Multidisciplinary educational programme for caregivers of children with atopic dermatitis- in South East Norway - an observational study.

Q2 Medicine BMC Dermatology Pub Date : 2020-12-09 DOI:10.1186/s12895-020-00119-6

M Lundborg, J-O H Holm, L Sandvik, A H Lossius, E M Rehbinder, J C Sitek, T L Berents

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引用次数: 3

Abstract

Background: Educational programmes for caregivers of children with atopic dermatitis (AD) are reported to reduce the severity of AD and improve quality of life (QOL). Oslo University Hospital (OUH) in Norway offers a multidisciplinary educational programme for caregivers of children with AD. We aimed to evaluate the AD educational programme by assessing QOL of the family, the severity of the disease and caregiver's fear of topical corticosteroid (TCS) before and after attending the programme.

Methods: This was a small observational prospective cohort study including 41 caregiver-child pairs. The children (mean age 3.4 years) had doctors' diagnosed AD with a difficult to treat eczema. The children's caregivers were referred from physicians to attend the AD educational programme at our hospital. At inclusion and at a 3 months follow-up QOL was assessed by Dermatitis Family Impact (DFI), the eczema severity by Patient-Orientated - SCORing Atopic Dermatitis (PO-SCORAD) and caregivers fear of TCS was recorded by asking a dichotomous "yes" or "no" question: "Are you worried about using TCS on your child?"

Results: Three months after caregivers attending the educational programme there was an improvement in QOL by reduced mean DFI from 9.6 (SD 6.3) to 6.8 (SD 5.4), the mean PO-SCORAD was reduced from 38.5 (SD 15.1) to 24.6 (SD13.6), the number of caregivers reporting fear of TCS use was reduced from 33/46 (72%) to 12/41 (29%). All results p < 0.001.

Conclusion: Our study suggests beneficial effects by improving QOL of the family, the severity of the eczema and in reducing the fear of TCS when caregivers of children with difficult to treat AD attend an AD multidisciplinary educational programme. Lack of control group makes it difficult to draw definite conclusions.

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针对特应性皮炎儿童护理人员的多学科教育方案-在挪威东南部-一项观察性研究。

背景:据报道，对患有特应性皮炎(AD)儿童的护理人员进行教育计划可以降低AD的严重程度并提高生活质量(QOL)。挪威奥斯陆大学医院(OUH)为老年痴呆症儿童护理人员提供多学科教育方案。我们的目的是通过评估家庭的生活质量、疾病的严重程度和护理者对局部皮质类固醇(TCS)的恐惧来评估AD教育计划。方法:这是一项小型观察性前瞻性队列研究，包括41对照顾者-儿童。儿童(平均年龄3.4岁)患有医生诊断的AD伴难治湿疹。儿童的照顾者由医生推荐参加我院的AD教育项目。在纳入和随访3个月时，通过皮炎家庭影响(DFI)评估生活质量，通过患者导向的特应性皮炎评分(PO-SCORAD)评估湿疹严重程度，并通过询问“是”或“否”的问题来记录护理人员对TCS的恐惧:“您是否担心在您的孩子身上使用TCS ?”结果:护理人员参加教育计划三个月后，生活质量得到改善，平均DFI从9.6 (SD 6.3)降至6.8 (SD 5.4)，平均PO-SCORAD从38.5 (SD 15.1)降至24.6 (SD13.6)，报告害怕使用TCS的护理人员人数从33/46(72%)降至12/41(29%)。结论:我们的研究表明，当难以治疗AD的儿童的护理人员参加AD多学科教育计划时，通过改善家庭生活质量、湿疹严重程度和减少对TCS的恐惧，可以产生有益的效果。由于缺乏对照组，很难得出明确的结论。

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BMC Dermatology Medicine-Dermatology

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期刊介绍： BMC Dermatology is an open access journal publishing original peer-reviewed research articles in all aspects of the prevention, diagnosis and management of skin disorders, as well as related molecular genetics, pathophysiology, and epidemiology. BMC Dermatology (ISSN 1471-5945) is indexed/tracked/covered by PubMed, MEDLINE, CAS, EMBASE, Scopus and Google Scholar.