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探索患有坚果过敏症儿童的生活质量及相关临床因素。

Exploring quality of life and related clinical factors in children with tree nut allergies.

作者信息

Genç Özbay Zehra, Akarsu Ayşegül, Şahiner Ümit Murat, Uysal Soyer Özge, Şekerel Bülent Enis

机构信息

Department of Pediatric Allergy, School of Medicine, Hacettepe University, Ankara, Türkiye.

出版信息

Turk J Pediatr. 2025 May 5;67(2):195-207. doi: 10.24953/turkjpediatr.2025.5293.

Abstract

BACKGROUND

In Türkiye, tree nut allergy (TNA) is the most common form of food allergy, characterized by persistence and the potential for life-threatening reactions. This study aimed to evaluate the quality of life (QoL) of Turkish children aged 0-12 years with IgE-mediated TNA and explore influential factors, including parental anxiety.

MATERIALS AND METHODS

Primary caregiver-parents of children diagnosed with TNA completed the Food Allergy Quality of Life Questionnaire-Parent Form (FAQLQ-PF) and State-Trait Anxiety Inventory (STAI) to assess QoL and parental anxiety, respectively.

RESULTS

Of 120 eligible patients diagnosed with TNA, 88 were included in the study. Questionnaires were completed by mothers in 79 cases (90%) and fathers in 9 cases (10%). Parents reported significantly higher FAQLQ-PF scores for children with hazelnut allergy, a history of anaphylaxis, and those who had to use an adrenaline auto-injector. There was significant but weak correlations between FAQLQ-PF and anxiety (STAI) domains. The multivariate linear regression analysis revealed that having a hazelnut allergy, a history of anaphylaxis, and higher parental state anxiety were all associated with higher FAQLQ-PF scores, but fathers tended to report better level of QoL.

CONCLUSION

QoL for children with TNA is influenced by several factors such as adverse life experiences, local and situational factors, and parental anxiety. Understanding these diverse factors is crucial for enhancing the well-being of children with TNA.

摘要

背景

在土耳其,坚果过敏(TNA)是食物过敏最常见的形式,其特点是持续存在且有发生危及生命反应的可能性。本研究旨在评估0至12岁患有IgE介导的TNA的土耳其儿童的生活质量(QoL),并探讨包括父母焦虑在内的影响因素。

材料与方法

被诊断为TNA的儿童的主要照顾者——父母,分别完成了食物过敏生活质量问卷家长版(FAQLQ-PF)和状态-特质焦虑量表(STAI),以评估生活质量和父母焦虑。

结果

在120名符合条件的被诊断为TNA的患者中,88名被纳入研究。问卷由79名母亲(90%)和9名父亲(10%)完成。父母报告称,对榛子过敏、有过敏反应史以及必须使用肾上腺素自动注射器的儿童的FAQLQ-PF得分显著更高。FAQLQ-PF与焦虑(STAI)领域之间存在显著但较弱的相关性。多元线性回归分析显示,患有榛子过敏、有过敏反应史以及父母较高的状态焦虑均与较高的FAQLQ-PF得分相关,但父亲倾向于报告更好的生活质量水平。

结论

TNA儿童的生活质量受多种因素影响,如不良生活经历、局部和情境因素以及父母焦虑。了解这些不同因素对于提高TNA儿童的幸福感至关重要。

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