中国麻风皮肤病杂志 ›› 2024, Vol. 40 ›› Issue (1): 39-44.doi: 10.12144/zgmfskin202401039

• 临床研究 • 上一篇    下一篇

特应性皮炎患儿家庭管理特征的潜在剖面分析

周晓楠1,曹春艳1,史亚萍2,戚茂轩2,张倩莹2,宗岩1   

  1. 1中国医学科学院皮肤病医院护理部，江苏南京，210042；2中国医学科学院皮肤病医院过敏与风湿免疫科，江苏南京，210042
  • 出版日期:2024-01-15 发布日期:2023-12-25

Latent profile analysis of family management characteristics in children with atopic dermatitis

ZHOU Xiaonan1, CAO Chunyan1,SHI Yaping2, QI Maoxuan2, ZHANG Qianying2, ZONG Yan1   

  1. 1 Nursing Department, Institute of Dermatology, Chinese Academy of Medical Sciences, Nanjing 210042, China; 2 Department of Allergy and Rheumatology, Institute of Dermatology, Chinese Academy of Medical Sciences, Nanjing 210042, China
  • Online:2024-01-15 Published:2023-12-25

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摘要： 目的：分析不同类别特应性皮炎患儿家庭管理特征影响因素，为制订针对性干预措施提供依据。方法：采用便利抽样法选取特应性皮炎患儿及家长164例进行问卷调查，采用潜在剖面分析识别特应性皮炎患儿家庭管理特征的类别，采用单因素Logistic回归和多因素Logistic回归分析不同类别影响因素。结果：特应性皮炎患儿家庭管理特征分为低亲密高应对型（35.3%）和高亲密低应对型（64.7%）2类。父亲学历为硕士和博士、家庭人均月收入大于2万元、与祖父母同住、患儿为独生子女的AD患儿家庭管理特征类别归属为低亲密高应对型的可能性较大；照护者为患儿母亲、瘙痒评分高、POEM评分高的AD患儿家庭管理特征类别归属为高亲密低应对型的可能性较大。结论：特应性皮炎患儿家庭管理特征存在异质性。

关键词: 特应性皮炎, 家庭管理, 潜在剖面分析

Abstract: Objective: To identify the latent class of family management characteristics in children with atopic dermatitis, and to compare the differences of different classes, so as to provide ideas for targeted interventions. Methods: With the use of a convenience sampling method, 164 children with atopic dermatitis were selected for this study. Latent profile analysis was used to analyze the latent class of family management, univariate logistics regression analysis and binary logistic regression analysis were used to compare the characteristics of each latent class. Results: The family management of children with atopic dermatitis could be divided into 2 classes, including low intimacy effective coping type (35.3%) and high intimacy ineffective coping type (64.7%). The results of logistic regression showed that father with a master or doctoral degree, average monthly household income above RMB 20 000, living with grandparents, one-child family were more likely to be sorted into the low intimacy effective coping type. Mother as caregiver, higher itching score and higher patient oriented eczema measure score were more likely to be classed into the high intimacy ineffective coping type. Conclusions: There is heterogeneity in the family management of children with atopic dermatitis. 

Key words: atopic dermatitis, family management, latent profile analysis