Drescher Kelly M, Monga Manju, Williams Patricia, Promecene-Cook Pamela, Schneider Karen
Department of Obstetrics, Gynecology, and Reproductive Science, University of Texas Houston Medical School, 6431 Fannin, Houston, TX 77030, USA.
Am J Obstet Gynecol. 2003 May;188(5):1231-3. doi: 10.1067/mob.2003.351.
The purpose of this study was to describe the perceived quality of life and functional status of pregnant adolescent girls.
The Medical Outcomes Survey-Short Form 36, version 2, is a multi-item scale that measures a subject's perception of eight health components. These questionnaires and demographic surveys were completed by teen patients aged 14 to 18 years during antenatal visits to a university-based resident continuity clinic. Mean scores (0 points indicates the poorest perceived health and functional status, 100 points indicates the highest perceived health and functional status) were then compared with mean scores for women in the general population of all ages and, specifically, women aged 18 to 24 years.
Forty-two pregnant adolescent girls participated (median age, 16 years; median education level, 10th grade). Ninety-two percent of the girls belonged to a racial-ethnic minority, and all qualified for Medicaid. Pregnant adolescent girls had slightly lower overall scores for all components of perceived quality of life, with the exception of the vitality component. Scores were significantly lower than normative scores (by >1 SD) for only the physical functioning component.
There appears to be little change in perceived quality of life in pregnant adolescent girls. This information may be useful in the provision of comprehensive care to pregnant adolescent girls.
本研究旨在描述怀孕少女的生活质量感知和功能状态。
医学结局调查简表36,第2版,是一个多项目量表,用于测量受试者对八个健康组成部分的感知。这些问卷和人口统计学调查由14至18岁的青少年患者在前往大学附属居民连续性诊所进行产前检查时完成。然后将平均得分(0分表示健康和功能状态感知最差,100分表示健康和功能状态感知最佳)与所有年龄段女性的总体平均得分,特别是18至24岁女性的平均得分进行比较。
42名怀孕少女参与研究(年龄中位数为16岁;教育水平中位数为十年级)。92%的女孩属于少数族裔,且均符合医疗补助资格。怀孕少女在生活质量感知的所有组成部分中,除活力部分外,总体得分略低。仅身体功能部分的得分显著低于标准得分(超过1个标准差)。
怀孕少女的生活质量感知似乎变化不大。这些信息可能有助于为怀孕少女提供全面护理。