Seo Jinhee, Kim Gaeun
Graduate School, Keimyung University, Dalgubeol-daero, Dalseo-gu, Daegu 1095, Republic of Korea.
College of Nursing, Keimyung University, Dalgubeol-daero, Dalseo-gu, Daegu 1095, Republic of Korea.
Children (Basel). 2025 May 24;12(6):676. doi: 10.3390/children12060676.
This study evaluated the effectiveness of a school-based experiential self-management program for children with atopic dermatitis (AD) based on Roy's adaptation theory.
Data were collected from June to August 2021, with 33 children in the experimental group and 32 in the control group. Participants were 10- to 11-year-old elementary school children who reported having AD symptoms within the past year and were able to complete self-report questionnaires. The program consisted of seven weekly school-based sessions that included disease education, symptom management techniques, skin care practices, nutritional guidance, and self-esteem enhancement activities. Outcomes, including AD severity, disease-related knowledge, adaptive behavior, self-esteem, and quality of life, were measured at baseline, post-intervention, and four weeks post-intervention using Generalized Estimating Equation analysis.
The experimental group showed significant improvements in AD severity (SCORAD: 22.80 ± 3.18 to 17.75 ± 2.24), disease-related knowledge (10.64 ± 2.00 to 13.64 ± 1.39), adaptive behavior (3.55 ± 1.70 to 10.58 ± 2.45), self-esteem (26.18 ± 4.76 to 31.55 ± 3.46), and quality of life (90.24 ± 11.07 to 100.27 ± 9.76), while the control group remained unchanged. Improvements were sustained four weeks post-intervention.
This program effectively reduced AD severity and enhanced knowledge, adaptive behavior, self-esteem, and quality of life in children with AD.
School-based self-management programs effectively enhance disease knowledge, adaptive behaviors, and quality of life in children with AD.
本研究基于罗伊适应理论评估了一项针对特应性皮炎（AD）儿童的校本体验式自我管理项目的有效性。
于2021年6月至8月收集数据，实验组有33名儿童，对照组有32名儿童。参与者为10至11岁的小学生，他们在过去一年中报告有AD症状且能够完成自我报告问卷。该项目包括每周一次的七次校本课程，内容涵盖疾病教育、症状管理技巧、皮肤护理实践、营养指导和自尊增强活动。使用广义估计方程分析在基线、干预后和干预后四周测量结果，包括AD严重程度、疾病相关知识、适应性行为、自尊和生活质量。
实验组在AD严重程度（SCORAD：从22.80±3.18降至17.75±2.24）、疾病相关知识（从10.64±2.00增至13.64±1.39）、适应性行为（从3.55±1.70增至10.58±2.45）、自尊（从26.18±4.76增至31.55±3.46）和生活质量（从90.24±11.07增至100.27±9.76）方面有显著改善，而对照组保持不变。干预后四周改善情况持续存在。
该项目有效降低了AD严重程度，并增强了AD儿童的知识、适应性行为、自尊和生活质量。
校本自我管理项目有效提高了AD儿童的疾病知识、适应性行为和生活质量。
