van Gent R, van Essen-Zandvliet E E M, Klijn P, Brackel H J L, Kimpen J L L, van Der Ent C K
Department of Paediatrics, Máxima Medical Centre, Veldhoven, The Netherlands.
J Asthma. 2008 Nov;45(9):807-13. doi: 10.1080/02770900802311477.
Asthma can have a negative effect on psychological and social well-being in childhood. Sports participation, school attendance, and quality of life are important issues for children with asthma and their parents. However, a structural evaluation of these factors is not always incorporated in the routine medical approach of children with asthma. Moreover, goals in asthma treatment, such as minimal symptoms and normal activity levels, are achieved in a minority of children. This review describes determinants that are important for the well-being of children with asthma and their parents. Besides the control of symptoms, factors such as sports participation, socializing in peer groups, school attendance, and quality of life must be considered. These issues are relevant when evaluating the management of children and adolescents with asthma. A multidisciplinary evaluation by a pediatrician, school nurse, gym teacher, and psychologist might contribute to an important decrease in the impact of asthma on daily life.
哮喘会对儿童的心理和社会幸福感产生负面影响。对于患有哮喘的儿童及其父母来说,参与体育活动、上学以及生活质量都是重要问题。然而,这些因素的结构性评估并不总是纳入哮喘儿童的常规医疗方法中。此外,只有少数儿童能够实现哮喘治疗目标,如症状最小化和正常活动水平。本综述描述了对哮喘儿童及其父母的幸福感至关重要的决定因素。除了控制症状外,还必须考虑诸如参与体育活动、在同龄人群体中社交、上学以及生活质量等因素。在评估儿童和青少年哮喘管理时,这些问题具有相关性。由儿科医生、学校护士、体育教师和心理学家进行的多学科评估可能有助于显著降低哮喘对日常生活的影响。