Objective To investigate the understandings on AD intervention of child-care institutions and to assess the dermatological changes of their AD patients after herbal medical treatment additionally.
Methods Children in child-care institutions around Seoul were screened and diagnosed to be treated with herbal medicine within 2 months. Circumstances, understandings over AD and modified Children’s Dermatology Life Quality Index (CDLQI) questionnaire were answered by teachers in charge.
Results 61 patients enrolled. Age average was 9.0±3.4, height and weight percentile was 40.3±28.8 and 42.6±31.6, respectively. 54 questionnaires were answered and analyzed. 49 patients (90.7%) were 24-hour living in their institution and age of first finding AD was 6.7±3.6 years old. 52 patients (96.3%) were out of institutional extra AD program, and the reasons were ‘slight symptoms’ (34.3%), ‘expected parents management’ (17.1%), and ‘not enough budget’ (8.6%), etc. However, 51 answers (94.4%) were ‘needs medical treatment’ and the most important factors for the treatment were answered; ‘active and sustainable treatment’ (21.3%), ‘medical aid for low-income family’ (18.5%), ‘skin hygiene’ (15.4%), ‘familial concerns and efforts’ (15.1%), and ‘food control’ (14.8%), etc. CDLQI analysis showed the improvements by herbal treatment as follows: sleep loss (−59.3%), pruritus (−57.2%), depression (−54.1%), clothes stimuli (−40.4%) and classmates’ ignorance (−39.5%) significantly.
Conclusions This study showed AD patients in a child-care institution need: 1) Earlier diagnosis on AD, 2) Medical and Budgetary support for low-income family, 3) Psychological stability within friendship and teacher-patient relationship by the institutional AD program and 4) Education for inducing familial concerns on their child.
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