Prospective Management of Bronchial Asthma through Family Education and Home Environment Interventions

Abstract

Bronchial asthma is a chronic inflammatory disease of the airways characterized by recurrent episodes of wheezing, shortness of breath, and coughing, which may significantly affect a patient’s quality of life. This case study aimed to describe the prospective management of a 15-year-old male with moderate persistent uncontrolled bronchial asthma using a family-centered and home environment–based approach. Data were collected through anamnesis, physical examination, family interviews, and home observation. Interventions included medicative therapy with a budesonide–formoterol inhaler and salbutamol nebulization, as well as non-medicative interventions such as family education, home environment modification, and behavioral guidance based on the Social Cognitive Theory. The intervention focused on improving family understanding of asthma control, medication adherence, and avoidance of environmental triggers. After the intervention, the patient’s Asthma Control Test (ACT) score improved, symptoms became less frequent, and the family demonstrated better knowledge and supportive behavior toward asthma management. This study highlights that comprehensive, family-oriented, and environment-based management can improve asthma control and patient quality of life