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接受他汀类药物治疗的家族性高胆固醇血症儿童及其父母的生活质量、焦虑和担忧

Quality of life, anxiety and concerns among statin-treated children with familial hypercholesterolaemia and their parents.

作者信息

de Jongh S, Kerckhoffs M C, Grootenhuis M A, Bakker H D, Heymans H S A, Last B F

机构信息

Department of Vascular Medicine, University of Amsterdam, Amsterdam, The Netherlands.

出版信息

Acta Paediatr. 2003 Sep;92(9):1096-101. doi: 10.1080/08035250310004298.

Abstract

AIM

To assess the quality of life, anxiety and concerns among statin-treated children with familial hypercholesterolaemia (FH) and their parents.

METHODS

69 FH children on statin therapy and 87 parents (51 families) participated in this study. Quality of life of the children, and anxiety levels of both the children and their parents, were investigated using self-report questionnaires. In addition, a questionnaire was designed to evaluate FH-specific concerns of these children and their parents on six different topics: 1, knowledge about FH; 2, experience of the disease; 3, family communication; 4, screening; 5, diet; and 6, experience of medication therapy.

RESULTS

FH children and their parents reported no problems with regard to quality of life and anxiety. In contrast, the FH survey showed specific FH-related concerns. One-third of the children thought that FH can be cured, and 44% of the children suffered from the fact they have FH, but taking medication makes them feel safer (62%). The majority of the children kept a low cholesterol diet and more than 50% took care not to eat too much fat. Almost 38% of the parents experienced FH as a burden to their family and 79% suffered because their child had FH.

CONCLUSION

These findings show that statin-treated children with FH and their parents did not report affected psychosocial functioning, but did show specific FH-related concerns.

摘要

目的

评估接受他汀类药物治疗的家族性高胆固醇血症(FH)患儿及其父母的生活质量、焦虑状况和担忧情况。

方法

69名接受他汀类药物治疗的FH患儿和87名父母(51个家庭)参与了本研究。使用自我报告问卷对患儿的生活质量以及患儿及其父母的焦虑水平进行了调查。此外,还设计了一份问卷,以评估这些患儿及其父母在六个不同主题上对FH的特定担忧:1. FH相关知识;2. 疾病经历;3. 家庭沟通;4. 筛查;5. 饮食;6. 药物治疗经历。

结果

FH患儿及其父母在生活质量和焦虑方面均未报告有问题。相比之下,FH调查显示了与FH相关的特定担忧。三分之一的患儿认为FH可以治愈,44%的患儿因患有FH而苦恼,但服药让他们感觉更安全(62%)。大多数患儿保持低胆固醇饮食,超过50%的患儿注意避免摄入过多脂肪。近38%的父母认为FH给家庭带来了负担,79%的父母因孩子患有FH而痛苦。

结论

这些研究结果表明,接受他汀类药物治疗的FH患儿及其父母未报告心理社会功能受到影响,但确实表现出与FH相关的特定担忧。

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