Clark Noreen M, Dodge Julia A, Thomas Lara J, Andridge Rebecca R, Awad Daniel, Paton James Y
University of Michigan, Ann Arbor, MI, USA.
Clin Pediatr (Phila). 2010 Oct;49(10):931-7. doi: 10.1177/0009922809357339. Epub 2010 Aug 19.
In 10- to 13-year-old children with asthma, we know less than is desirable about the nature of the disease management tasks they face as youngsters approaching adolescence. This article reviews aspects of asthma management in youngsters at a time of significant transition. They experience puberty and growth spurts. Their cognitive abilities enable more abstract thinking. They seek individuation from their parents and socialization with peers. These factors influence asthma outcomes, including symptom control, health care use, and school attendance and performance. Furthermore, significant sex- and gender-related differences in outcome exist. Those with asthma who are 10 to 13 years of age contend not only with the particular management demands their chronic condition imposes on them but also the challenges associated with maturation. Most asthma management interventions do not account for the challenges faced at this transitional phase, and developmentally appropriate programs are needed.
对于10至13岁的哮喘儿童，我们对他们作为即将步入青春期的青少年所面临的疾病管理任务的性质了解不足。本文回顾了处于重大转变时期的青少年哮喘管理的各个方面。他们经历青春期和生长突增。他们的认知能力使他们能够进行更抽象的思考。他们寻求与父母个体化并与同龄人社交。这些因素会影响哮喘的治疗效果，包括症状控制、医疗保健利用以及上学出勤率和学业表现。此外，在治疗效果方面存在显著的性别差异。10至13岁的哮喘患者不仅要应对慢性病给他们带来的特殊管理要求，还要应对与成熟相关的挑战。大多数哮喘管理干预措施没有考虑到这个过渡阶段所面临的挑战，因此需要制定适合其发育阶段的方案。
