喘儿童的症状感知改变与童年机会不佳和不良结果有关

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Updated: Jul 7, 2025

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Psychophysiological Assessment of the Effectiveness of Emotion Regulation Strategies in Childhood

Published on: February 11, 2017

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Anne M Fitzpatrick¹, Dio Kavalieratos², Brian P Vickery¹

¹Department of Pediatrics, Emory University, Atlanta, Ga; Children's Healthcare of Atlanta, Atlanta, Ga.

The journal of allergy and clinical immunology. In practice

|December 24, 2023

概括

大约15%的患有喘的儿童有症状感知变化,导致健康状况较差,急诊次数增加. 这种情况与健康不平等有关,需要针对性干预,以更好地管理喘.

科学领域:

儿科肺病学儿科肺病学
医疗保健服务研究医疗服务研究
健康的社会决定因素

背景情况:

在儿童中有效的喘自我管理取决于准确的症状识别.
儿童的症状感知变化可能会阻碍对喘恶化的及时反应.

研究的目的:

确定5-18岁儿童症状感知变化的流行率和特征.
调查症状感知变化,非控制性喘特征,健康不平等以及纵向喘结果之间的关联.

主要方法:

371名儿童接受了临床表征.
改变症状感知是由儿童报告和提供者引起的喘症状之间的差异来定义的.
12个月的电子病历审查跟踪了喘恶化和急诊室的访问.

主要成果:

15%的儿童表现出改变了症状感知,类似于不受控制的喘特征.
症状感知的改变与非白人种族,先前的严重恶化和居住在儿童机会不佳的地区有关.
症状感知改变的儿童未来恶化的风险增加了2倍,急诊室访问的风险增加了3倍.

结论:

症状感知的改变影响了少数患有喘的儿童.
这种感知问题与健康不平等和儿童机会较差有关,需要进一步的干预.
解决症状感知变化对于改善易受伤害的儿童群体中喘结果至关重要.

关键词:

控制喘控制喘喘恶化喘恶化儿童喘在儿童中的喘卫生公平性健康公平性健康的社会决定因素症状感知症状感知

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