Job stress experiences among Korean pediatric ward nurses: a qualitative content analysis.

Atopic dermatitis (AD) is a chronic and relapsing skin condition characterized by severe itching []. It generally occurs before school age and may improve with age []. However, AD can persist or worsen after school age [], and adolescents with AD therefore require continuous attention and appropriate management strategies. The symptoms of AD include itchiness, rashes, and dryness that become increasingly chronic, with skin thickening, lichenification, and sleep disturbances []. Adolescents with AD often experience a chronic and relapsing disease course characterized by repeated remission and exacerbation of symptoms, making sustained remission difficult []. In this context, they are likely to experience a range of physical, psychological, and social problems [,]. Adolescents with AD often have visible skin lesions on the face and neck []. Such visible symptoms may negatively affect body image during adolescence, a developmental period marked by increased concern about appearance, and may consequently interfere with the formation of self-concept [,]. In addition, AD may restrict daily activities, and adolescents may feel embarrassed about their skin condition, which can negatively influence peer relationships—an important aspect of social development during adolescence [,]. Furthermore, adolescents with AD are required to engage in long-term daily management, including avoidance of environmental triggers, skin care, and medication adherence []. As adolescents spend more time at school than at home, self-management plays a particularly important role in their daily lives.