Lodha Rakesh, Puranik Madhavi, Kattal Namita, Kabra S K
Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi 110 029, India.
Indian Pediatr. 2003 Sep;40(9):874-9.
In order to assess the social, educational and economic impact in children with asthma and their families, we studied 162 children with bronchial asthma. The patients and their parents were interviewed to assess the restriction on various activities of the child and family, the impact on schooling and expenditure on therapy. One hundred and forty one (87%) children had either mild or moderate persistent asthma. Nearly two thirds of children had some restriction placed on their play activities because of asthma. Restrictions on other physical activities and social activities were reported in half the children. Children had absented from school for a median of 4 days in preceding 6 months. All these restrictions were more common in children with more severe disease and/or poor control of symptoms. The median monthly expenditure on child's medication was Rs. 333, i.e., about one third of monthly per capita income. Childhood asthma has significant adverse impact on child's daily activities, schooling, and family life and finances.
为了评估哮喘患儿及其家庭所受到的社会、教育和经济影响，我们对162名支气管哮喘患儿进行了研究。对患儿及其父母进行了访谈，以评估对患儿及家庭各种活动的限制、对上学的影响以及治疗费用。141名（87%）患儿患有轻度或中度持续性哮喘。近三分之二的患儿由于哮喘，其玩耍活动受到了一定限制。半数患儿的其他体育活动和社交活动也受到了限制。患儿在过去6个月里缺课天数的中位数为4天。所有这些限制在病情更严重和/或症状控制不佳的患儿中更为常见。患儿每月药物治疗费用的中位数为333卢比，即约为人均月收入的三分之一。儿童哮喘对患儿的日常活动、上学、家庭生活和经济状况都有显著的不利影响。
