Sapountzi-Krepia D S, Valavanis J, Panteleakis G P, Zangana D T, Vlachojiannis P C, Sapkas G S
Head of the Nursing, Public and Social Hygiene Sector of the Health Visiting Department, Technological Educational Institute (TEI), Athens, Greece.
J Adv Nurs. 2001 Sep;35(5):683-90. doi: 10.1046/j.1365-2648.2001.01900.x.
To explore the impact of bracing on the perceptions of body image, happiness and satisfaction of adolescents with scoliosis.
The study was designed as compare of 134 girls and 16 boys who wore a Boston type brace for scoliosis treatment and a control group of 99 healthy girls and 51 healthy boys. All them were secondary school pupils living in Athens Greece and were interviewed. A semi-structured schedule included general questions, and the Piers-Harris scale was used. Data were analysed using the SPSS/PC+ software, and descriptive statistics, factor analysis and the non-parametric Mann-Whitney U-test. Statistical significance was set at P=0.05 or less.
The scoliosis group had a poorer perception of body image in comparison to the control group (P=0.048), while boys with scoliosis (P=0.030) had a better perception of body image than girls with scoliosis. Girls with scoliosis had a statistically significant difference (P=0.0388) in perception of happiness and satisfaction, in comparison with girls in the control group. Cohabitation with the mother seemed to be negatively correlated with body image, happiness and satisfaction perceptions because adolescents with scoliosis who were not living with their mother had a better body image perception (P=0.027) as well as better perceptions of happiness and satisfaction (P=0.047). Nevertheless, only 5% of those with scoliosis declared that they had opportunities to discuss their feelings and problems with health professionals, while 90% of them declared that they wanted to have more opportunities to do this.
Adolescents with scoliosis face problems during bracing and they need to be supported by health care professionals.
探讨支具对脊柱侧弯青少年身体形象认知、幸福感和满意度的影响。
本研究设计为对134名佩戴波士顿型支具进行脊柱侧弯治疗的女孩和16名男孩，以及99名健康女孩和51名健康男孩组成的对照组进行比较。他们均为居住在希腊雅典的中学生，并接受了访谈。一份半结构化问卷包括一般性问题，并使用了皮尔斯 - 哈里斯量表。使用SPSS/PC +软件对数据进行分析，采用描述性统计、因子分析和非参数曼 - 惠特尼U检验。统计学显著性设定为P = 0.05或更低。
与对照组相比，脊柱侧弯组对身体形象的认知较差（P = 0.048），而脊柱侧弯男孩（P = 0.030）对身体形象的认知比脊柱侧弯女孩更好。与对照组女孩相比，脊柱侧弯女孩在幸福感和满意度认知方面存在统计学显著差异（P = 0.0388）。与母亲同住似乎与身体形象、幸福感和满意度认知呈负相关，因为未与母亲同住的脊柱侧弯青少年对身体形象的认知更好（P = 0.027），对幸福感和满意度的认知也更好（P = 0.047）。然而，只有5%的脊柱侧弯患者表示他们有机会与医疗专业人员讨论自己的感受和问题，而90%的患者表示他们希望有更多这样的机会。
脊柱侧弯青少年在佩戴支具期间面临问题，他们需要医疗保健专业人员的支持。
