아토피 피부염 환아의 정신 건강 분석 및 아토피 피부염 교육을 통한 인식, 인지도 개선에 대한 고찰
A Study on Mental Health Analysis of Atopic Children and Awareness Improvement through Atopic Education
1
조회
0
다운로드
3
인용
0
참고문헌
키워드
초록
Objectives : This study aimed to investigate the awareness improvement of atopic dermatitis(AD) for AD children's parents and to evaluate the mental health condition of AD children and QoL of their parents. Methods : We conducted elementary school visit education(the first education) and recruited children and parents who wanted to participate the hospital visit education(the Second education). In the first education, we lectured about AD, performed survey about QoL and awareness about AD and obtained 48 valid results. In the second education, we performed an education for AD again, skin condition evaluation, mental health analysis survey and obtained 29 valid results. We compared the AD and non-AD groups of each education in the first and second education. We assessed atopic awareness, FDLQI, DFI, CDI, BAI, and KISE scores by gender, age, duration of disease, onset, and severity of AD. Results : Despite children with AD, the survey showed their parents lacked knowledge about AD. However, they acquired the necessary knowledge in AD education. There was a significant difference in the total score of Atopic awareness between the AD group in the first education and the AD group in the second education. (p=0.042) In addition, the CDI and BAI scores of all patients were divided by the duration of disease, and it was estimated that depression and anxiety disorders may be aggravated by longer term illness. Conclusions and Discussions : This study confirmed duration of AD affects AD children's mental health, and verified positive changes in atopic awareness after AD education.
Abstract
Objectives : This study aimed to investigate the awareness improvement of atopic dermatitis(AD) for AD children's parents and to evaluate the mental health condition of AD children and QoL of their parents. Methods : We conducted elementary school visit education(the first education) and recruited children and parents who wanted to participate the hospital visit education(the Second education). In the first education, we lectured about AD, performed survey about QoL and awareness about AD and obtained 48 valid results. In the second education, we performed an education for AD again, skin condition evaluation, mental health analysis survey and obtained 29 valid results. We compared the AD and non-AD groups of each education in the first and second education. We assessed atopic awareness, FDLQI, DFI, CDI, BAI, and KISE scores by gender, age, duration of disease, onset, and severity of AD. Results : Despite children with AD, the survey showed their parents lacked knowledge about AD. However, they acquired the necessary knowledge in AD education. There was a significant difference in the total score of Atopic awareness between the AD group in the first education and the AD group in the second education. (p=0.042) In addition, the CDI and BAI scores of all patients were divided by the duration of disease, and it was estimated that depression and anxiety disorders may be aggravated by longer term illness. Conclusions and Discussions : This study confirmed duration of AD affects AD children's mental health, and verified positive changes in atopic awareness after AD education.
참고문헌 (19)
- Jung JS, "A Study on cormorbid psychopathology and parenting attitude in children and adolescents with Atopic dermatitis", Journal of the Korean Academy of Child and Adolescent Psyhchiatry, 10(1), pp.34~42 (1999)
- 유승민, "서울 지역을 대상으로 모집된 유·소아기 아토피피부염 환아의 삶의 질과 경제적 비용 부담에 관한 조사", 한방안이비인후피부과학회지, 23(3), pp.122~137 (2010), 대한한방안이비인후피부과학회
- Kotrulja L, "Importance of Educational Intervention and Paretal Knowledge on Atopic Dermatitis In Childeren", Acta Clin Croat, 55(1), pp.29~34 (2016)
- Breuer K, "Predictors of benefit from an atopic dermatitis education programme", Pediatr Allergy Immunol, 25(5), pp.489~495 (2014)
- Stalder JF, "Therapeutic patient education in atopic dermatitis : worldwide experiences", Pediatr Dermatol, 30(3), pp.329~334 (2013)
- Jang HJ, "Family quality of life among families of children with atopic dermatitis", Asia Pac Allergy, 6(4), pp.213~219 (2016)
- Slattery MJ, "Depression, anxiety, and dermatologic quality of life in adolescents with atopic dermatitis", J Allergy Clin Immunol, 128(3), pp.668~671 (2011)
- Jung JS, "A study on cormorbid psychopathology and parenting attitude in children and adolescents with atopic dermatitis", Korean J Child & Adol Psychiatr, 10(1), pp.34~42 (1999)
- Hong SJ, "Korean ISAAC study Group of Korean Association of Allergy and Respiratory Diseases: Report of Korean ISAAC epidemiologic study for asthma and allergic diseases in children", Korean Pediatr Allergy Respir Dis, 17(1), pp.S55~S66 (2007)
- Schuh C, "The prevalence of asthma and atopy in schoolchildren from Porto Alegre, Brazil, has plateaued", Respir Med, 109(3), pp.308~311 (2015)
- Mortz CG, "Atopic dermatitis from adolescence to adulthood in the TOACS cohort : prevalence, persistence and comorbidities", Allergy, 70(7), pp.836~845 (2015)
- Kim SH, "Psychological Distress in Young Adult Males with Atopic Dermatitis: A Cross-Sectional Study", Baltimore:Medicine, 94(23), pp.e949~ (2015)
- Aziah MS, "Childhood atopic dermatitis : a measurement of quality of life and family impact", Med J Malaysia, 57(3), pp.329~339 (2002)
- Pustisek N, "Quality of Life in Families with Children with Atopic Dermatitis", Pediatric Dermatology, 33(1), pp.28~32 (2016)
- Senra MS, "Psychodermatological aspects of atopic dermatitis", Br J Dermatol, 170(1), pp.38~43 (2014)
- Lim VZ, "Anxiety and depression in patients with AD in a Southeast asian Tertiary dermatological centre", Ann Acad Med Singapore, 45, pp.451~455 (2016)
- 손정민, "제천 지역 소재 초등학교 학생들의 아토피 피부염에 대한 설문조사 연구", 한방안이비인후피부과학회지, 22(2), pp.163~175 (2009), 대한한방안이비인후피부과학회
- Sherry HY, "Association between Atopic Dermatitis and Depression in US Adults", J Invest Dermatol, 135(12), pp.3183~3186 (2015)
- Kim HC, "A Study on the Anxiety and Depression of Patients with Childhood Atopic Dermatitis", J Korean Dermatology, 36(4), pp.628~634 (1998)