Evaluation of quality of life and sleep in family members of children with atopic dermatitis

Year 2022, , 475 - 483, 01.07.2022

Savaş Sari , Damla Geçkalan Soysal , Ahmet Turkeli

https://doi.org/10.31362/patd.1031195

Abstract

Objective: Atopic dermatitis is an inflammatory, intense skin disease that usually appears in early childhood and infant, with a chronic course of healing and exacerbation. It impairs the quality of life of families as well as patients. In this study, it was aimed to evaluate the quality of life and sleep in mothers of children with atopic dermatitis aged 6 months to 6 years, and quality of life in healthy siblings aged 2-4 years.
Matheryal and method: A total of 50 siblings were included in the study, including mothers of patients with atopic dermatitis, siblings between 2-4 years. The control group was randomly selected from healthy mothers and siblings of healthy children as the same number of similiar age groups. The diagnosis of atopic dermatitis was made according to Hanifin - Rajka criteria. Disease severity was evaluated with the SCORAD Index. The PedsQLTM Version 4.0 Short Form 15, the Pediatric Quality of Life Scale, the family impact scale parent report (PedsQLTM Family impact Module) and the Pittsburgh Sleep Quality Index (PUKI) were filled by mothers.
Results: The family impact scale total score of the mothers of children with atopic dermatitis was found to be significantly lower than the control group. In the atopic dermatitis group, the quality of life score was significantly lower compared to the control groups.
Conclusion: In our study, we conclude that families with atopic dermatitis have decreased quality of life and sleep quality is impaired, but we believe that there is a need for wider participation and multicenter supportive studies to obtain healthier data.

Keywords

Atopic dermatitis, child life quality, PedsQLTM, PedsQLTM, PedsQLTM, PedsQLTM, SCORAD, SCORAD, PUKI, PUKI

Atopik dermatit tanılı çocukların aile bireylerinde yaşam ve uyku kalitesinin değerlendirilmesi

Abstract

Amaç: Atopik dermatit (AD) sıklıkla infant ve çocukluk döneminde görülen, iyileşme ve alevlenme ataklarıyla kronik seyir gösteren, yoğun kaşıntılı inflamatuar bir deri hastalığıdır. Diğer kronik hastalıklarda olduğu gibi AD hastalarında hasta bakımı ve tedavi süreci uzun süre almaktadır. Bu da hasta bireyler kadar hasta bireylerin ailelerinin yaşam kalitesini ve uykusunu önemli ölçüde etkileyebilmektedir. Hem hastaların hem ailelerin yaşam kalitesini bozmaktadır. Bu çalışmada 6 ay-6 yaş arasındaki AD tanılı çocukların annelerinin yaşam ve uyku kalitesi ile 2-4 yaş arası sağlıklı kardeşlerinin yaşam kalitesinin değerlendirilmesi amaçlandı.
Gerç ve yöntem: Çocuk alerji ve immünoloji polikliniğine Aralık 2019-Şubat 2020 tarihleri arasında başvuran 6 ay-6 yaş aralığındaki AD tanılı 50 hastanın anneleri ve 2-4 yaş arasındaki kardeşleri ile 6 ay-6 yaş aralığındaki sağlıklı 50 çocuğun anneleri ve 2-4 yaş arasındaki kardeşleri çalışmaya kontrol grubu olarak dahil edildi. AD tanısı Hanifin-Rajka kriterlerine göre konuldu. Hastalık şiddeti SCORAD İndeksi ile değerlendirildi. Pediatrik Yaşam Kalitesi Ölçeği olan PedsQLTM Versiyon 4.0 Kısa Form 15, aile etki ölçeği ebeveyn raporu ( PedsQLTM Family impact Module ) ve Pittsburgh Uyku Kalitesi İndeksi (PUKI) anneler tarafından dolduruldu.
Bulgular: Atopik dermatit tanılı çocukların annelerinin aile etki ölçeği toplam skoru kontrol gurubuna göre anlamlı düşük bulundu. Atopik dermatitli çocukların kardeşlerinin yaşam kalitesi skoru kontrol gurubuna göre anlamlı düşük saptandı. Annelerin PUKI puanlarına bakıldığında alışılmış uyku etkinliği ve uykuya yardımcı ilaç kullanımı dışında tüm parametrelerde her iki grup arasında istatistiksel anlamlı fark saptandı.
Sonuç: Atopik dermatitli olguların aile bireylerinin yaşam kalitesinin düştüğü, uyku kalitesinin bozulduğu sonuçlarına varılmakla birlikte, daha sağlıklı veriler elde edilebilmesi için daha geniş katılımlı ve çok merkezli destekleyici çalışmalara ihtiyaç olduğu kanısındayız. 

Keywords

Atopik dermatit, PedsQLTM, SCORAD, child life quality

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