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儿童特应性皮炎的家庭管理。

Family management of childhood atopic dermatitis.

机构信息

Department of Nursing, College of Nursing, Sungshin Women's University, Seoul, Korea.

Department of Family Health Science, College of Nursing, Yonsei University, Seoul, Korea.

出版信息

J Adv Nurs. 2018 Jun;74(6):1371-1379. doi: 10.1111/jan.13551. Epub 2018 Mar 25.

Abstract

AIMS

To identify the variables that affect family management of childhood atopic dermatitis and establish a prediction model based on Bandura's self-efficacy theory.

BACKGROUND

Atopic dermatitis is a chronic recurrent skin disease and common health problem in childhood. It is necessary to use an approach that includes parental factors when considering the effective management of childhood atopic dermatitis.

DESIGN

A cross-sectional study design.

METHODS

A convenience sample, comprising 168 Korean mothers caring for a child with atopic dermatitis under the age of 13, was recruited from the paediatric outpatient departments of two general hospitals in Seoul, South Korea. Data were collected using structured self-reported questionnaires including severity, antecedents, effort, self-efficacy and family management of childhood atopic dermatitis from 1 November 2015-28 February 2016. Descriptive statistics about the participants and variables were examined and data were analysed using structural equation modelling.

RESULTS

The hypothetical model had an adequate fit to the data, indicating that severity, antecedents, effort and self-efficacy influenced family management of childhood atopic dermatitis.

CONCLUSION

These results suggest that strategies to support children with atopic dermatitis and their family should consider the influence of such variables.

摘要

目的

确定影响儿童特应性皮炎家庭管理的变量,并基于班杜拉的自我效能理论建立预测模型。

背景

特应性皮炎是一种慢性复发性皮肤病,也是儿童常见的健康问题。在考虑儿童特应性皮炎的有效管理时,有必要采用一种包含父母因素的方法。

设计

横断面研究设计。

方法

采用便利抽样法,于 2015 年 11 月 1 日至 2016 年 2 月 28 日,从韩国首尔的两家综合医院的儿科门诊招募了 168 名照顾 13 岁以下特应性皮炎儿童的韩国母亲。使用包括儿童特应性皮炎严重程度、发病前情况、努力程度、自我效能和家庭管理在内的结构化自我报告问卷收集数据。对参与者和变量的描述性统计数据进行了检查,并使用结构方程模型进行了数据分析。

结果

假设模型与数据具有良好的拟合度,表明严重程度、发病前情况、努力程度和自我效能均会影响儿童特应性皮炎的家庭管理。

结论

这些结果表明,支持特应性皮炎儿童及其家庭的策略应考虑这些变量的影响。

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