Family management structural model for children with atopic dermatitis

Sunyeob Choi1, Hyewon Shin1

  • 1Ewha Womans University, College of Nursing, 03760, 52, Ewhayeodae-gil, Seodaemun-gu, Seoul, Republic of Korea.

PubMed

Insights

A structural model shows family functioning resilience, social support, and coping directly impact family management for children with atopic dermatitis. Interventions should address these factors and illness characteristics for better child health outcomes.

Area of Science:

  • Pediatric Dermatology
  • Family Health
  • Nursing Science

Background:

  • Atopic dermatitis significantly impacts children's well-being and requires comprehensive family management.
  • Effective family management strategies are crucial for mitigating the challenges associated with chronic childhood conditions like atopic dermatitis.

Purpose of the Study:

  • To develop and validate a structural model illustrating the factors influencing family management of atopic dermatitis in children.
  • To identify key direct and indirect predictors of successful family management for pediatric atopic dermatitis.

Main Methods:

  • A cross-sectional study utilizing structured questionnaires with primary caregivers of children (aged 2-12 years) diagnosed with atopic dermatitis for over three months.
  • Structural equation modeling (SEM) with SPSS/WIN 26.0 and AMOS 23.0 was employed to analyze the proposed family management model.

Main Results:

  • Family functioning resilience, social support, and family coping demonstrated significant direct effects on family management.
  • Illness severity, illness duration, and family life difficulty indirectly influenced family management, with substantial total effects.
  • The combined factors explained 78.9% of the variance in the family management model for atopic dermatitis.

Conclusions:

  • The validated structural model effectively predicts family management in pediatric atopic dermatitis.
  • Nursing interventions should focus on enhancing family functioning resilience, social support, and coping mechanisms.
  • Tailored, family-centered nursing strategies considering illness severity and family characteristics are essential for improving health and quality of life.
Abstract

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