Hwang Tae-Yoon, Kim Sang-Kyu, Kim Seon-Ha, Kim Miok
Department of Preventive Medicine & Public Health, Yeungnam University College of Medicine , Daegu , Republic of Korea.
Department of Preventive Medicine, Dongguk University College of Medicine , Gyeongju , Republic of Korea.
J Asthma. 2019 Nov;56(11):1239-1245. doi: 10.1080/02770903.2019.1571086. Epub 2019 Jan 31.
This study aims to evaluate the HRQOL of parents of children with allergic diseases using the EQ-5D-5L. The subjects of the study were parents of children enrolled in primary schools and daycare centers. The EQ-5D-5L was self-administered in the sample population, and demographic and health information of their children were collected. We assessed the difference in EQ-5D-5L index and EQ-VAS of parents by the prevalence of allergic symptoms (wheezing, runny or blocked nose, and itchy rash) in their children in the past 12 months. In addition, we examined the difference in parents' EQ-5D-5L index and EQ-VAS score, based on the number of allergic symptoms of their children. Of the 23,837 completed questionnaires, 22,904 were analyzed. There were significant differences in HRQOL between parents of children with and without allergic symptoms. There was a considerable difference in proportion of problem reporting in the "pain/discomfort" and "anxiety/depression" dimensions compared with the remaining dimensions of the EQ-5D-5L. Among three allergic symptoms, the HRQOL of parents of children with asthmatic symptoms was lowest at 0.936 on the EQ-5D-5L index and 79.3 on the EQ-VAS score. As the number of allergic symptoms of children increased, QOL of parents significantly decreased. Parents of children with allergic symptoms showed lower HRQOL than those parents whose children did not. The EQ-5D-5L instrument appeared to be useful to evaluate the HRQOL of parents of children with allergic diseases.
本研究旨在使用EQ-5D-5L评估过敏性疾病患儿家长的健康相关生活质量(HRQOL)。研究对象为就读于小学和日托中心儿童的家长。在样本人群中采用自我管理的方式使用EQ-5D-5L,并收集其子女的人口统计学和健康信息。我们根据过去12个月内其子女出现的过敏症状(喘息、流鼻涕或鼻塞、皮疹瘙痒)发生率评估家长的EQ-5D-5L指数和EQ-VAS差异。此外,我们还根据其子女的过敏症状数量,研究了家长EQ-5D-5L指数和EQ-VAS得分的差异。在23,837份完整问卷中,分析了22,904份。有过敏症状和无过敏症状儿童的家长在HRQOL方面存在显著差异。与EQ-5D-5L的其他维度相比,“疼痛/不适”和“焦虑/抑郁”维度的问题报告比例存在相当大的差异。在三种过敏症状中,有哮喘症状儿童的家长在EQ-5D-5L指数上的HRQOL最低,为0.936,在EQ-VAS得分上为79.3。随着儿童过敏症状数量的增加,家长的生活质量显著下降。有过敏症状儿童的家长的HRQOL低于其子女无过敏症状的家长。EQ-5D-5L工具似乎有助于评估过敏性疾病患儿家长的HRQOL。