Asthma in 10-to 13-Year-Olds: Challenges at a Time of Transition
Asthma in 10-to 13-Year-Olds: Challenges at a Time of Transition
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DOI：
10.1177/0009922809357339
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发表时间：
2010-10-01
影响因子：
1.6
通讯作者：
Paton, James Y.
中科院分区：
文献类型：
--
作者：
Clark, Noreen M.;Dodge, Julia A.;Paton, James Y.
在10至13岁的哮喘儿童中，我们对他们在接近青春期时所面临的疾病管理任务的性质知之甚少。这篇文章回顾了在一个重要的转变时期，青少年哮喘管理的各个方面。他们会经历青春期和生长突增期。他们的认知能力使他们能够进行更抽象的思考。他们从父母那里寻求个性化，并与同龄人交往。这些因素影响哮喘的结果，包括症状控制，卫生保健的使用，以及上学和表现。此外，在结果方面存在着与性别有关的显著差异。10至13岁的哮喘患者不仅要应对慢性疾病强加给他们的特殊管理要求，还要应对与成熟相关的挑战。大多数哮喘管理干预措施并没有考虑到在这个过渡阶段所面临的挑战，需要发展适当的计划。
In 10- to 13-year-old children with asthma, we know less than is desirable about the nature of the disease management tasks they face as youngsters approaching adolescence. This article reviews aspects of asthma management in youngsters at a time of significant transition. They experience puberty and growth spurts. Their cognitive abilities enable more abstract thinking. They seek individuation from their parents and socialization with peers. These factors influence asthma outcomes, including symptom control, health care use, and school attendance and performance. Furthermore, significant sex- and gender-related differences in outcome exist. Those with asthma who are 10 to 13 years of age contend not only with the particular management demands their chronic condition imposes on them but also the challenges associated with maturation. Most asthma management interventions do not account for the challenges faced at this transitional phase, and developmentally appropriate programs are needed.