Children and adult perceptions of childhood asthma
Children and adult perceptions of childhood asthma
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DOI：
10.1542/peds.99.2.165
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发表时间：
1997-02-01
期刊：
影响因子：
8
通讯作者：
Ferrie, PJ
中科院分区：
文献类型：
--
作者：
Guyatt, GH;Juniper, EF;Ferrie, PJ
Objective.探讨儿童及家长对儿童哮喘的评价。前瞻性2个月队列研究，在基线和1个月间隔对儿童和父母进行审查。中等规模、讲英语的工业社区，服务于城市和地区农村人口。患者或受试者。52名儿童，7至17岁，有广泛的哮喘严重程度，和他们的父母。我们为哮喘控制不佳的患者提供额外的吸入性类固醇。儿童和父母提供了儿童症状变化的总体评级，儿童在门诊访视时完成了肺量测定和儿科哮喘生活质量问卷。患者在每日日记中记录峰值流速、症状和药物使用。将症状日记报告、药物使用和肺功能测定结合起来形成哮喘控制评分。在11岁以下的儿童中，儿童症状变化的总体评分与生活质量的变化（0.54至.67）密切相关，但与气道口径或哮喘控制的测量结果无关，而父母的总体评分与儿童的生活质量无关，但与气道口径（0.29至.48）和哮喘控制（0.50）中度相关。在11岁以上的儿童中，他们自己的与所有临床变量的相关性高于他们父母的总体评分。在11岁以下的儿童中，临床医生可以通过询问儿童和父母获得补充信息。对于11岁以上的儿童，父母除了通过询问儿童获得的信息外，几乎不能提供任何信息。
Objective. To explore children's and parents' assessment of children's asthma.Design. Prospective 2-month cohort study in which children and parents were reviewed at baseline and 1-month intervals.Setting. Mid-sized, English-speaking, industrial community serving an urban and regional rural population.Patients or Participants. Fifty-two children, 7 to 17 years old, with a wide range of asthma severity, and their parents.Interventions. We offered patients with inadequately controlled asthma additional inhaled steroid.Main Outcome Measures. Children and parents provided global ratings of change in childhood symptoms and children completed spirometry and the Paediatric Asthma Quality of Life Questionnaire at clinic visits. Patients recorded peak flow rates, symptoms, and medication use in a daily diary. The diary symptom report, medication use, and spirometry were combined to form an asthma control score.Results. In children younger than 11, children's global rating of change in symptoms correlated strongly with changes in quality of life (0.54 to .67) but not with measures of airway caliber or asthma control, while parents' global ratings did not correlate with children's quality of life but showed moderate correlations with airway caliber (0.29 to .48) and asthma control (0.50). In children over the age of 11, correlations with all clinical variables were higher for their own than their parents' global ratings.Conclusions. In children under 11, clinicians can gain complementary information from questioning children and parents. For children over 11, parents can provide little if any information beyond that obtained through questioning the child.