Awareness of Atopic Dermatitis and Attitudes toward Different Types of Medical Institutions for Its Treatment among Adult Patients and the Parents of Pediatric Patients: A Survey of 500 Participants
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Background: Physicians can play a crucial role in the knowledge that patients have about a disease and its prognosis. Recently, patients with atopic dermatitis (AD) are increasingly turning from western medicine to oriental herbal medicine. However, their awareness of AD and attitude toward Western medicine and oriental herbal medicine clinics are scarcely reported. Objective: The aim of this study was to determine the understanding of AD among patients and their parents and to identify their awareness of and attitude toward Western medicine and oriental herbal medicine as treatments for AD. Methods: An online questionnaire was administered to 500 consenting respondents with AD (age, 16∼49 years) and parents of children with AD (age, 0∼15 years). Results: The mean percentage of correct answers to questions about AD was 52.54%. A parental history of AD was independently associated with higher respondent’s knowledge about the disease and its treatment. The satisfaction with treatment outcomes was highest among patients treated at private clinic of dermatology specialists (49.4%), while lowest among those treated at oriental herbal medicine clinics (38.4%). Many participants were aware that oriental herbal medicine requires a longer treatment period for a cure and does not burden the skin, while steroid phobia was seen in most of participants. Conclusion: Physicians need to educate AD patients and their parents about the disease and its treatment. Misconceptions for Western medicine and oriental herbal medicine among AD patients and parents should be corrected to improve their prognosis.
Abstract
Background: Physicians can play a crucial role in the knowledge that patients have about a disease and its prognosis. Recently, patients with atopic dermatitis (AD) are increasingly turning from western medicine to oriental herbal medicine. However, their awareness of AD and attitude toward Western medicine and oriental herbal medicine clinics are scarcely reported. Objective: The aim of this study was to determine the understanding of AD among patients and their parents and to identify their awareness of and attitude toward Western medicine and oriental herbal medicine as treatments for AD. Methods: An online questionnaire was administered to 500 consenting respondents with AD (age, 16∼49 years) and parents of children with AD (age, 0∼15 years). Results: The mean percentage of correct answers to questions about AD was 52.54%. A parental history of AD was independently associated with higher respondent’s knowledge about the disease and its treatment. The satisfaction with treatment outcomes was highest among patients treated at private clinic of dermatology specialists (49.4%), while lowest among those treated at oriental herbal medicine clinics (38.4%). Many participants were aware that oriental herbal medicine requires a longer treatment period for a cure and does not burden the skin, while steroid phobia was seen in most of participants. Conclusion: Physicians need to educate AD patients and their parents about the disease and its treatment. Misconceptions for Western medicine and oriental herbal medicine among AD patients and parents should be corrected to improve their prognosis.
참고문헌 (34)
- Bieber T, "Atopic dermatitis", N Engl J Med, 358, pp.1483~1494 (2008)
- Ellis CN., "Understanding and managing atopic dermatitis in adult patients", Semin Cutan Med Surg, 31(3 Suppl), pp.S18~S22 (2012)
- Margolis JS., "Persistence of mild to moderate atopic dermatitis", JAMA Dermatol, 150, pp.593~600 (2014)
- 신지연, "An Educational Program That Contributes to Improved Patient and Parental Understanding of Atopic Dermatitis", Annals of Dermatology, 26(1), pp.66~72 (2014), 대한피부과학회
- Annesi-Maesano I., "Time trends in prevalence and severity of childhood asthma and allergies from 1995 to 2002 in France", Allergy, 64, pp.798~800 (2009)
- Eichenfield LF., "Atopic dermatitis and asthma : parallels in the evolution of treatment", Pediatrics, 111, pp.608~616 (2003)
- Foley P., "The frequency of common skin conditions in preschool-age children in Australia : atopic dermatitis", Arch Dermatol, 137, pp.293~300 (2001)
- Wittkowski A., "The impact of psychological and clinical factors on quality of life in individuals with atopic dermatitis", J Psychosom Res, 57, pp.195~200 (2004)
- Sánchez-Pérez J., "Impact of atopic dermatitis on health-related quality of life in Spanish children and adults : the PSEDA study", Actas Dermosifiliogr, 104, pp.44~52 (2013)
- Kemp AS, "Atopic eczema : its social and financial costs", J Paediatr Child Health, 35, pp.229~231 (1999)
- Cork MJ., "Comparison of parent knowledge, therapy utilization and severity of atopic eczema before and after explanation and demonstration of topical therapies by a specialist dermatology nurse", Br J Dermatol, 149, pp.582~589 (2003)
- Ben-Gashir MA., "Quality of life and disease severity are correlated in children with atopic dermatitis", Br J Dermatol, 150, pp.284~290 (2004)
- Armstrong AW., "Online video improves clinical outcomes in adults with atopic dermatitis : a randomized controlled trial", J Am Acad Dermatol, 64, pp.502~507 (2011)
- Moore EJ., "Eczema workshops reduce severity of childhood atopic eczema", Australas J Dermatol, 50, pp.100~106 (2009)
- 김정은, "Disease Awareness and Management Behavior of Patients with Atopic Dermatitis: A Questionnaire Survey of 313 Patients", Annals of Dermatology, 27(1), pp.40~47 (2015), 대한피부과학회
- Raffin D., "Corticosteroid phobia among pharmacists regarding atopic dermatitis in children : a national french survey", Acta Derm Venereol, 96, pp.177~180 (2016)
- van Oosterhout M., "Correlation between Objective SCORAD and Three-Item Severity Score used by physicians and Objective PO-SCORAD used by parents", patients in children with atopic dermatitis, 2015, pp.230, 105~112
- 김동하, "아토피피부염에 대한 환자의 인식도 설문조사 연구", 대한피부과학회지, 50(3), pp.201~211 (2012), 대한피부과학회
- 권현조, "아토피 피부염과 관련된 국내 인터넷상의 정보에 대한 연구", 대한피부과학회지, 44(2), pp.137~140 (2006), 대한피부과학회
- 유재현, "국내 인터넷상의 비만건강정보에 대한 평가 연구", 한국 스포츠 리서치, 15(6), pp.249~258 (2004), 한국스포츠리서치
- Kupfer J., "Structured education program improves the coping with atopic dermatitis in children and their parents-a multicenter, randomized controlled trial", J Psychosom Res, 68, pp.353~358 (2010)
- Ricci G., "Three years of Italian experience of an educational program for parents of young children affected by atopic dermatitis : improving knowledge produces lower anxiety levels in parents of children with atopic dermatitis", Pediatr Dermatol, 26, pp.1~5 (2009)
- Schmitt J., "Efficacy and tolerability of proactive treatment with topical corticosteroids and calcineurin inhibitors for atopic eczema : systematic review and meta-analysis of randomized controlled trials", Br J Dermatol, 164, pp.415~428 (2011)
- 김철민, "Economic Impact of Atopic Dermatitis in Korean Patients", Annals of Dermatology, 27(3), pp.298~305 (2015), 대한피부과학회
- Mancini AJ., "The socioeconomic impact of atopic dermatitis in the United States : a systematic review", Pediatr Dermatol, 25, pp.1~6 (2008)
- "Health spending (indicator)"[URL]
- Aubert-Wastiaux H., "Topical corticosteroid phobia in atopic dermatitis : a study of its nature, origins and frequency", Br J Dermatol, 165, pp.808~814 (2011)
- Hoare C., "Systematic review of treatments for atopic eczema", Health Technol Assess, 4, pp.1~191 (2000)
- Furue M., "Clinical dose and adverse effects of topical steroids in daily management of atopic dermatitis", Br J Dermatol, 148, pp.128~133 (2003)
- McHenry PM., "Management of atopic eczema. Joint Workshop of the British Association of Dermatologists and the Research Unit of the Royal College of Physicians of London", BMJ, 310, pp.843~847 (1995)
- Berth-Jones J., "Twice weekly fluticasone propionate added to emollient maintenance treatment to reduce risk of relapse in atopic dermatitis : randomised, double blind, parallel group study", BMJ, 326, pp.1367~ (2003)
- Tan HY., "Chinese herbal medicine for atopic dermatitis : a systematic review", J Am Acad Dermatol, 69, pp.295~304 (2013)
- 진현우, "아토피피부염 환자의 대체의학 이용 실태에 관한 연구", 대한피부과학회지, 43(7), pp.903~911 (2005), 대한피부과학회
- Stalder JF., "Patient-Oriented SCORAD(PO-SCORAD) : a new self-assessment scale in atopic dermatitis validated in Europe", Allergy, 66, pp.1114~1121 (2011)