Shanmugam Shalini, Nathan Anna Marie, Zaki Rafdzah, Tan Kian Eng, Eg Kah Peng, Thavagnanam Surendran, de Bruyne Jessie Anne
Department of Paediatrics, University Malaya, 50603, Kuala Lumpur, Malaysia.
University Malaya Paediatric and Child Health Research Group, University Malaya, 50603, Kuala Lumpur, Malaysia.
BMC Pediatr. 2016 Jun 23;16:80. doi: 10.1186/s12887-016-0616-8.
Noisy breathing is a common presenting symptom in children. The purpose of this study is to (a) assess parental ability to label wheeze, (b) compare the ability of parents of children with and without asthma to label wheeze and (c) determine factors affecting parental ability to label wheeze correctly.
This cross-sectional study in a tertiary hospital in Kuala Lumpur, Malaysia involved parents of children with asthma. Parents of children without asthma were the control group. Eleven validated video clips showing wheeze, stridor, transmitted noises, snoring or normal breathing were shown to the parents. Parents were asked, in English or Malay, "What do you call the sound this child is making?" and "Where do you think the sound is coming from?"
Two hundred parents participated in this study: 100 had children with asthma while 100 did not. Most (71.5 %) answered in Malay. Only 38.5 % of parents correctly labelled wheeze. Parents were significantly better at locating than labelling wheeze (OR 2.4, 95 % CI 1.64-3.73). Parents with asthmatic children were not better at labelling wheeze than those without asthma (OR1.04, 95 % CI 0.59-1.84). Answering in English (OR 3.4, 95 % CI 1.69-7.14) and having older children with asthma (OR 9.09, 95 % CI 3.13-26.32) were associated with correct labelling of wheeze. Other sounds were mislabelled as wheeze by 16.5 % of respondents.
Parental labelling of wheeze was inaccurate especially in the Malay language. Parents were better at identifying the origin of wheeze rather than labelling it. Physicians should be wary about parental reporting of wheeze as it may be inaccurate.
呼吸嘈杂是儿童常见的就诊症状。本研究的目的是：（a）评估家长对哮鸣音的识别能力；（b）比较患有和未患有哮喘的儿童家长对哮鸣音的识别能力；（c）确定影响家长正确识别哮鸣音能力的因素。
这项横断面研究在马来西亚吉隆坡的一家三级医院进行，研究对象为哮喘儿童的家长。未患哮喘儿童的家长作为对照组。向家长展示11个经过验证的视频片段，内容包括哮鸣音、喘鸣、传导性杂音、打鼾或正常呼吸。用英语或马来语询问家长：“您如何称呼这个孩子发出的声音？”以及“您认为声音来自哪里？”
200名家长参与了本研究，其中100名家长的孩子患有哮喘，100名家长的孩子未患哮喘。大多数（71.5%）用马来语回答。只有38.5%的家长能正确识别哮鸣音。家长在定位哮鸣音方面比识别哮鸣音做得更好（比值比2.4，95%置信区间1.64 - 3.73）。患有哮喘孩子的家长在识别哮鸣音方面并不比没有哮喘孩子的家长做得更好（比值比1.04，95%置信区间0.59 - …1.84）。用英语回答（比值比3.4，95%置信区间1.69 - 7.14）以及孩子年龄较大且患有哮喘（比值比9.09，95%置信区间3.13 - 26.32）与正确识别哮鸣音相关。16.5%的受访者将其他声音误识别为哮鸣音。
家长对哮鸣音的识别不准确，尤其是在使用马来语时。家长在识别哮鸣音的来源方面比识别哮鸣音本身做得更好。医生应警惕家长对哮鸣音的报告，因为可能不准确。 （注：原文中“95 % CI 0.59 - …1.84”这里的省略号可能是原文录入错误，翻译时保留了原文格式）
