TY - JOUR AU - Ando, Tomohisa AU - Mori, Rintaro AU - Takehara, Kenji AU - Asukata, Mari AU - Ito, Shuichi AU - Oka, Akira PY - 2022 DA - 2022/2/17 TI -儿科远程会诊在预防婴儿皮肤疾病和减少母亲育儿压力方面的有效性:随机对照试验乔- JMIR Pediatr父SP - e27615六世- 5 - 1 KW -远程咨询KW -电子邮件时事通讯KW -电子健康KW -儿科医生KW -婴儿KW -母亲KW -过敏性皮肤炎KW -育儿压力KW -随机对照试验KW -压力KW -皮炎KW -育儿KW -儿科KW -电子邮件KW -儿童KW -日本AB -背景:在日本,目前电子健康婴儿和母亲的一个重要方面,但其有效性已经很少了。对于婴儿来说，皮肤问题，包括已知会导致其他过敏性疾病的特应性皮炎(AD)，是最常见的情况之一。婴儿的母亲容易经历育儿压力，这对母亲和孩子的健康产生不利影响。此外，有研究表明，后代的AD会增加养育压力，产后母亲的心理问题会增加儿童患AD的风险。目的:本研究评估了日本儿科远程会诊在预防婴儿AD和减轻母亲育儿压力方面的有效性。方法:该研究是一项开放标签、随机、平行组对照试验。横滨市堺区总共招募了318对婴儿和母亲，他们向病房提交了出生卡，收到了关于试验的解释，并在网站上提供了本次试验的知情同意。符合条件的婴儿和母亲被随机分配到干预组(n=140)或对照组(n=138)。干预组和对照组的参与者接受了当地政府部门的常规产后护理。 In addition, participants in the intervention group had the option to combine routine pediatric services with teleconsultation and email newsletters without charge from the date of registration until the infant turned 4 months. Primary outcomes were (1) the prevalence of AD in infants diagnosed based on the United Kingdom Working Party criteria and (2) parenting stress and mental status of mothers assessed using the Parenting Stress Index-Short Form (PSI-SF) and General Health Questionnaire-12 (GHQ-12). Data were collected by the ward office staff and researcher during the 4-month checkup. Results: The prevalence of AD in infants was significantly lower in the intervention group than in the control group during the 4-month checkup (20% vs 33%, P=.03; relative risk ratio, 0.614 [95% CI 0.406-0.927]). No significant differences were observed in the PSI-SF and GHQ-12 scores between the 2 groups. There was a significant difference in the prevalence of AD between participants who used teleconsultation services and email newsletters, participants who did not use teleconsultation services but received email newsletters, and participants who neither received nor used either service (18% vs 22% vs 33%, P=.048). Conclusions: This is the first randomized controlled trial demonstrating that routine pediatric care combined with teleconsultation and email newsletters was effective in reducing the prevalence of AD in infants. The findings highlight the potential of pediatric eHealth to become a useful new strategy for preventing AD. Trial Registration: University Hospital Medical Information Network ClinicalTrials Registry UMIN000029774; https://upload.umin.ac.jp/cgi-open-bin/ctr_e/ctr_view.cgi?recptno=R000034022 SN - 2561-6722 UR - https://pediatrics.www.mybigtv.com/2022/1/e27615 UR - https://doi.org/10.2196/27615 UR - http://www.ncbi.nlm.nih.gov/pubmed/34678753 DO - 10.2196/27615 ID - info:doi/10.2196/27615 ER -