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Besin İlişkili Anafilaksi Yaşamış Çocuklarla Başa Çıkmada Ebeveynlerin Karşılaştığı Sorunlar

Yıl 2020, Cilt: 14 Sayı: 3, 211 - 219, 29.05.2020
https://doi.org/10.12956/tchd.562419

Öz




Amaç: Besin alerjili çocuğu olan ebeveynler, çocuklarının alerjik besinden kaçınarak güvenli şekilde beslenmesini sağlamaya çalışmaktadırlar. Bu çalışmada besin alerjili çocuğu olan ebeveynlerin yaşam kalitesini iyileştirmek için karşılaştıkları sorunların değerlendirilmesi amaçlandı. 


Gereç ve Yöntemler: Çalışma Türkiye’de Mayıs 2015 - Ocak 2016 tarihleri arasında çok merkezli olarak yapıldı. Çalışmaya besin ilişkili anafilaksi öyküsü olan çocukların ebeveynleri dahil edildi. Katılımcılara yüz yüze anket uygulandı.


Bulgular: Çalışmada besin ilişkili anafilaksisi olan, ortanca yaşları 48.5 ay ve % 62.9’u erkek cinsiyette 70 hastanın ebeveynleri değerlendirildi. Ebeveynlerin %50’sinde aile yaşamıyla ilgili, %51.4’ünde ise ev dışı aktivitelerde sorun vardı. Besin ilişkili anafilaksisi olan çocuklarıyla ilgili sorunlar karşısında ebeveynlerin %74’ü iş birliği içindeyken, %22’sinde eşler arasında sorunlar yaşanmaktaydı. Ayrıca ebeveynlerin %80’i aşırı endişeli, %75.7’si ise çocuklarına karşı aşırı korumacı olarak değerlendirildi. Ebeveynlerin %52.9’u çocuklarının okul ile ilgili, %54.3’ü çocuklarının arkadaş ilişkilerinde sorunları olduğunu, %10’u çocuklarının diğer çocuklar tarafından dışlandığını ve %12.9’u ise okulun çocuklarını kaydetmek istemediğini bildirdi. Adrenalin otoenjektör kullanmayı bilen ebeveyn oranı %70 olup, %40’ı otoenjektör kullanmaktan korkmaktaydı. Çalışan annelerin, düşük eğitim düzeyindeki annelerin ve inek sütü alerjili çocuğa sahip olan ebeveynlerin, diğer ebeveynlere göre besin alerjisi nedeniyle daha fazla sorun yaşadıkları görüldü (p<0.005)


Sonuç:Sağlık çalışanları besin ilişkili anafilaksisi olan çocuğa sahip ebeveynlerin sorunlarının farkında olmalı ve onlara yardım etmeye hazır olmalıdır. Ayrıca her ziyarette adrenalin otoenjektör kullanımı hakkında ebeveynler bilgilendirilmelidir.

Kaynakça

  • 1. Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, et al. The prevalence, severity, and distribution of childhood FA in the United States. Pediatrics 2011; 128: 9-17.
  • 2. Cummings AJ, Knibb RC, King RM, Lucas JS. The psychosocial impact of FA and food hypersensitivity in children, adolescents and their families: a review. Allergy 2010; 65: 933-45.
  • 3. Sicherer SH, Sampson HA. FA: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol 2018; 141: 41-58.
  • 4. Uguz A, Lack G, Pumphrey R, Ewan P, Warner J, Dick J, et al. Allergic reactions in the community: a questionnaire survey of members of the anaphylaxis campaign. Clin Exp Allergy 2005; 35: 746-50.
  • 5. Cohen BL, Noone S, Muñoz-Furlong A, Sicherer SH. Development of a questionnaire to measure quality of life in families with a child with FA. J Allergy Clin Immunol 2004; 114: 1159-63.
  • 6. Broome-Stone SB. The psychosocial impact of life-threatening childhood food allergies. Pediatr Nurs 2012; 38: 327-30.
  • 7. Primeau MN, Kagan R, Joseph L, Lim H, Dufresne C, Duffy C, et al. The psychological burden of peanut allergy as perceived by adults with peanut allergy and the parents of peanut-allergic children. Clin Exp Allergy 2000; 30: 1135-43.
  • 8. Valentine AZ, Knibb RC. Exploring quality of life in families of children living with and without a severe FA. Appetite. 2011; 57: 467-74.
  • 9. Bollinger ME, Dahlquist LM, Mudd K, Sonntag C, Dillinger L, McKenna K. The impact of FA on the daily activities of children and their families. Ann Allergy Asthma Immunol 2006; 96: 415-21.
  • 10. Springston EE, Smith B, Shulruff J, Pongracic J, Holl J, Gupta RS. Variations in quality of life among caregivers of food allergic children. Ann Allergy Asthma Immunol. 2010; 105: 287-294.
  • 11. Case-Smith J. Parenting a child with a chronic medical condition. Am J Occup Ther. 2004; 58: 551-60.
  • 12. Gillespie CA, Woodgate RL, Chalmers KI, Watson WT. “Living with risk”: mothering a child with food-induced anaphylaxis. J Pediatr Nurs 2007; 22: 30-42.
  • 13. Ostblom E, Egmar AC, Gardulf A, Lilja G, Wickman M. The impact of food hypersensitivity reported in 9-year-old children by their parents on health-related quality of life. Allergy 2008; 63: 211-8.
  • 14. King RM, Knibb RC, Hourihane JO. Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy 2009; 64: 461-8.
  • 15. Knibb RC, Semper H. Impact of suspected FA on emotional distress and family life of parents prior to allergy diagnosis. Pediatr Allergy Immunol 2013; 24: 798-803.
  • 16. Akeson N, Worth A, Sheikh A. The psychosocial impact of anaphylaxis on young people and their parents. Clin Exp Allergy 2007; 37:1213-20.
  • 17. Avery NJ, King RM, Knight S, Hourihane JO. Assessment of quality of life in children with peanut allergy. Pediatr Allergy Immunol 2003;14: 378-82.
  • 18. Fedele DA, McQuaid EL, Faino A, Strand M, Cohen S, Robinson J, et al. Patterns of adaptation to children’s food allergies. Allergy 2016; 71: 505-13.
  • 19. Calsbeek H, Rijken M, Bekkers MJ, Dekker J, van Berge Henegouwen GP. School and leisure activities in adolescents and young adults with chronic digestive disorders: impact of burden of disease. Int J Behav Med 2006;13:121-30.
  • 20. Sampson MA, Muñoz-Furlong A, Sicherer SH. Risk-taking and coping strategies of adolescents and young adults with FA. J Allergy Clin Immunol 2006;117:1440-5.
  • 21. Muñoz-Furlong A. FA in schools: concerns for allergists, pediatricians, parents, and school staff. Ann Allergy Asthma Immunol 2004; 93: 47-50.
  • 22. Marklund B, Ahlstedt S, Nordström G. Food hypersensitivity and quality of life. Curr Opin Allergy Clin Immunol 2007; 7: 279-87.
  • 23. Dahlquist LM, Power TG, Hahn AL, Hoehn JL, Thompson CC, Herbert LJ, et al. Parenting and independent problem-solving in preschool children with FA. J Pediatr Psychol 2015; 40: 96-108.
  • 24. Herber LJ, Dahlquist LM. Perceived history of anaphylaxis and parental overprotection, autonomy, anxiety, and depression in food allergic young adults. J Clin Psychol Med Settings 2008; 15: 261- 9.
  • 25. Mandell D, Curtis R, Gold M, Hardie S. Anaphylaxis: how do you live with it? Health Soc Work 2005; 30: 325-35.
  • 26. Watura JC. Nut allergy in schoolchildren: a survey of schools in the Severn NHS Trust. Arch Dis Child 2002; 86: 240-4.
  • 27. Pumphrey RS. Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy 2000; 30: 1144-50.
  • 28. Leynaert B, Soussan D. Monitoring the quality-of-life in allergic disorders. Curr Opin Allergy Clin Immunol 2003; 3: 177-83.
  • 29. Gånemo A, Svensson A, Lindberg M, Wahlgren CF. Quality of life in Swedish children with eczema. Acta Derm Venereol 2007; 87: 345-9.
  • 30. Vargas PA, Sicherer SH, Christie L, Keaveny M, Noone S, Watkins D, et al. Developing a FA curriculum for parents. Pediatr Allergy Immunol 2011; 22: 575-82.

Challenges Parents Face While Trying to Coping with Food Allergic Children Who Had Experienced Anaphylaxis

Yıl 2020, Cilt: 14 Sayı: 3, 211 - 219, 29.05.2020
https://doi.org/10.12956/tchd.562419

Öz

Objective: Parents of children with food allergy (FA) have to feed their children safely while they are trying to prevent exposure to the offending food. In this study we aimed to identify their problems in order to help developing measures for improving quality of life of parents of children with FA.

Material and Methods: A prospective multicenter study was carried out in Turkey between May 2015 and January 2016. Study participants included parents of children who had anaphylaxis due to FA. A face to face questionnaire was used.

Results:

Parents of 70 patients were included of which, 62.9% were male, and median age was 48.5 months. Fifty percent had problems about family life, 51.4% had problems about outside activities. While 74% reported they helped each other, 22% claimed they had problems with their spouse because of FA. Of the parents, 80% were anxious and 75.7% reported they overprotect their children; 52.9% had problems about school life and 12.9% reported that school did not want to register their children. Of parents, 54.3% had problems with friend relations, 10% of parents reported that their children were alienated by their friends. Seventy percent know how to use adrenaline auto-injector (AAI) but 40% were afraid to use. Occupied mothers, mothers with lower education and parents of children with cow’s milk allergy were more often affected (p<0.05).












Conclusion: Health care workers must be aware of the problems of parents and be prepared to help them. Parents must be informed about AAI use in every visit.

Kaynakça

  • 1. Gupta RS, Springston EE, Warrier MR, Smith B, Kumar R, Pongracic J, et al. The prevalence, severity, and distribution of childhood FA in the United States. Pediatrics 2011; 128: 9-17.
  • 2. Cummings AJ, Knibb RC, King RM, Lucas JS. The psychosocial impact of FA and food hypersensitivity in children, adolescents and their families: a review. Allergy 2010; 65: 933-45.
  • 3. Sicherer SH, Sampson HA. FA: A review and update on epidemiology, pathogenesis, diagnosis, prevention, and management. J Allergy Clin Immunol 2018; 141: 41-58.
  • 4. Uguz A, Lack G, Pumphrey R, Ewan P, Warner J, Dick J, et al. Allergic reactions in the community: a questionnaire survey of members of the anaphylaxis campaign. Clin Exp Allergy 2005; 35: 746-50.
  • 5. Cohen BL, Noone S, Muñoz-Furlong A, Sicherer SH. Development of a questionnaire to measure quality of life in families with a child with FA. J Allergy Clin Immunol 2004; 114: 1159-63.
  • 6. Broome-Stone SB. The psychosocial impact of life-threatening childhood food allergies. Pediatr Nurs 2012; 38: 327-30.
  • 7. Primeau MN, Kagan R, Joseph L, Lim H, Dufresne C, Duffy C, et al. The psychological burden of peanut allergy as perceived by adults with peanut allergy and the parents of peanut-allergic children. Clin Exp Allergy 2000; 30: 1135-43.
  • 8. Valentine AZ, Knibb RC. Exploring quality of life in families of children living with and without a severe FA. Appetite. 2011; 57: 467-74.
  • 9. Bollinger ME, Dahlquist LM, Mudd K, Sonntag C, Dillinger L, McKenna K. The impact of FA on the daily activities of children and their families. Ann Allergy Asthma Immunol 2006; 96: 415-21.
  • 10. Springston EE, Smith B, Shulruff J, Pongracic J, Holl J, Gupta RS. Variations in quality of life among caregivers of food allergic children. Ann Allergy Asthma Immunol. 2010; 105: 287-294.
  • 11. Case-Smith J. Parenting a child with a chronic medical condition. Am J Occup Ther. 2004; 58: 551-60.
  • 12. Gillespie CA, Woodgate RL, Chalmers KI, Watson WT. “Living with risk”: mothering a child with food-induced anaphylaxis. J Pediatr Nurs 2007; 22: 30-42.
  • 13. Ostblom E, Egmar AC, Gardulf A, Lilja G, Wickman M. The impact of food hypersensitivity reported in 9-year-old children by their parents on health-related quality of life. Allergy 2008; 63: 211-8.
  • 14. King RM, Knibb RC, Hourihane JO. Impact of peanut allergy on quality of life, stress and anxiety in the family. Allergy 2009; 64: 461-8.
  • 15. Knibb RC, Semper H. Impact of suspected FA on emotional distress and family life of parents prior to allergy diagnosis. Pediatr Allergy Immunol 2013; 24: 798-803.
  • 16. Akeson N, Worth A, Sheikh A. The psychosocial impact of anaphylaxis on young people and their parents. Clin Exp Allergy 2007; 37:1213-20.
  • 17. Avery NJ, King RM, Knight S, Hourihane JO. Assessment of quality of life in children with peanut allergy. Pediatr Allergy Immunol 2003;14: 378-82.
  • 18. Fedele DA, McQuaid EL, Faino A, Strand M, Cohen S, Robinson J, et al. Patterns of adaptation to children’s food allergies. Allergy 2016; 71: 505-13.
  • 19. Calsbeek H, Rijken M, Bekkers MJ, Dekker J, van Berge Henegouwen GP. School and leisure activities in adolescents and young adults with chronic digestive disorders: impact of burden of disease. Int J Behav Med 2006;13:121-30.
  • 20. Sampson MA, Muñoz-Furlong A, Sicherer SH. Risk-taking and coping strategies of adolescents and young adults with FA. J Allergy Clin Immunol 2006;117:1440-5.
  • 21. Muñoz-Furlong A. FA in schools: concerns for allergists, pediatricians, parents, and school staff. Ann Allergy Asthma Immunol 2004; 93: 47-50.
  • 22. Marklund B, Ahlstedt S, Nordström G. Food hypersensitivity and quality of life. Curr Opin Allergy Clin Immunol 2007; 7: 279-87.
  • 23. Dahlquist LM, Power TG, Hahn AL, Hoehn JL, Thompson CC, Herbert LJ, et al. Parenting and independent problem-solving in preschool children with FA. J Pediatr Psychol 2015; 40: 96-108.
  • 24. Herber LJ, Dahlquist LM. Perceived history of anaphylaxis and parental overprotection, autonomy, anxiety, and depression in food allergic young adults. J Clin Psychol Med Settings 2008; 15: 261- 9.
  • 25. Mandell D, Curtis R, Gold M, Hardie S. Anaphylaxis: how do you live with it? Health Soc Work 2005; 30: 325-35.
  • 26. Watura JC. Nut allergy in schoolchildren: a survey of schools in the Severn NHS Trust. Arch Dis Child 2002; 86: 240-4.
  • 27. Pumphrey RS. Lessons for management of anaphylaxis from a study of fatal reactions. Clin Exp Allergy 2000; 30: 1144-50.
  • 28. Leynaert B, Soussan D. Monitoring the quality-of-life in allergic disorders. Curr Opin Allergy Clin Immunol 2003; 3: 177-83.
  • 29. Gånemo A, Svensson A, Lindberg M, Wahlgren CF. Quality of life in Swedish children with eczema. Acta Derm Venereol 2007; 87: 345-9.
  • 30. Vargas PA, Sicherer SH, Christie L, Keaveny M, Noone S, Watkins D, et al. Developing a FA curriculum for parents. Pediatr Allergy Immunol 2011; 22: 575-82.
Toplam 30 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular İç Hastalıkları
Bölüm ORIGINAL ARTICLES
Yazarlar

Hakan Güvenir

Yayımlanma Tarihi 29 Mayıs 2020
Gönderilme Tarihi 9 Ağustos 2018
Yayımlandığı Sayı Yıl 2020 Cilt: 14 Sayı: 3

Kaynak Göster

Vancouver Güvenir H. Challenges Parents Face While Trying to Coping with Food Allergic Children Who Had Experienced Anaphylaxis. Türkiye Çocuk Hast Derg. 2020;14(3):211-9.

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