한방안이비인후피부과학회지 (The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology)

  • 제30권2호
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  • Pages.51-85
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  • 2017
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  • 1738-6640(pISSN)
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  • 2234-4020(eISSN)
대한한방안이비인후피부과학회 (The Society of Korean Medicine Ophthalmology, Otolaryngology & Dermatology)
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아토피 피부염 환아의 정신 건강 분석 및 아토피 피부염 교육을 통한 인식, 인지도 개선에 대한 고찰

A Study on Mental Health Analysis of Atopic Children and Awareness Improvement through Atopic Education

  • 박승구 (원광대학교 한의과대학 안이비인후피부과) ;
  • 노현민 (원광대학교 한의과대학 안이비인후피부과) ;
  • 조은희 (원광대학교 한의과대학 침구과) ;
  • 박민철 (원광대학교 한의과대학 안이비인후피부과)
  • Park, Sung-Gu (Dept. of Korean Medical Ophthalmology, Otolaryngology & Dermatology, Wonkwang University) ;
  • Noh, Hyeon-Min (Dept. of Korean Medical Ophthalmology, Otolaryngology & Dermatology, Wonkwang University) ;
  • Jo, Eun-Hee (Dept. of Acupunture and Moxibustion, Wonkwang University) ;
  • Park, Min-Cheol (Dept. of Korean Medical Ophthalmology, Otolaryngology & Dermatology, Wonkwang University)
  • 투고 : 2017.04.07
  • 심사 : 2017.05.15
  • 발행 : 2017.05.25
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초록

Objectives : This study aimed to investigate the awareness improvement of atopic dermatitis(AD) for AD children's parents and to evaluate the mental health condition of AD children and QoL of their parents. Methods : We conducted elementary school visit education(the first education) and recruited children and parents who wanted to participate the hospital visit education(the Second education). In the first education, we lectured about AD, performed survey about QoL and awareness about AD and obtained 48 valid results. In the second education, we performed an education for AD again, skin condition evaluation, mental health analysis survey and obtained 29 valid results. We compared the AD and non-AD groups of each education in the first and second education. We assessed atopic awareness, FDLQI, DFI, CDI, BAI, and KISE scores by gender, age, duration of disease, onset, and severity of AD. Results : Despite children with AD, the survey showed their parents lacked knowledge about AD. However, they acquired the necessary knowledge in AD education. There was a significant difference in the total score of Atopic awareness between the AD group in the first education and the AD group in the second education. (p=0.042) In addition, the CDI and BAI scores of all patients were divided by the duration of disease, and it was estimated that depression and anxiety disorders may be aggravated by longer term illness. Conclusions and Discussions : This study confirmed duration of AD affects AD children's mental health, and verified positive changes in atopic awareness after AD education.

키워드

참고문헌

  1. Jung JS, Kim KH, Hong KE. A Study on cormorbid psychopathology and parenting attitude in children and adolescents with Atopic dermatitis. Journal of the Korean Academy of Child and Adolescent Psyhchiatry. 1999:10(1);34-42.
  2. Yu SM, Choi IH. The burden of Atopic dermatitis on children and their families: Quality of life and financial impact in seoul area. J Korean Med Ophthalmol Otolaryngol Dermatol. 2010;23(3):122-37.
  3. Kotrulja L, Milavic T, Bulic SO, Situm N, Konsuo AB, Mursic I, et al. Importance of Educational Intervention and Paretal Knowledge on Atopic Dermatitis In Childeren. Acta Clin Croat. 2016;55(1):29-34.
  4. Breuer K, Matterne U, Diepgen TL, Fartasch M, Gieler U, Kupfer J, et al. Predictors of benefit from an atopic dermatitis education programme. Pediatr Allergy Immunol. 2014;25(5):489-95. https://doi.org/10.1111/pai.12249
  5. Stalder JF, Bernier C, Ball A, Raeve LD, Giler U, Deleuran M, et al. Therapeutic patient education in atopic dermatitis: worldwide experiences. Pediatr Dermatol. 2013;30(3): 329-34. https://doi.org/10.1111/pde.12024
  6. Jang HJ, Hwang S, Ahn Y, Lim DH, Sohn M, Kim JH. Family quality of life among families of children with atopic dermatitis. Asia Pac Allergy. 2016;6(4):213-9. https://doi.org/10.5415/apallergy.2016.6.4.213
  7. Slattery MJ, Essex MJ, Paletz EM, Vaneess ER, Infante M, Rogers GM, et al. Depression, anxiety, and dermatologic quality of life in adolescents with atopic dermatitis. J Allergy Clin Immunol. 2011;128(3):668-71. https://doi.org/10.1016/j.jaci.2011.05.003
  8. Jung JS, Kim KH, Hong KE. A study on cormorbid psychopathology and parenting attitude in children and adolescents with atopic dermatitis. Korean J Child & Adol Psychiatr. 1999;10(1):34-42.
  9. Hong SJ. Korean ISAAC study Group of Korean Association of Allergy and Respiratory Diseases: Report of Korean ISAAC epidemiologic study for asthma and allergic diseases in children. Korean Pediatr Allergy Respir Dis. 2007;17(1):S55-66.
  10. Schuh C, Fritscher LG, Chapman KR, Fritscher CC. The prevalence of asthma and atopy in schoolchildren from Porto Alegre, Brazil, has plateaued. Respir Med. 2015;109(3):308-11. https://doi.org/10.1016/j.rmed.2015.01.014
  11. Mortz CG, Andersen KE, Dellgren C, Barington T, Bindslev-Jensen C. Atopic dermatitis from adolescence to adulthood in the TOACS cohort: prevalence, persistence and comorbidities. Allergy. 2015;70(7): 836-45. https://doi.org/10.1111/all.12619
  12. Kim SH, Hur J, Jang JY, Park HS, Hong CH, Son SJ, et al. Psychological Distress in Young Adult Males with Atopic Dermatitis: A Cross-Sectional Study. Baltimore:Medicine. 2015;94(23):e949. https://doi.org/10.1097/MD.0000000000000949
  13. Aziah MS, Rosnah T, Mardziah A, Norzila MZ. Childhood atopic dermatitis: a measurement of quality of life and family impact. Med J Malaysia. 2002;57(3):329-39.
  14. Pustisek N, Zivkovic MV, Situm M. Quality of Life in Families with Children with Atopic Dermatitis. Pediatric Dermatology. 2016;33 (1):28-32. https://doi.org/10.1111/pde.12698
  15. Senra MS, Wollenberg A. Psychodermatological aspects of atopic dermatitis. Br J Dermatol. 2014;170(1):38-43. https://doi.org/10.1111/bjd.13084
  16. Lim VZ, Ho RC, Tee SI, Ho MS, Pan JY, Tang MB, et al. Anxiety and depression in patients with AD in a Southeast asian Tertiary dermatological centre. Ann Acad Med Singapore. 2016;45:451-5.
  17. Son JM, KIM HT, Hong SU. A research on elementary school students with atopic dermatitis in Je-Cheon. J Korean Med Ophthalmol Otolaryngol Dermatol. 2009;22 (2):163-75.
  18. Sherry HY, Silverberg JI. Association between Atopic Dermatitis and Depression in US Adults. J Invest Dermatol. 2015;135(12): 3183-6. https://doi.org/10.1038/jid.2015.337
  19. Kim HC, Shin YW, Park HJ, Kim YC, Lee KK. A Study on the Anxiety and Depression of Patients with Childhood Atopic Dermatitis. J Korean Dermatology. 1998;36(4):628-34.

피인용 문헌

  1. 개인 건강 기록을 통한 아토피 피부염 환자의 사상체질 특성에 관한 연구 vol.31, pp.4, 2017, https://doi.org/10.7730/jscm.2019.31.4.41