Caregiver Experiences Managing Persistent Childhood Asthma During the COVID-19 Pandemic.

Caregiver Experiences Managing Persistent Childhood Asthma During the COVID-19 Pandemic.
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护理人员在 COVID-19 大流行期间应对持续性儿童哮喘的经验。

DOI:
10.1177/00099228211070659
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发表时间:
2022-05
影响因子:
1.6
通讯作者:
--
中科院分区:
医学4区
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--
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COVID-19对儿童健康产生了不利影响,但目前尚不清楚这一大流行是否导致哮喘等慢性病的家庭管理发生变化。我们调查了来自2项正在进行的哮喘试验的93名持续性哮喘儿童的照顾者,以衡量家庭哮喘管理,压力源,医疗保健的获得以及照顾者对COVID-19影响孩子健康的担忧的变化。我们进行了描述性分析,并评估了护理人员对COVID-19的担忧是否与哮喘管理、压力源、医疗保健获取或近期症状相关。大多数(80%)照顾者担心COVID-19会影响孩子的健康,超过50%的人限制孩子的体力活动以避免哮喘症状。我们观察到对COVID-19的担忧增加与活动限制、经济困难、难以获得哮喘药物和夜间哮喘症状之间存在剂量依赖关系。这些发现引起了人们的关注,即由于流行病,患有持续性哮喘的儿童可能特别容易出现体重增加和肥胖相关的哮喘发病率。
COVID-19 has adversely affected child wellness, but it is unclear whether the pandemic led to changes in home management of chronic diseases like asthma. We surveyed 93 caregivers of children with persistent asthma from 2 ongoing asthma trials to measure changes in home asthma management, stressors, access to health care, and caregivers’ worry about COVID-19 affecting their child’s health. We conducted descriptive analyses, and assessed whether caregiver worry about COVID-19 was associated with asthma management, stressors, health care access, or recent symptoms. Most (80%) caregivers worried that COVID-19 would affect their child’s health, and >50% restricted their child’s physical activity to avoid asthma symptoms. We observed a dose-dependent relationship between increasing worry about COVID-19 and activity restrictions, financial hardship, difficulty obtaining asthma medications, and nocturnal asthma symptoms. These findings raise concern that children with persistent asthma may be at particular risk for weight gain and obesity-associated asthma morbidity due to the pandemic.
DOI: 10.1016/j.jaip.2021.02.008
发表时间: 2021-05
期刊: The journal of allergy and clinical immunology. In practice
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