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特应性皮炎(湿疹)患儿家长对局部用皮质类固醇激素的恐惧——一项横断面研究

Topical Corticosteroid Phobia Among Parents of Children with Atopic Dermatitis (Eczema)- A Cross-Sectional Study.

作者信息

Albogami Maha Fayez, AlJomaie Muneer S, Almarri Saad Saleh, Al-Malki Sultan, Tamur Shadi, Aljaid Maryam, Khayat Abdullah, Alzahrani Ahmad

机构信息

College of Medicine, Taif University, Taif, Saudi Arabia.

Department of Pediatrics, Taif Children Hospital, Taif, Saudi Arabia.

出版信息

Patient Prefer Adherence. 2023 Nov 2;17:2761-2772. doi: 10.2147/PPA.S431719. eCollection 2023.

Abstract

BACKGROUND

Anxiety about using topical corticosteroids (TCS) for childrens among parents and caretakers is a common cause of treatment failure and an overall decline in the child's quality of life. The purpose of this study was to examine the perspectives and worries of parents of Atopic dermatitis (AD) children regarding TCS. Additionally, we investigate the degree of phobia in relation to the use of the TCS.

MATERIALS AND METHODS

A convenience sample of 301 parents of children who had been identified with atopic dermatitis from two hospitals in Taif city were enrolled in this study. Parents who chose to participate were sent a questionnaire measuring their level of fear of TCS using the TOPICOP© scale, which also included inquiries about their demographics and clinical characteristics. Multivariate analysis was used to determine what factors influence people's overall levels of fear.

RESULTS

The median global TOPICOP score was 66.6% (IQR 60.4-75%), SD 12.83%, which showed that nearly two-thirds of the participants showed corticosteroid phobia. A multifactorial ANOVA model showed that parents who had a female child with AD and mothers who had experienced drug allergies had a significant influence on TOPICOP scores (P<0.05).

CONCLUSION

Topical corticosteroid phobia is widespread among parents of children patients with AD in Taif. Regarding the utilization of TCS, we place a strong emphasis on the significant role that physicians play as sources of reliable information and proper education.

摘要

背景

家长和看护人对儿童使用外用糖皮质激素(TCS)的担忧是治疗失败以及儿童生活质量整体下降的常见原因。本研究的目的是调查特应性皮炎(AD)患儿家长对TCS的看法和担忧。此外,我们还调查了与使用TCS相关的恐惧程度。

材料与方法

从塔伊夫市两家医院选取301名已确诊为特应性皮炎患儿的家长作为便利样本纳入本研究。选择参与的家长收到一份使用TOPICOP©量表测量其对TCS恐惧程度的问卷,该问卷还包括对他们的人口统计学和临床特征的询问。采用多变量分析来确定哪些因素会影响人们的总体恐惧水平。

结果

TOPICOP全球得分中位数为66.6%(四分位间距60.4 - 75%),标准差12.83%,这表明近三分之二的参与者表现出糖皮质激素恐惧症。多因素方差分析模型显示,患有AD的女童家长以及有药物过敏经历的母亲对TOPICOP得分有显著影响(P<0.05)。

结论

在塔伊夫,外用糖皮质激素恐惧症在AD患儿家长中普遍存在。关于TCS的使用,我们强烈强调医生作为可靠信息来源和适当教育者所发挥的重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dcbf/10627058/69cc7705967e/PPA-17-2761-g0001.jpg

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