哮喘联盟

   摘要
   目的：本研究旨在调查父母和孩子分别对于因哮喘而致的无助感，并研究无助感和儿童哮喘无症状天数之间的关系。
   方法：研究纳入纽约州罗彻斯特（2011年11月～2012年8月）普通儿科门诊、呼吸科门诊、急诊、青年和哮喘计划地区的亲子二人组合（儿童7～12岁）。评估包括流行病学、症状、哮喘相关的无助感评分和家长的社会支持。研究采用多变量线性回归对无助感和无症状天数之间的关系进行分析：通过事后分析评估社会支持的调节作用。
   结果：研究共纳入107例亲子二人组合（参与率：72％）；104例被纳入分析。大多数儿童为男性（58％），7～9岁（58％）和白色人种（46％）。儿童的无助感评分与哮喘的无症状天数呈正相关，提示无助感随无症状天数增加而减少（rs =0.273，P = 0.01）。分层分析结果显示，对于报告最低社会支持（支持<1项来源）的父母，孩子的无助感评分均与无症状天数（rs =0.335，P =0.02）相关。相反，对于报告>2项支持的家长，未发现相关性（rs =0.195，P =0.15）。
   结论：本研究发现，哮喘儿童的无助感随无症状天数的增加而减少。社会支持似乎可以调节二者的关系；然而，这需要进一步的研究来证实。
 

（杨冬 审校）
J Asthma. 2014 Sep 12:1-11. [Epub ahead of print]

 

The relationship between helplessness and the child's asthma symptoms: the role of social support.
 

Conn KM1, Swanson D, McQuaid E, Douthit K, Fisher SG.
 

ABSTRACT
OBJECTIVE: Objectives of this study were to survey parents and children independently regarding feelings of helplessness specific to asthma and to examine the relationship between helplessness and the child's symptom-free days.
METHODS: Parent-child dyads (children 7-12 years) from Rochester, NY were enrolled (November 2011-August 2012) from general pediatric clinics, pulmonary clinics, an Emergency Department, and area youth and asthma programs. Assessments included demographics, symptoms, ratings of helplessness related to asthma and parent social support. A multivariate linear regression was conducted to examine the relationship between feelings of helplessness and symptoms-free days: post hoc analysis assessed the moderating role of social support.
RESULTS: Overall, 107 parent-child dyads enrolled (participation rate: 72%); 104 were included in analysis. Most children were male (58%), 7-9 years (58%) and White (46%). The child's feelings of helplessness scores were positively correlated with symptom-free days indicating less feelings of helplessness as symptom-free days increased (rs = 0.273, p = 0.01). In a stratified analysis, among parents who reported minimal social support (<1 sources of support), child's helplessness scores were positively correlated with symptom-free days (rs = 0.335, p = 0.02). Conversely, among parents reporting >2 supports, no relationship was found (rs = 0.195, p = 0.15).
CONCLUSIONS: This study found less feelings of helplessness among children with asthma as symptom-free days increased. Social support appears to moderate this relationship; however further studies to confirm these findings are needed.
 

J Asthma. 2014 Sep 12:1-11. [Epub ahead of print]