Cochrane Review update: psychological and educational interventions for atopic eczema in children

摘要

Eczema affects 15-20% of children under seven years (Williams, 1997) and is the most common chronic skin condition affecting children worldwide (xsher et al, 2006). The impact of symptoms on quality of life for the child and family may be significant, with sleep disturbance for the child and parent very common. Current clinical guidelines for atopic eczema (AE) recommend an holistic approach that addresses the impact of symptoms on the child and family (NICE, 2007). As treatment is primarily self-managed by the parent or child, educational interventions are recommended as a necessary component of clinical care (NICE, 2007). While there are many examples of such interventions being used in practice, little is known about their effectiveness in reducing disease severity and improving the quality of life of the child and family. There is also limited evidence of the relative cost-effectiveness of such interventions.