Factors influencing the family management of children with atopic dermatitis: an integrative review
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Purpose: Atopic dermatitis (AD) is prevalent among children and often requires family members to assume significant management responsibilities. Family management affects the child’s disease prognosis and health as well as the family’s functioning and overall quality of life. This integrative study aimed to identify the impact of AD on children and their families and examine child- and family-related factors that influence family man- agement. Methods: Guided by the Preferred Reporting Items for Systematic Reviews and Me- ta-Analysis (PRISMA), a systematic search was conducted across five electronic databas- es (Cumulative Index to Nursing and Allied Health Literature, PubMed, Web of Science, Research Information Sharing Service, and Korean Information Service System) for stud- ies published between 2000 and May 2024. Studies were screened using predefined in- clusion and exclusion criteria, and the Mixed Methods Appraisal Tool was used to eval- uate methodological quality. Results: In total, 1,144 records were identified, and 14 studies met the inclusion criteria. The findings indicate that the impact of AD extends to both children, who experience psychological distress, sleep disturbances, impaired academic performance, and negative self-image, and families, who face treatment challenges, disrupted routines, and econom- ic burden. Factors influencing family management were categorized into child-related factors (developmental stage and disease severity) and family-related factors (family burden, social support, coping strategies, and concerns regarding topical steroid use). Conclusion: Family management of pediatric AD is shaped by a complex interplay of child- and family-related factors. Therefore, interventions should be designed to strengthen coping resources, enhance social support, and reduce the management bur- den, promoting child well-being and family resilience.
Abstract
Purpose: Atopic dermatitis (AD) is prevalent among children and often requires family members to assume significant management responsibilities. Family management affects the child’s disease prognosis and health as well as the family’s functioning and overall quality of life. This integrative study aimed to identify the impact of AD on children and their families and examine child- and family-related factors that influence family man- agement. Methods: Guided by the Preferred Reporting Items for Systematic Reviews and Me- ta-Analysis (PRISMA), a systematic search was conducted across five electronic databas- es (Cumulative Index to Nursing and Allied Health Literature, PubMed, Web of Science, Research Information Sharing Service, and Korean Information Service System) for stud- ies published between 2000 and May 2024. Studies were screened using predefined in- clusion and exclusion criteria, and the Mixed Methods Appraisal Tool was used to eval- uate methodological quality. Results: In total, 1,144 records were identified, and 14 studies met the inclusion criteria. The findings indicate that the impact of AD extends to both children, who experience psychological distress, sleep disturbances, impaired academic performance, and negative self-image, and families, who face treatment challenges, disrupted routines, and econom- ic burden. Factors influencing family management were categorized into child-related factors (developmental stage and disease severity) and family-related factors (family burden, social support, coping strategies, and concerns regarding topical steroid use). Conclusion: Family management of pediatric AD is shaped by a complex interplay of child- and family-related factors. Therefore, interventions should be designed to strengthen coping resources, enhance social support, and reduce the management bur- den, promoting child well-being and family resilience.