Trojanowska Alina, Emeryk Andrzej, Zarzycka Danuta
Department of Paediatrics and Paediatric Nursing, Medical Uniwersity of Lublin, Lublin, Poland.
Department of Paediatric Pulmonology and Rheumatology, Medical University of Lublin, Lublin, Poland.
Postepy Dermatol Alergol. 2021 Dec;38(6):1065-1070. doi: 10.5114/ada.2021.112279. Epub 2022 Jan 7.
Among numerous chronic diseases of childhood and adolescence, bronchial asthma causes many psychological problems, and this is related to its course, long-term treatment and the requirement of self-control. One of the important factors affecting the mental condition of children with asthma is their beliefs about the disease. The attitude towards the illness is also an important factor influencing the prognosis, course of therapy and control of asthma.
To understand the attitudes of children suffering from bronchial asthma towards their illness.
The survey was conducted in 2019 among 106 children with bronchial asthma aged 8-18 years (mean age: 13.5 ±0.83) treated at the University Children's Hospital in Lublin and their parents. The study used the Child Attitude Towards Illness Scale (CATIS) and an original questionnaire.
The research demonstrated that children's attitudes towards their own disease were quite varied. The mean of their scores in the CATIS scale ranged from 1.81 to 4.27, with the maximum value of the scale of 5, which means that negative or neutral attitudes prevailed.
In the studied group of children with asthma, negative or neutral attitudes towards their own disease prevailed, which depended mainly on the severity of the disease, the occurrence of exacerbations, self-control, as well as the family structure and place of residence. The CATIS scale can be useful in the work of many therapists as it can be used to assess and, possibly, change the unfavourable attitudes of chronically ill children towards their disease.
在众多儿童和青少年慢性疾病中,支气管哮喘引发诸多心理问题,这与哮喘病程、长期治疗及自我控制要求有关。影响哮喘患儿心理状况的重要因素之一是他们对疾病的认知。对疾病的态度也是影响哮喘预后、治疗过程及控制的重要因素。
了解支气管哮喘患儿对自身疾病的态度。
2019年,对在卢布林大学儿童医院接受治疗的106名8至18岁(平均年龄:13.5±0.83)支气管哮喘患儿及其父母进行了调查。研究使用了儿童疾病态度量表(CATIS)和一份原创问卷。
研究表明,儿童对自身疾病的态度差异很大。他们在CATIS量表中的得分均值在1.81至4.27之间,量表最大值为5,这意味着消极或中性态度占主导。
在该组哮喘患儿中,对自身疾病持消极或中性态度占主导,这主要取决于疾病严重程度、发作情况、自我控制能力,以及家庭结构和居住地点。CATIS量表对许多治疗师的工作可能有用,因为它可用于评估,并有可能改变慢性病患儿对自身疾病的不利态度。