Symptom perception in childhood asthma: How accurate are children and their parents?
Symptom perception in childhood asthma: How accurate are children and their parents?
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DOI：
10.1081/jas-120017204
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发表时间：
2003-01-01
影响因子：
1.9
通讯作者：
Sidora, K
中科院分区：
文献类型：
--
作者：
Yoos, HL;Kitzman, H;Sidora, K
患者对症状的准确感知是哮喘管理的关键组成部分。关于儿童及其父母在评估哮喘症状方面的准确性的数据有限。本研究旨在确定症状知觉的准确性的家庭，并确定与不准确的症状知觉的危险因素。100名儿童（6-19岁）和他们的父母使用主观（视觉模拟量表）以及客观（呼气峰流速）症状严重程度的措施来评估症状。通过比较主观测量与客观测量上指示的区域匹配（基于NHLBI临床实践指南）来评价准确度。孩子和父母在三分之一的时间里都不准确。贫困和少数民族家庭最初似乎不太准确;然而，当我们调整了孩子的疾病严重程度时，这些社会人口特征不再是重要的风险因素。孩子和父母一样准确。当我们在“生病时间”评估症状准确性时（当孩子的峰值流量阅读是
Accurate symptom perception on the part of the patient is a critical component of asthma management. Limited data are available about how accurate children and their parents are in evaluating asthma symptoms. This study was designed to determine the symptom perceptual accuracy of families and to identify risk factors associated with inaccurate symptom perception. One hundred children (6-19 years) and their parents evaluated symptoms using subjective (visual analog scales) as well as objective (peak expiratory flow rates) measures of symptom severity. Accuracy was evaluated by comparing the match in zones (based on NHLBI clinical practice guidelines) indicated on the subjective measure with the objective measure. Children and parents were inaccurate about one-third of the time overall. Poor and minority families initially appeared to be less accurate; however, when we adjusted for the child's illness severity, these sociodemographic features were no longer significant risk factors. Children were as accurate as parents. When we evaluated symptom accuracy at "sick times" (when the child's peak flow reading was