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食物过敏儿童照料者生活质量的差异。

Variations in quality of life among caregivers of food allergic children.

机构信息

Institute for Healthcare Studies, Northwestern University Feinberg School of Medicine, Chicago, Illinois, USA.

出版信息

Ann Allergy Asthma Immunol. 2010 Oct;105(4):287-294. doi: 10.1016/j.anai.2010.08.003.

Abstract

BACKGROUND

Pediatric food allergy is a serious health problem in the United States. As the number of affected children increases, more caregivers are charged with the responsibility of managing their child's food allergy.

OBJECTIVE

To better understand the impact of pediatric food allergy on caregiver quality of life.

METHODS

As part of a larger project examining the knowledge, attitudes, and beliefs of caregivers with food allergic children, the Food Allergy Quality of Life-Parental Burden questionnaire was administered to a large sample of caregivers across the United States from January 1, 2008, to January 31, 2009. Findings were analyzed to describe caregiver quality of life and to examine the impact of the manifestation of food allergy on participant response.

RESULTS

Data were collected from 1,126 caregivers. The impact of food allergy on caregiver quality of life varied widely with 1 exception: caregivers consistently reported being troubled by social limitations resulting from their child's food allergy. Poor quality of life was significantly more likely on a number of survey items among caregivers more knowledgeable about food allergy and among caregivers whose children had been to the emergency department for food allergy in the past year, had multiple food allergies, or were allergic to specific foods.

CONCLUSIONS

Previous research has emphasized the negative impact of food allergy on caregiver quality of life. This study illustrates the diverse experience of caring for a child with food allergy and the importance of considering the manifestation of disease when evaluating parental burden.

摘要

背景

小儿食物过敏是美国的一个严重健康问题。随着受影响儿童数量的增加,越来越多的照顾者承担起管理孩子食物过敏的责任。

目的

更好地了解小儿食物过敏对照顾者生活质量的影响。

方法

作为一项更大的研究项目的一部分,该项目旨在研究有食物过敏儿童的照顾者的知识、态度和信念,2008 年 1 月 1 日至 2009 年 1 月 31 日期间,通过向美国各地的大量照顾者发放食物过敏生活质量-父母负担调查问卷,了解照顾者的生活质量,并研究食物过敏表现对参与者反应的影响。

结果

共收集了 1126 名照顾者的数据。食物过敏对照顾者生活质量的影响差异很大,只有一个例外:照顾者普遍报告说,由于孩子的食物过敏,他们在社交方面受到限制。在一些调查项目中,生活质量较差的情况在以下人群中更为常见:对食物过敏有更多了解的照顾者、其孩子过去因食物过敏去过急诊室的照顾者、有多种食物过敏的照顾者或对特定食物过敏的照顾者。

结论

先前的研究强调了食物过敏对照顾者生活质量的负面影响。本研究说明了照顾食物过敏儿童的不同体验,以及在评估父母负担时考虑疾病表现的重要性。

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