Effect of control-based management strategy on occupational asthma among flour mill workers / Marwa Mamdouh Shaban ; Supervised Nagah Mahmoud Abdou , Afaf Ibrahim Abdelrehim

Thesis (Ph.D.) - Cairo University - Faculty of Nursing - Department of Community Health Nursing

Background: Flour dust is a respiratory sensitizer and is known to cause occupational asthma. The asthmatic flour mill workers need effective occupational asthma management to achieve clinical control of the disease and maintain that control through the implementation of controlbased management strategy. Aim: To evaluate the effect of control-based asthma management strategy on occupational asthma control among flour mill workers in Giza Governorate. Design: A quasi-experimental one group pretest-posttest design was utilized. Sample: A purposive sample of 122 flour mill workers with occupational asthma. Setting: This study was conducted at El-Haram mill of South Cairo & Giza Mills & Bakeries Company, was selected to implement the study. Tools of data collection: Five tools were used: a- Occupational Asthma Questionnaire, b- Inhaler Adherence and Satisfaction Questionnaire, and c- Inhaler Technique Observational Checklist, d- Workplace Observational Checklist, e- Spirometry Test Record. Results: Moderate occupational asthma represented 31.1% of workers in pre-test which decreased to 28.7% and 18% in post and follow-up tests respectively. Also, the percentage of workers who had normal lung function increased from 27.9% in pre-test to 49.3% the in followup test. There was a significant increase in inhaler adherence and satisfaction mean scores in post and follow-up tests than in pre-test. There was lack of most of the preventive measures in pre and follow-up tests. Recommendation: Periodic medical examination for flour mill workers for early detection of occupational asthma. In-job training for workers on preventive measures of occupational asthma

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