Childhood atopic eczema: children’s Quality of life and family impact
Childhood atopic eczema accounted 40% of the referral to pediatric dermatology clinic in Malaysia. One of the most important issues that should be discussed during outpatient hospital based clinic is health related quality of life (HRQOL). HRQOL was defined as a broad multidimensional concept tha...
Saved in:
| Main Author: | |
|---|---|
| Format: | Thesis |
| Language: | English |
| Published: |
2012
|
| Subjects: | |
| Online Access: | http://eprints.usm.my/60957/1/DR%20AHMAD%20ABIR%20BIN%20AB%20GHANI%20-%20%20e.pdf |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| Summary: | Childhood atopic eczema accounted 40% of the referral to pediatric
dermatology clinic in Malaysia. One of the most important issues that should be discussed
during outpatient hospital based clinic is health related quality of life (HRQOL). HRQOL
was defined as a broad multidimensional concept that usually includes self-reported
measures of physical and mental health. The current study was aimed to determine the quality of life of children with
atopic eczema, impact of atopic eczema to the family and associated factors for children’s
quality-of-life. A cross-sectional study conducted at Dermatology clinic, Hospital Raja
Perempuan Zainab II, Kota Bharu, Malaysia from January 2010 to January 2011. Children
who were diagnosed as atopic eczema, aged between 5 and 18 years and fulfilled the
inclusion and exclusion criteria were selected using systematic random sampling. Qualityof-
life (Qol) was measured using CDLQI. Family Impact was measured using DFI. The
Children’s Dermatology Life Quality Index (CDLQI) and Dermatology Family Impact
(DFI) questionnaires were specifically designed to measure Qol of children with atopic
eczema and the family impact of the similar disease. Data were analyzed according to
distributions. Descriptive analyses were done for quality of life and family impact score
and univariate and multivariate analyses were done to determine associated factors for Qol.
Results: A total of 110 participants with 100% response rate entered this study. Majority of
subjects suffered mild to moderate disease which comprised of 30.9% and 62.7%,
respectively. Only 6.4% had severe atopic eczema. The median (IQR) for quality of life and family impact score was 8.0 (8.0) and 7.0 (9.0), respectively. Disease severity was the
significant associated factor for quality of life in childhood atopic eczema. Regression
analyses showed that 15% of the variance in quality of life score could be explained by
disease severity score. In the present study, the overall children’s quality of life was not impaired
because not all the items in the children’s quality of life were equally affected. Childhood
atopic eczema also had no impact on family life as majority of parents perceived the
disease was not severe. The only significant associated factor for children’s quality of life
was disease severity. Measurement of HRQOL among childhood atopic eczema should be
done along with objective disease severity assessment. |
|---|