特应性皮炎：对家庭的影响及经济成本
Atopic eczema: its impact on the family and financial cost.
作者信息
Su J C, Kemp A S, Varigos G A, Nolan T M
机构信息
Department of Dermatology, Royal Children's Hospital Melbourne, Parkville, Victoria, Australia.
出版信息
Arch Dis Child. 1997 Feb;76(2):159-62. doi: 10.1136/adc.76.2.159.
OBJECTIVE
To evaluate the impact of childhood atopic eczema on families and assess the personal financial cost of its management.
DESIGN
Cross sectional survey.
SETTING
Paediatric dermatology and paediatric diabetology outpatient clinics.
PATIENTS
Parents of 48 randomly selected children with atopic eczema and 46 with insulin dependent diabetes mellitus.
MAIN OUTCOME MEASURES
The impact on family score, the reported cost of relevant medical treatments, medical consultations, relevant hospitalisation, and income loss.
RESULTS
Families of children with moderate or severe atopic eczema had a significantly higher impact on family score than families of diabetic children. A conservative estimate of the annual personal financial cost of managing mild, moderate, and severe eczema was Aus$330, 818, and 1255, respectively. The financial cost to the community for the management of atopic eczema in the study groups was greater. The personal financial cost of managing eczema was greater than for asthma.
CONCLUSION
Childhood atopic eczema has a profound impact on the social, personal, emotional, and financial perspectives of families.
目的
评估儿童特应性皮炎对家庭的影响，并评估其治疗的个人经济成本。
设计
横断面调查。
地点
儿科皮肤科和儿科糖尿病门诊。
患者
随机选取的48名特应性皮炎患儿和46名胰岛素依赖型糖尿病患儿的家长。
主要观察指标
对家庭的影响评分、报告的相关医疗治疗、医疗咨询、相关住院费用及收入损失。
结果
中度或重度特应性皮炎患儿的家庭对家庭的影响评分显著高于糖尿病患儿的家庭。对轻度、中度和重度湿疹治疗的年度个人经济成本的保守估计分别为330澳元、818澳元和1255澳元。研究组中社区用于特应性皮炎治疗的经济成本更高。湿疹治疗的个人经济成本高于哮喘。
结论
儿童特应性皮炎对家庭的社会、个人、情感和经济方面都有深远影响。
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