Zhang Linjie, Avila Laila, Leyraud Luciana, Grassi Sinar, Grassi Sinar, T Raquel, Bonfanti Thiago, Ferruzzi Emerson
Department of Maternal and Child Health, Federal University of Rio Grande, Rio Grande-RS, Brazil.
Indian Pediatr. 2006 Jan;43(1):48-54.
This cohort study was conducted to evaluate the accuracy of parental and child's reports of changes in asthma symptoms. Fifty three asthmatic children and their parents were interviewed at enrollment and after 4 and 8 weeks. The outcomes were parental and child's reports of changes in asthma symptoms, changes in mean daily symptom scores and changes in pulmonary function. Among patients 6 to 10 years old, parental reports were more strongly than child's reports to correlate with changes in mean daily symptom scores (r: 0.54 vs 0.23). In patients aged 11 yr or older, parental and child's reports were equally correlated with changes in mean daily symptom scores (r: 0.63 vs 0.57). In both age groups, neither parental nor child's reports were significantly correlated with changes in pulmonary function. Conclusion Parental reports of changes in asthma symptoms are more reliable than child's reports in patients under 11 yr. Among patients aged 11 yr or older, child's reports are so valid as their parents reports for clinical judgment of asthma control.
这项队列研究旨在评估父母和孩子报告的哮喘症状变化的准确性。53名哮喘儿童及其父母在入组时、4周和8周后接受了访谈。结果包括父母和孩子报告的哮喘症状变化、平均每日症状评分变化和肺功能变化。在6至10岁的患者中，父母的报告比孩子的报告与平均每日症状评分变化的相关性更强（r：0.54对0.23）。在11岁及以上的患者中，父母和孩子的报告与平均每日症状评分变化的相关性相同（r：0.63对0.57）。在两个年龄组中，父母和孩子的报告与肺功能变化均无显著相关性。结论在11岁以下的患者中，父母报告的哮喘症状变化比孩子的报告更可靠。在11岁及以上的患者中，孩子的报告在哮喘控制的临床判断方面与父母的报告同样有效。
