Rodriguez-Orozco Alain Raimundo, Núñez-Tapia Rosa María, Ramírez-Silva Armando, Gómez-Alonso Carlos
Facultad de Ciencias Médicas y Biológicas "Dr Ignacio Chávez". Universidad Michoacana de San Nicolás De Hidalgo. Instituto de Investigación Científica en temas de Familia, Alergia e Inmunología, Morelia, Mexico.
Iran J Allergy Asthma Immunol. 2013 May 15;12(2):129-35.
Asthma has been linked to family disfunctioning and poor control of the disease.This study was conducted to analyze the interactions between the level of intermittent asthma control, family functioning and respiratory function and between quality of life of asthmatic patients and their caregivers.7 to 15 years old children with intermittent asthma were included. Asthma Control Test Questionnaire, Pediatric Asthma Quality of Life Questionnaire (PAQLQ) test, and flowmetry were applied to children and Pediatric Asthma Caregiver´s Quatily of Life Questionnaire (PAQCLQ) and the Family Functioning Perception Test (FF-SIL) were applied to their parents.The most affected areas of family functioning in dysfunctional families were adaptability and permeability. A medium to high strength of association was founded between the emotional function of parents and the emotional function of children, R2=0.552. The most remarkable associations were among parents' limitation of activities and parents' emotional function (r=0.837), parents' limitation of activities and child's emotional function (r=0.722), parents' emotional role and limitation of activities (r=0.837), parents' emotional role and emotional functioning of children with asthma (r=0.743) and the limitation of activities of children with asthma and the emotional function of children with asthma (r=0.870).No direct associations were founded among respiratory function, disease control and family functioning in Mexican children with intermittent asthma and emotional function of parents and children were associated in both groups.
哮喘与家庭功能失调及疾病控制不佳有关。本研究旨在分析间歇性哮喘控制水平、家庭功能与呼吸功能之间以及哮喘患者及其照料者生活质量之间的相互作用。纳入了7至15岁的间歇性哮喘儿童。对儿童应用哮喘控制测试问卷、儿童哮喘生活质量问卷(PAQLQ)测试和肺功能仪,对其父母应用儿童哮喘照料者生活质量问卷(PAQCLQ)和家庭功能感知测试(FF-SIL)。功能失调家庭中家庭功能受影响最大的方面是适应性和通透性。父母的情感功能与孩子的情感功能之间存在中等至高度的关联强度,R2 = 0.552。最显著的关联存在于父母的活动受限与父母的情感功能之间(r = 0.837);父母的活动受限与孩子的情感功能之间(r = 0.722);父母的情感角色与活动受限之间(r = 0.837);父母的情感角色与哮喘儿童的情感功能之间(r = 0.743);以及哮喘儿童的活动受限与哮喘儿童的情感功能之间(r = 0.870)。在墨西哥间歇性哮喘儿童中,呼吸功能、疾病控制与家庭功能之间未发现直接关联,且两组中父母与孩子的情感功能均存在关联。