Brown Julia, Weitz Nicole W, Liang Amy, Stockwell Melissa S, Friedman Suzanne
1 Mount Sinai Health System, New York, NY, USA.
2 UCSF Benioff Children's Hospital, San Francisco, CA, USA.
Clin Pediatr (Phila). 2018 Dec;57(14):1624-1629. doi: 10.1177/0009922818795906. Epub 2018 Aug 24.
The multitude of treatment options for atopic dermatitis (AD) makes management frustrating for providers and patients. Eczema action plans (EAPs) have been proposed to improve parental and provider management. We developed a single-site randomized controlled trial to evaluate the impact of an EAP on quality of life (QOL), provider knowledge, and comfort with AD management. Providers were randomized into an EAP-use group and a traditional care group. All patients completed validated AD QOL surveys, and those with AD were verbally administered the survey 1 month later. Providers' perceptions on managing AD were compared in the EAP and usual use groups. Parents in the EAP group demonstrated a significantly increased understanding of AD treatment, and providers in the EAP group had a significantly increased understanding and management of AD. The EAP is a feasible tool that can be integrated into a busy clinic practice with a positive impact on physicians and patients.
特应性皮炎（AD）的治疗选择众多，这让医疗服务提供者和患者都感到管理起来很棘手。有人提出了湿疹行动计划（EAPs）来改善家长和医疗服务提供者的管理。我们开展了一项单中心随机对照试验，以评估EAP对生活质量（QOL）、医疗服务提供者的知识以及AD管理舒适度的影响。医疗服务提供者被随机分为EAP使用组和传统护理组。所有患者都完成了经过验证的AD QOL调查问卷，患有AD的患者在1个月后接受了该问卷的口头调查。对EAP组和常规使用组中医疗服务提供者对AD管理的认知进行了比较。EAP组的家长对AD治疗的理解显著提高，EAP组的医疗服务提供者对AD的理解和管理也显著增强。EAP是一种可行的工具，可以融入繁忙的门诊实践中，对医生和患者产生积极影响。
