소아 아토피피부염 환자 보호자의 질환 인식도 변화
Changing Caregivers’ awareness on atopic dermatitis
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Purpose: The objective of this study investigates the change in the awareness of the caregivers of atopic dermatitis (AD)’ children, through questionnaires conducted in 2006 and 2013. Methods: A questionnaire of 15 items about the diagnosis and management of AD was done to survey a total of 146 caregivers participating in Atopy Friendly School Program in Dongdaemun-gu, Seoul, 2013. A comparison analysis was used to compare the results of the surveys conducted in 2006 and 2013. Results: Diagnosis of AD by doctor has increased while that by traditional Korean medical (TKM) doctor has decreased, but it was not statistically significant (P=0.07). Self-treatment has increased while the treatment by doctor remained similar. Treatment by TKM doctor has decreased. Overall change in medical institutions was statistically significant (P=0.01). The use of emollient has significantly increased while the use of topical steroid and oral medication has decreased with no statistically significant difference. Food restriction has significantly decreased (P=0.00), but it is still recognized as an important treatment option in 2013. As for the frequency of the emollient use, using it once a day has decreased whereas using it 2–3 times a day has increased, but there was no statistically significant difference. Conclusion: Caregivers’ awareness on AD has improved through 2006 to 2013 with the education provided by academic societies and government, but the accurate understanding of the disease still needs improvement. The future education should focus on the selection of appropriate healthcare services as well as the specific self-management strategies.
Abstract
Purpose: The objective of this study investigates the change in the awareness of the caregivers of atopic dermatitis (AD)’ children, through questionnaires conducted in 2006 and 2013. Methods: A questionnaire of 15 items about the diagnosis and management of AD was done to survey a total of 146 caregivers participating in Atopy Friendly School Program in Dongdaemun-gu, Seoul, 2013. A comparison analysis was used to compare the results of the surveys conducted in 2006 and 2013. Results: Diagnosis of AD by doctor has increased while that by traditional Korean medical (TKM) doctor has decreased, but it was not statistically significant (P=0.07). Self-treatment has increased while the treatment by doctor remained similar. Treatment by TKM doctor has decreased. Overall change in medical institutions was statistically significant (P=0.01). The use of emollient has significantly increased while the use of topical steroid and oral medication has decreased with no statistically significant difference. Food restriction has significantly decreased (P=0.00), but it is still recognized as an important treatment option in 2013. As for the frequency of the emollient use, using it once a day has decreased whereas using it 2–3 times a day has increased, but there was no statistically significant difference. Conclusion: Caregivers’ awareness on AD has improved through 2006 to 2013 with the education provided by academic societies and government, but the accurate understanding of the disease still needs improvement. The future education should focus on the selection of appropriate healthcare services as well as the specific self-management strategies.
참고문헌 (22)
- 조중범, "아토피피부염의 중증도 변화에 따른 삶의 질 변화", Allergy Asthma & Respiratory Diseases, 22(1), pp.86~99 (2012), 대한 소아알레르기 호흡기학회[DOI]
- 이정빈, "소아 아토피피부염 환자보호자의 인식도에 관한 설문조사 연구", 천식 및 알레르기, 29(3), pp.179~185 (2009), 대한천식알레르기학회
- Williams H, "Worldwide variations in the prevalence of symptoms of atopic eczema in the International Study of Asthma and Allergies in Childhood", J Allergy Clin Immunol, 103, pp.125~138 (1999)
- Korea Centers for Disease Control and Prevention. The fifth Korea National Health and Nutrition Examination Survey (KNHANES V-3) 2012, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2012)
- 김형은, "Prevalence and comorbidity of allergic diseases in preschool children", Korean Journal of Pediatrics, 56(8), pp.338~342 (2013), 대한소아과학회
- 홍수종, "한국 소아알레르기 질환의 유병률", Allergy Asthma & Respiratory Diseases, 18(1), pp.15~25 (2008), 대한 소아알레르기 호흡기학회
- The actual condition and epidemiologic study of Atopic diseases. General report, "Kwon HJ", Seoul Metropolitan Government, Atopy Environmental and Health Research Institute, ~ (2008)
- 오재원, "우리나라 아토피피부염의 치료와 관리의 현실", 천식 및 알레르기, 32(1), pp.14~15 (2012), 대한천식알레르기학회
- 염혜영, "아토피피부염 교육 프로그램을 통한 질병인지도 변화", 천식 및 알레르기, 32(1), pp.21~25 (2012), 대한천식알레르기학회
- Nicol NH, "Successful strategies in atopic dermatitis management", Dermatol Nurs, pp.3~18 (2008)
- Annual report 2011, "Ministry of Health and Welfare", Ministry of Health and Welfare, ~ (2012)
- 조은정, "알레르기질환에 대한 경기도 45개 보건소의 교육 요구도에 관한 조사", Allergy Asthma & Respiratory Diseases, 1(1), pp.55~59 (2013), 대한 소아알레르기 호흡기학회
- Epidemiology and management of atopy and asthma for prevention in the community, "Korea Centers for Disease Control and Prevention", Korea Centers for Disease Control and Prevention, ~ (2008)
- Stalder JF, "Therapeutic patient education in atopic dermatitis: worldwide experiences", Pediatr Dermatol, 30, pp.329~334 (2013)
- 안강모, "아토피피부염 캠프의 교육 효과", Allergy Asthma & Respiratory Diseases, 22(2), pp.127~128 (2012), 대한 소아알레르기 호흡기학회[DOI]
- 김동하, "아토피피부염에 대한 환자의 인식도 설문조사 연구", 대한피부과학회지, 50(3), pp.201~211 (2012), 대한피부과학회
- Survey for utilization of oriental medical services and comsumption of oriental medicine. Final report, "Cho JK", Ministry of Health and Welfare, ~, pp.Report No.:2011-48 (2011)
- 김자경, "아토피피부염 관련 웹사이트 질 평가 분석", Allergy Asthma & Respiratory Diseases, 17(3), pp.282~288 (2007), 대한 소아알레르기 호흡기학회
- Korea Institute for Health and Social Affairs, "Awareness and utilization of Korea traditional medicine of the Korean", Issue Focus, 21, pp.1~8 (2012)
- Arshad SH, "Sensitization to common allergens and its association with allergic disorders at age 4 years: a whole population birth cohort study", Pediatrics, 108, pp.E33~ (2001)
- Development of comprehensive management plan for prevention & control of atopy asthma diseases (2012–2016), "Chung EH", Korea Centers for Disease Control and Prevention, ~, pp.Contract No.: 2011E3303000 (2012)
- 김태윤, "아토피피부염 치료의 최신 경향", Allergy Asthma & Respiratory Diseases, 19(3), pp.209~219 (2009), 대한 소아알레르기 호흡기학회