Hsieh R L, Huang H Y, Lin M I, Wu C W, Lee Wen-Chung
Department of Physical Medicine and Rehabilitation, Shin-Kong Wu Ho-Su Memorial Hospital, and Taipei Medical University, Taipei, Taiwan.
Child Care Health Dev. 2009 Mar;35(2):243-9. doi: 10.1111/j.1365-2214.2008.00927.x. Epub 2009 Jan 8.
To study the quality of life, health satisfaction and family impact on caregivers of children with developmental delays in Taiwan.
Cross-sectional study.
The caregivers of children with diagnoses of developmental delays recruited from a teaching hospital in northern Taiwan.
The main caregivers of 48 male and 22 female children with developmental delays were recruited. WHOQOL-BREF for health-related quality of life (HRQOL), PedsQL-Health Satisfaction for health satisfaction, PedsQL-Family Impact Module and Impact on Family Scale for family impact were evaluated. The correlation of caregivers' HRQOL, health satisfaction and family impact were also studied.
Caregivers in nuclear families had higher health satisfaction scores (78.2 for nuclear families vs. 66.9 for extended families, P < 0.05) when assessed by the PedQL-Health Satisfaction questionnaire. Children's age was negatively correlated with family impact, including parent (-0.272, P = 0.023), family (-0.262, P = 0.029) and total scores (-0.281, P = 0.018) as assessed using the PedsQL-Family Impact Module.
A negative relation between impact of burden and child's age suggests that family members gradually adapt to the delayed developmental status in their children as they grow. Caregivers in nuclear families having higher health satisfaction than those in extended families may be due to Chinese cultural effects.
研究台湾发育迟缓儿童照顾者的生活质量、健康满意度及家庭影响。
横断面研究。
从台湾北部一家教学医院招募的发育迟缓儿童的照顾者。
招募了48名男童和22名女童发育迟缓的主要照顾者。评估了与健康相关的生活质量(HRQOL)的世界卫生组织生活质量简表(WHOQOL-BREF)、健康满意度的儿童生活质量量表-健康满意度(PedsQL-Health Satisfaction)、儿童生活质量量表-家庭影响模块(PedsQL-Family Impact Module)以及家庭影响量表(Impact on Family Scale)。还研究了照顾者的HRQOL、健康满意度与家庭影响之间的相关性。
通过儿童生活质量量表-健康满意度问卷评估,核心家庭的照顾者健康满意度得分更高(核心家庭为78.2,大家庭为66.9,P<0.05)。使用儿童生活质量量表-家庭影响模块评估,儿童年龄与家庭影响呈负相关,包括父母(-0.272,P=0.023)、家庭(-0.262,P=0.029)和总分(-0.281,P=0.018)。
负担影响与儿童年龄之间的负相关表明,家庭成员随着孩子成长逐渐适应孩子发育迟缓的状况。核心家庭的照顾者比大家庭的照顾者健康满意度更高,可能是受中国文化的影响。