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哮喘患儿家长对疾病的认知及对吸入性糖皮质激素使用的担忧

Perception of Illness and Fear of Inhaled Corticosteroid Use among Parents of Children with Asthma.

作者信息

Petric Duvnjak Jasna, Lozo Vukovac Emilija, Ursic Anita, Matana Antonela, Medvedec Mikic Ivana

机构信息

Pediatric Clinic "Pediatri", 21000 Split, Croatia.

University Department of Health Studies, University of Split, 21000 Split, Croatia.

出版信息

Children (Basel). 2023 Sep 25;10(10):1597. doi: 10.3390/children10101597.

Abstract

The most prevalent children's chronic disease worldwide is asthma which has notable negative impacts on patients' and parent's quality of life. Daily inhaled corticosteroids (ICS) therapy is a preferred controller choice. This study was conducted on 148 parents of asthmatic children to establish parents' perception of illness and fear of inhaled corticosteroids using B-IPQ and TOPICOP questionnaires. Children were in the majority male (66.9%), older than five years (58.8%), with comorbidities, and family history of atopy. Parents were female, with a mean age of 38, employed, and with a history of some form of corticosteroid use. Most parents were not afraid of ICS usage (71.6%). Unemployed parents and parents who had no medical education had a statistically significantly higher fear of using ICS ( = 0.002, = 0.03). A child's illness affects the parents' lives and parents who are afraid of using ICS react more emotionally to the child's illness. Better understanding and less concerned about child's disease are parents of children with controlled asthma. The parents' perspective of children's asthma will affect the duration and dose of ICS treatment they will give to their children and directly influence the level of asthma control.

摘要

全球最常见的儿童慢性病是哮喘,它对患者及其父母的生活质量有显著负面影响。每日吸入皮质类固醇(ICS)疗法是首选的控制药物。本研究对148名哮喘儿童的父母进行,使用B-IPQ和TOPICOP问卷来确定父母对疾病的认知以及对吸入皮质类固醇的恐惧。儿童中男性占多数(66.9%),年龄超过五岁(58.8%),有合并症,且有特应性家族史。父母为女性,平均年龄38岁,有工作,且有某种形式的皮质类固醇使用史。大多数父母不害怕使用ICS(71.6%)。失业父母和没有医学教育背景的父母对使用ICS的恐惧在统计学上显著更高(P = 0.002,P = 0.03)。孩子的疾病会影响父母的生活,害怕使用ICS的父母对孩子的疾病反应更情绪化。哮喘得到控制的孩子的父母对孩子疾病的理解更好,担忧更少。父母对儿童哮喘的看法会影响他们给予孩子ICS治疗的持续时间和剂量,并直接影响哮喘控制水平。

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