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The significance of structured parental educational intervention on childhood atopic dermatitis: a randomized controlled trial.
Pustisek, N; Situm, M; Vurnek Zivkovic, M; Ljubojevic Hadzavdic, S; Vurnek, M; Niseteo, T.
Afiliação
  • Pustisek N; Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
  • Situm M; Department of Dermatovenerology, University Hospital Centre "Sestre milosrdnice", Zagreb, Croatia.
  • Vurnek Zivkovic M; Centre for Croatian Studies, University of Zagreb, Zagreb, Croatia.
  • Ljubojevic Hadzavdic S; Department of Dermatovenerology, University Hospital Centre Zagreb, Zagreb, Croatia.
  • Vurnek M; Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
  • Niseteo T; Children's Hospital Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
J Eur Acad Dermatol Venereol ; 30(5): 806-12, 2016 May.
Artigo em Inglês | MEDLINE | ID: mdl-26616256
ABSTRACT

BACKGROUND:

Parental education is important in managing childhood chronic diseases.

OBJECTIVES:

The aim of the study was to evaluate the effects of a short-term structured educational programme for parents of children with moderate to severe atopic dermatitis ( AD), aged 3 months to 7 years, on the clinical course of AD, parental stress, anxiety and the quality of family life.

METHODS:

One hundred thirty-four parents with AD children were recruited in a randomized controlled clinical trial at the Outpatient Unit of Pediatric Dermatology, Children's Hospital in Zagreb. The primary outcome was change in the severity of eczema measured using SCORing AD (SCORAD) and Patient Oriented (PO) SCORAD index, changes of symptom scores for pruritus and sleep disturbance. Secondary outcomes included change in stress level according to the Perceived Stress Scale (PSS); change in anxiety level according to State Trait Anxiety Inventory (STAI) and change in the quality of family life according to the Croatian version of the Family Dermatology Life Quality Index (FDLQI).

RESULTS:

Participants in the intervention group had a significantly lower SCORAD (P = 0.000), PO SCORAD (P = 0.000) index, pruritus (P = 0.000), sleep disturbance (P = 0.001), level of perceived stress (P = 0.024) and anxiety as a state (P = 0.42) than those in the control group at the second visit. After the educational programme, participants in the intervention group had a significantly lower impact of AD on the total quality of family life (P = 0.006). We found a statistically significant difference between the two groups with respect to additional education received between the visits. The control group had acquired significantly more additional education (P = 0.007). There was no significant difference between groups in the amount of corticosteroid used.

CONCLUSION:

Our structured educational programme had a positive effect on AD severity, quality of family life, parental stress and anxiety.
Assuntos
Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 9: Redução de doenças não transmissíveis Base de dados: MEDLINE Assunto principal: Pais / Dermatite Atópica Tipo de estudo: Ensaio clínico controlado Limite: Adulto / Criança / Feminino / Humanos / Masculino / Jovem adulto Idioma: Inglês Revista: J Eur Acad Dermatol Venereol Assunto da revista: Dermatologia / Doenças Sexualmente Transmissíveis Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: Croácia

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Texto completo: Disponível Coleções: Bases de dados internacionais Contexto em Saúde: Agenda de Saúde Sustentável para as Américas Tema em saúde: Objetivo 9: Redução de doenças não transmissíveis Base de dados: MEDLINE Assunto principal: Pais / Dermatite Atópica Tipo de estudo: Ensaio clínico controlado Limite: Adulto / Criança / Feminino / Humanos / Masculino / Jovem adulto Idioma: Inglês Revista: J Eur Acad Dermatol Venereol Assunto da revista: Dermatologia / Doenças Sexualmente Transmissíveis Ano de publicação: 2016 Tipo de documento: Artigo País de afiliação: Croácia