Easton Jill A, Landgraf Jeanne M, Casamassimo Paul S, Wilson Stephen, Ganzberg Steven
Department of Health Promotion and Policy, University of Maryland School of Dentistry, Baltimore, MD, USA.
Community Dent Oral Epidemiol. 2008 Oct;36(5):434-40. doi: 10.1111/j.1600-0528.2007.00417.x. Epub 2008 Apr 21.
This prospective study evaluated the reliability and validity of the Infant and Toddler Child Quality of Life Questionnaire (ITQOL) by comparing quality of life (QOL) of two groups of children afflicted with early childhood dental caries with a caries-free group.
A convenience sample of 150 children divided into three groups (mean age [months] 51 +/- 15) was studied. Group I (OR) had extensive dental caries and were waiting for several months for treatment under general anesthesia. Group II were children who sought emergency services for acute odontogenic pain/abscess, and group III were children who were caries-free new patients. Parents/caretakers were administered the ITQOL, which assesses a child's physical, emotional and social well being from the parent/guardian's perspective.
The ITQOL had high success in item validity with good reliability. Significant differences in QOL were noted for scales of pain and discomfort, behavior and moods, global behavior, and impact on parental time (P <or= 0.05) among the three groups. No significant differences were noted for scales of growth and development, general health and impact on parents' emotional and mental health.
The ITQOL proved to be a useful instrument for characterizing QOL in this dental caries-afflicted sample. Overall, children with chronic and acute dental caries had a poorer QOL than caries-free children in areas of behavior, mood, pain and parental impact.
本前瞻性研究通过比较两组患早期儿童龋的儿童与一组无龋儿童的生活质量(QOL),评估婴幼儿生活质量问卷(ITQOL)的信度和效度。
研究选取了150名儿童的便利样本,分为三组(平均年龄[月]51±15)。第一组(OR)有广泛的龋齿,正在等待数月后进行全身麻醉下的治疗。第二组是因急性牙源性疼痛/脓肿寻求急诊服务的儿童,第三组是无龋的新患者。向父母/照料者发放ITQOL,该问卷从父母/监护人的角度评估儿童的身体、情感和社会幸福感。
ITQOL在项目效度方面取得了很高的成功率,信度良好。三组之间在疼痛与不适、行为与情绪、整体行为以及对父母时间的影响等量表上的生活质量存在显著差异(P≤0.05)。在生长发育、总体健康以及对父母情绪和心理健康的影响等量表上未发现显著差异。
在这个患龋样本中,ITQOL被证明是一种用于描述生活质量的有用工具。总体而言,患有慢性和急性龋齿的儿童在行为、情绪、疼痛和对父母的影响等方面的生活质量比无龋儿童差。