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NTIS 바로가기CHNR : Child health nursing research, v.22 no.4, 2016년, pp.309 - 316
손해경 (차의과학대학교) , 김희순 (연세대학교 김모임 간호학연구소)
Purpose: This study of secondary analysis aims to compare family management style according to severity in children with atopic dermatitis. Methods: A convenience sample of 109 Korean mothers caring for a child with atopic dermatitis, were recruited from the pediatric departments of two general hosp...
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핵심어 | 질문 | 논문에서 추출한 답변 |
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아토피피부염은 무엇인가? | 아토피피부염은 가려움증과 수면장애를 특징으로 하는 만성 재발성 피부질환으로써[1], 아동기 아토피피부염의 유병률과 중증 아토피피부염의 구성비는 세계적으로 증가하고 있는 추세이다[2,3]. 특히 2007년 국내 아토피피부염 전체 환자의 54%가 9세 이하의 아동으로써[4] 아토피피부염은 환아뿐만 아니라 나이가 어린 아동의 질병을 관리해야 하는 가족에 대한 관심도 높아지고 있다[5,6]. | |
아토피피부염 환아의 가족은 아토피피부염을 어떻게 관리해야 하는가? | 따라서 아토피피부염 환아의 가족은 아동의 성장발달 단계에 따른 일반적인 양육뿐만 아니라 꾸준한 피부보습, 식사준비, 환경관리 등 일상생활에서 아토피피부염을 엄격하게 관리해야 한다[10,11]. 특히 다수의 선행연구에서 아토피피부염의 중증도는 질병을 관리하는 과정에서 아토피피부염 환아와 가족에게 직·간접적으로 영향을 미치는 중요한 변수로 간주되어 왔다[7,12-16]. | |
아토피피부염의 중증도가 아동과 가족에게 미치는 영향은 무엇인가? | 아토피피부염이 있는 아동의 가족은 중증도가 심해질수록 아토피피부염의 치료 및 관리를 위해 병원을 보다 자주 방문하고, 아동이 가려움증으로 인해 피부를 긁지 않도록 해야 하거나 이로 인한 수면장애 등으로 인해 질병 관리 시 보다 많은 시간과 비용 등을 할애하게 된다[17-19]. 더불어 중증도에 따른 처방 약물의 강도나 사용범위 등의 처방 수준이 심화되면 결국 아토피피부염에 대한 지속적인 치료 이행과 관리 측면에서 어려움을 경험하게 된다[20]. |
Leung DYM, Bieber T. Atopic dermatitis. The Lancet. 2003;361(9352): 151-160. http://dx.doi.org/10.-1016/S0140-6736(03)12193-9
Jee HM, Kim KW, Kim CS, Sohn MH, Shin DC, Kim KE. Prevalence of asthma, rhinitis and eczema in Korean children using the international childhood (ISAAC) questionnaires. Pediatric Allergy and Respiratory Disease (Korea). 2009;19(2):165-172.
Lee HS, Kim JS, Pyun BY. Changes of the prevalence and the allergens of atopic dermatitis in children: In between the year of 1992 and 2002. Pediatric Allergy and Respiratory Disease. 2002;12(4):263-271.
National Health Insurance Corporation. The patient analysis of clinical practices of domestic environmental diseases [Internet]. Seoul: National Health Insurance Corporation; 2007 [cited 2009 January 23]. available from http://www.khidi.or.kr/board/view?linkId123173&me nuIdMENU00284
Lee YM, Hwang SW. Prevalence and risk factors for atopic dermatitis in pre-school and school aged children. Journal of Korean Academy of Child Health Nursing. 2008;14(3):285-294.
Park YM. Epidemiology study and risk factors of atopic dermatitis. Pediatric Allergy and Respiratory Disease (Korea). 2011;21(2):74-77. http://dx.doi.org/10.7581/pard.2011.21.2.74
Beattie PE, Lewis-Jones MS. A comparative study of impairment of quality of life in children with skin disease and children with other chronic childhood diseases. British Journal of Dermatology. 2006;155(1):145-151. http://dx.doi.org/10.1111/j.1365-2133.2006.07185.x
Leung DYM, Boguniewicz M, Howell MD, Nomura I, Hamid QA. New insights into atopic dermatitis. Journal of Clinical Investigation. 2004;113(5):651-657. http://dx.doi.org/10.1172/JCI- 21060
Lee SY. Food allergy. Korean Journal of Pediatrics. 2004;47(3):240-246.
Yoo IY, Kim DH. Parenting stress and needs of mothers of children with atopic dermatitis. Korean Journal of Child Health Nursing. 2004; 10(4):423-430.
Mitchell AE, Fraser JA, Ramsbotham J, Morawska A, Yates P. Childhood atopic dermatitis: a cross-sectional study of relationships between child and parent factors, atopic dermatitis management, and disease severity. International Journal of Nursing Studies. 2015;52(1): 216 -228. http://dx.doi.org/10.1016/j.ijnurstu.2014.09.008
Cho JB, Lee JH, Suh JM, Yu JS, Lee HS, Park EA, et al. Change in quality of life according to the change in atopic dermatitis severity. Pediatric Allergy and Respiratory Disease (Korea). 2012;22(1):86-99. http://dx.doi.org/10.7581/pard.2012.22.1.86
Yang SJ, Yun SJ, Lee JW, Lee JB, Kim SJ, Won YH, et al. Relationship between severity of childhood atopic dermatitis and subject's characteristics including psychological, behavioral and familial problems. Korean Journal of Dermatology. 2005;43(9):1170-1176.
Charman CR, Venn AJ, Williams HC. The patient-oriented eczema measure: development and initial validation of a new tool for measuring atopic eczema severity from the patients' perspective. JAMA Dermatology. 2004;140(12):1513-1519. http://dx.doi.org/10.1001/archderm.140.12.1513
Lewis-Jones S, Mugglestone MA. Management of atopic eczema in children aged up to 12 years: summary of NICE guidance. British Medical Journal. 2007;335(7632):1263-1264. http://dx.doi.org/10.1136/bmj.39405.503773.AD
Kim EJ, Kim HO, Park YM. A study on quality of life and economic burden in Korean patients with atopic dermatitis and their parents. Korean Journal of Dermatology. 2008;46(2):160-170.
Su JC, Kemp AS, Varigos GA, Nolan TM. Atopic eczema: its impact on the family and financial cost. Archives of Disease in Childhood. 1997;76(2):159-162.
Kim DH, Kang KH, Kim KW, Yoo IY. Management of children with atopic dermatitis. Pediatric Allergy and Respiratory Disease (Korea). 2008;18(2):148-157.
Lee JB, Rha YH, Choi SH. A questionnaire survey of caregivers’ understanding of atopic dermatitis. Korean Journal of Asthma, Allergy and Clinical Immunology. 2009;29(3):179-185.
Yum HY, Han KO, Park JA, Kang MY, Chang SI, Cho SH, et al. Improvement in disease knowledge through an education program of aotpic dermatitis. Korean Journal of Asthma, Allergy and Clinical Immunology. 2012;32(1):21-25.
Rhim JW, Moon KS, Kong DY, Pyun BY. An investigation into the actual condition of outbreak and treatment in atopic dermatitis. Pediatric Allergy Respiratory Diseases (Korea), 2005;15(1):44-52.
Chung SW, Chang EY, Lee HC, Shin MY, Kim BE, Ahn KM, et al. The relationships among severity score, behavioral problem, parental stress, maternal depression, and social support in children with atopic dermatitis. Korean Journal of Asthma, Allergy and Clinical Immunology, 2005;25(1):39-44.
Charman CR, Venn AJ, Revenscroft JC, Williams HC. Translating Patient-Oriented Eczema Measure (POEM) scores into clinical practice by suggesting severity strata derived using anchor-based methods. British Journal of Dermatology. 2013;169(6):1326-1332. https://doi.-org/10.1111/bjd.12590
Son HK. Family management for children with atopic dermatitis: structural equation modeling of Bandura's self-efficacy theory [dissertation]. Seoul: Yonsei Univerisity; 2016. p. 1-111.
Knafl K, Deatrick JA, Gallo A, Dixon J, Grey M, Knafl G, et al. Assessment of the psychometric properties of the family management measure. Journal of Pediatric Psychology. 2011;36(5):494-505. http://dx. doi.org/10.1093/jpepsy/jsp034
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