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中文译文:特应性皮炎患儿母亲的定性研究:情绪和社会影响。

Qualitative study with mothers of children with atopic dermatitis: emotional and social impacts.

机构信息

Federal University of Paraná, Postgraduate program in child and adolescent health, Clinical Hospital Complex of the Federal University of Paraná, 80060-900, General Carneiro, 181, Curitiba, Paraná, Brazil.

出版信息

Tunis Med. 2024 Sep 5;102(9):582-586. doi: 10.62438/tunismed.v102i9.5072.

DOI:10.62438/tunismed.v102i9.5072
PMID:39287352
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11459255/
Abstract

INTRODUCTION

Atopic Dermatitis (AD) is the most common skin disease in childhood and its control requires the support of the family members. This disease significantly interferes with the Quality of Life (QoL) of children and families, however, literature on the social and emotional impact of the disease on the caregivers is lacking.

OBJECTIVE

To evaluate the emotional and social impact of AD on mothers of children with the disease.

METHOD

This is a qualitative study of semi-structured interviews with mothers of children diagnosed with AD. The following variables were evaluated: diagnosis and start of treatment, knowledge about the disease, and impact on the mothers' lives. The material was analyzed using Lawrence Bardin's content analysis technique. The AD severity was assessed by SCORAD.

RESULTS

A total of 23 interviews were conducted with mothers of children diagnosed with AD. In 82.6% of the cases, the mothers presented conflicts in the face of the first contacts with the disease. In 43.5% of cases, mothers were solely responsible for their children's treatment. About 56.6% defined AD as a cause of suffering and difficulty and 21.7% pointed out the AD experience as a learning experience.

CONCLUSION

The AD is a chronic disease that has a psychological and social impact on the lives of mothers. In the treatment of AD, mothers must be screened and offered psychological support to improve adherence to treatment in the long term.

摘要

介绍

特应性皮炎(AD)是儿童最常见的皮肤病,其控制需要家庭成员的支持。这种疾病严重影响儿童和家庭的生活质量(QoL),然而,关于疾病对照顾者的社会和情感影响的文献却很少。

目的

评估 AD 对患儿母亲的情绪和社会影响。

方法

这是一项对患有 AD 的儿童的母亲进行半结构化访谈的定性研究。评估了以下变量:诊断和开始治疗、对疾病的了解以及对母亲生活的影响。使用 Lawrence Bardin 的内容分析技术对材料进行分析。AD 的严重程度通过 SCORAD 进行评估。

结果

共对 23 名患有 AD 的儿童的母亲进行了访谈。在 82.6%的情况下,母亲在面对疾病的初次接触时存在冲突。在 43.5%的情况下,母亲独自负责孩子的治疗。约 56.6%的母亲将 AD 定义为痛苦和困难的原因,21.7%的母亲将 AD 经历视为学习经历。

结论

AD 是一种慢性病,对母亲的生活有心理和社会影响。在 AD 的治疗中,必须对母亲进行筛查并提供心理支持,以提高长期治疗的依从性。

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本文引用的文献

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J Clin Nurs. 2023 Sep;32(17-18):6485-6493. doi: 10.1111/jocn.16672. Epub 2023 Mar 7.
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The relationship between atopic dermatitis and atopic itch in children and the psychosocial functioning of their mothers: A cross-sectional study.儿童特应性皮炎与特应性瘙痒的关系及其母亲的心理社会功能:一项横断面研究。
Front Med (Lausanne). 2023 Feb 16;10:1066495. doi: 10.3389/fmed.2023.1066495. eCollection 2023.
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Health Behavior and Social-Emotional Health Status of School-Aged Children According to their Experience with Atopic Dermatitis Diagnosis: Based on the 12th (2019) Panel Study on Korean Children.
根据特应性皮炎诊断经历看学龄儿童的健康行为和社会情感健康状况:基于第12次(2019年)韩国儿童专题研究。
Children (Basel). 2023 Feb 2;10(2):288. doi: 10.3390/children10020288.
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Caregiver burden among informal caregivers in the largest specialized palliative care unit in Malaysia: a cross sectional study.马来西亚最大的专业姑息治疗单位中非正式照护者的照护者负担:一项横断面研究。
BMC Palliat Care. 2020 Dec 8;19(1):186. doi: 10.1186/s12904-020-00691-1.
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Prevalence and Incidence of Atopic Dermatitis: A Systematic Review.特应性皮炎的患病率和发病率:系统评价。
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Insights From Caregivers on the Impact of Pediatric Atopic Dermatitis on Families: "I'm Tired, Overwhelmed, and Feel Like I'm Failing as a Mother".照顾者对儿童特应性皮炎对家庭影响的见解:“我感到疲倦、不知所措,觉得自己作为母亲很失败”。
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