"回到正方形" - - 影响儿童亚托皮性皮肤炎局部皮质类固醇使用的经验
Christabel Hoe1, Yasin Shahab1, Phyllis Lau1
1School of Medicine, Western Sydney University, Sydney, NSW 2751, Australia.
Australian journal of primary health
|September 22, 2025
概括
患有亚托皮性皮炎 (AD) 的儿童的护理人员有时会因为担忧而避免局部皮质类固醇 (TCS). 了解这些经验可以改善儿科阿尔茨海默病管理的治疗坚持和整体健康.
科学领域:
- 皮肤病学 皮肤病学
- 儿科 儿科 儿科
- 心理学 心理学 心理学
背景情况:
- 亚托匹性皮肤炎 (AD) 是一种慢性炎症性皮肤疾病,严重影响生活质量.
- 局部皮质类固醇 (TCS) 是阿尔茨海默病的标准一线治疗方法,有效使用与改善健康有关.
- 护理人员的信念和担忧可能会影响儿童阿尔茨海默症TCS治疗的坚持.
研究的目的:
- 探索父母偏离传统TCS使用的经验和原因,以管理儿科AD.
- 了解影响护理人员关于AD治疗坚持的决定的因素.
主要方法:
- 一项定性研究,采用半结构化,一对一的采访,对被诊断患有阿兹海默症的儿童的照顾者进行了采访.
- 方便抽样被用来招募参与者.
- 对收集的定性数据进行了主题分析.
主要成果:
- 类固醇恐惧症在护理人员和一些全科医生 (GP) 中普遍存在.
- 护理人员和医疗保健提供者之间不匹配的期望导致寻求替代疗法和信息.
- 初级保健从业者之间管理解释的差异与不良遵守和降低家长信心有关.
结论:
- 对儿科阿尔茨海默病管理的整体方法对于支持护理人员和减少治疗负担至关重要.
- 加强全科医生的AD管理教育,包括心理社会方面和替代疗法,可能会改善患者的治疗结果.
- 解决护理人员的担忧和培养一致的期望可以提高治疗的坚持和信心.
相关概念视频
Antiasthma Drugs: Inhaled Corticosteroids and Glucocorticoids
1.5K
Inhaled corticosteroids (ICS) are anti-inflammatory drugs used primarily in treating persistent asthma and providing long-term maintenance. They target the bronchial mucosa, the lining of the airways, to control inflammation, a critical factor in asthma progression and exacerbation.
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
ICS work through a multifaceted mechanism of action. They suppress the inflammatory response caused by the proliferation of TH cells. They also reduce the transcription of the IL-2 gene, which is involved in the...
1.5K
Drugs for Treatment of Crohn's Disease in IBD Using Glucocorticoids
439
Glucocorticoids, a class of anti-inflammatory drugs, are pivotal in treating moderate to severe Crohn's disease by inducing remission. They exhibit their anti-inflammatory action by inhibiting the production of inflammatory cytokines such as tumor necrosis factor (TNF)-α, interleukin (IL)-1, and chemokines like IL-8. In addition, they reduce the expression of inflammatory cell adhesion molecules and inhibit gene transcription of nitric oxide synthase, phospholipase A2, cyclooxygenase-2...
439
Drug Dosing: Infants and Children
256
Pediatric patient dosages diverge from adults due to disparities in body surface area, total body water, and extracellular fluid per kilogram of body weight. The dosing regimen considers the variations in pharmacokinetics and pharmacology across distinct age groups, encompassing preterm newborns, infants, young children, older children, and adolescents. Calculation of pediatric patient doses is predicated on determining body surface area, which exhibits a superior correlation with the child's...
256
Hypersensitivities
7.2K
Hypersensitivity, also known as a hypersensitivity reaction or allergic reaction, is a condition where the body's immune system reacts abnormally to a foreign substance. Such substances, that cause hypersensitivity are referred to as an allergen, could be something typically harmless to most people, like pollen or certain foods.
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
Types of Hypersensitivities
Hypersensitivity reactions are categorized into four types: Type 1, Type 2, Type 3, and Type 4. Each type has a distinct mechanism...
7.2K
Drug Delivery: Miscellaneous Routes
715
Drug delivery methods like oral inhalation, nasal sprays, transdermal patches, eye drops, intravitreal injection, and rectal administration provide localized effects with reduced toxicity.
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
Oral inhalation and nasal sprays swiftly transfer drugs across the respiratory epithelium's mucosal layer. Inhaled glucocorticoids and bronchodilators directly target lung conditions such as asthma, while fluticasone nasal spray mitigates allergic rhinitis.
Transdermal patches transport drugs...
715
COPD: Management Using Bronchodilators and Corticosteroids
737
Chronic obstructive pulmonary isease (COPD) involves a group of progressive lung disorders characterized by persistent airflow limitation and chronic respiratory symptoms. Asthma-COPD Overlap Syndrome (ACOS), encompassing features of both asthma and Chronic obstructive pulmonary disease (COPD), is a group of progressive lung disorders that includes chronic bronchitis, emphysema, and refractory (non-reversible) asthma. ACOS leads to complex clinical presentations that combine the inflammatory...
737


