期刊名称：Annals of Agricultural and Environmental Medicine
印刷版ISSN：1232-1966
电子版ISSN：1898-2263
出版年度：2019
卷号：26
期号：2
页码：1-7
DOI：10.26444/aaem/93748
出版社：Institute of Agricultural Medicine in Lublin
摘要：Introduction and objectives. The study aimed at evaluating the impact of Hymenoptera venom allergy (HVA) in children
and adolescents, on their parents’ QoL, taking into account their socio-demographic characteristics.
Materials and method. The study sample consisted of 101 parents of children and adolescents aged 9–17 years, with a history
of systemic reaction after insect sting who were referred for consultations in the tertiary level allergology department. The
mean age of the parents was 39 years (SD=8.1; range 25–65 years); the majority were mothers (68%) and rural inhabitants
(62%). QoL in parents of HVA children and adolescents was measured with the Parents of Children with Hymenoptera Venom
Allergy Quality of Life Scale, a questionnaire covering 5 dimensions: anxiety, caution, limitations and discomfort, support
provided to the child and feeling of safety, each measured on the scale ranging from 1 to 5. Independent predictors of QoL
were estimated using the Generalized Linear Model.
Results. Parents of urban children and adolescents treated with venom immunotherapy (VIT) up to 3 years (B=-1.37, 95CI=
(-2.22;-0.53); p=0.001) and of rural children treated for more than 3 years (B=-0.94, 95CI=(-1.55;-0.33); p=0.003) reported
lower anxiety than parents studied at diagnosis. In urban parents, individuals studied at VIT beginning reported a lower
feeling of safety (B=-0.63, 95CI=(-1.11;-0.15); p=0.010); those studied up to 3 years of treatment reported a higher feeling of
safety (B=0.64, 95CI=(0.11;1.16); p=0.018) than those studied at diagnosis. Contrariwise, in rural parents, those studied at the
beginning of immunotherapy reported a higher feeling of safety than those studied at diagnosis (B=0.51, 95CI=(0.13;0.88);
p=0.008).
Conclusions. The longest VIT duration in children and adolescents with HVA is related to the decreased anxiety of their
parents. Parent’s feeling of safety depends on the stage of treatment and place of residence.
关键词：quality of life; parents; insect sting; Hymenoptera venom allergy; cross;sectional study
