfulness of tobacco smoke on their children's health.
Methods: For the purposes of this paper, a cross-sectional study was conducted. The respondents are parents of children up to 18 years of age, with or without asthma, and the study was conducted at the Children's Hospital Srebrnjak. Data were collected through an anonymous questionnaire, completed by the respondents. The questionnaire is published, translated, and available as part of the EDIAQI (Evidence Driven Indoor Air Quality Improvement) project. Participation was anonymous and voluntary, and the respondents were informed about the anonymity and the aim of the study.
Results: According to the study, children with asthma are equally exposed to tobacco smoke as their healthy peers. Additionally, the results indicate that parents of children with asthma are more aware of the connection between exposure to tobacco smoke and the worsening of their children's health, implying that pediatricians' advice can play a crucial role in raising awareness.
Conclusion: This study shows that children with asthma are exposed to tobacco smoke as much as their healthy peers, despite the parents' awareness of the harmfulness of passive smoking. Although some parents take steps to reduce exposure, the results suggest a need for greater education and interventions. Pediatricians, nurses, technicians, and other healthcare professionals need to play a key role in advising parents about the risks of smoking and exposure to tobacco smoke. |