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Asthma is the most common among the chronic respiratory disorder that affect all age groups. Asthma management continues to be a public health challenge even today; hence it has been the focus of clinical and public health interventions. Lack of awareness about the condition, its predisposing factors, self care practices and the need for the adherence to therapeutic interventions are the most common barriers in the effective management of asthma in India and in most of the countries worldwide. Though the morbidity related to asthma is mostly preventable, its prevalence is on raise due to the neglected fact of patient education. High prevalence and poor control of asthma makes its management a major public health issue worldwide 1 . Uncontrolled asthma impairs individuals’ quality of life and increases the frequency of asthma exacerbations 2 . Aim: The present study aims to assess the impact of selected nursing interventions on self care practices and QOL in Bronchial asthma patients. Materials and Methods: The present study adopts Quantitative Research approach with Pre-Post test control group design. Patients with confirmed diagnosis of Bronchial asthma, meeting the selected criteria were selected for target population and those willing to participate in the study were selected in to experimental (n=100) and control (n=50) groups were by simple random sampling. Pre tested Structured Observation checklist for the selected self care practices and the standardized asthma quality of life questionnaire (AQLQ(s)) were the study instruments used for the data collection. After the pre test the tool for the selected nursing interventions was introduced to the study sample irrespective of their pre assessment practice scores and its effectiveness was tested with the post test two weeks after by the foresaid tools. Results: The Study findings showed that the baseline Practice scores (10.88 & 9.36) and quality of life (104.86 &105.56) have not showed much difference between the experimental and control groups respectively. The post test Practice means for the experimental group (22.17), was much higher than post test means of Control group(9.64) with ‘t’ value 21.398 at p < 0.001 level of significance. The base line QOL scores in the experimental (104.8±9.393) group with the control group QOL scores (105.56±7.45) show not much variation, but the post test QOL scores between experimental (202.28±14.027) and control group (118.08±4037) scores with‘t’ value 41.589 at p<0.001 level of significance, support significant improvement in the experimental group indicating a positive influence of the selected nursing interventions. There was a significant improvement within the pre test (3.811.656)) and Post test scores in the experimental group (6.910.831) in use of inhalation technique. The post test means between experimental (6.94) and control groups (4.92) supports the significant enhancement in the performance of inhaler use in the experimental subjects. Intervention group Pre –Post test mean Practice scores show significant enhancement in both Peak flow meter use (3.5 and 7.71) and deep breathing and coughing exercises (4.79 and 9.3). Conclusion: Selected nursing interventions on asthma practices and quality of life show as a means to equip patients with self care practices to for their quality of life. Periodical reinforcement of their knowledge and practices may motivate patients towards behavior modification and effective asthma control.

Self care Practices and Quality of life among men and women with Asthma; Health care Facility based study in Telangana, South India.