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意大利智力障碍患者个体生活质量与家庭生活质量的关系。

Relationship between individual quality of life and family quality of life for people with intellectual disability living in Italy.

机构信息

CREA (AMG Centre for Research and Evolution), Firenze, Italy.

出版信息

J Intellect Disabil Res. 2011 Dec;55(12):1136-50. doi: 10.1111/j.1365-2788.2011.01464.x. Epub 2011 Aug 30.

Abstract

BACKGROUND

There is substantial literature investigating quality of life (QoL) of individuals with intellectual disability (ID). QoL of families of people with ID is emerging as an important field of research. Despite this, there is a lack of studies regarding their relationship.

AIM

The present paper aimed to study the relationship between QoL scores of individuals with ID and members of their families.

METHODS

Twenty-seven parents or relatives of 27 adults with ID were recruited by four different research centres across Tuscany (Italy) to be interviewed through the Italian adaptation of the Family Quality of Life Survey - 2006 (FQoLS-2006), a tool developed for use in a multiple-country study on family QoL. The FQoLS-2006 was translated and adapted to Italian through three revisions. The last was submitted to the authors of the original version, who also maintain an electronic data file and data archive for statistical evaluations in various countries. QoL of persons with ID was assessed through the administration of the Quality of Life - Instrument Package. QoL scores were analysed to describe population characteristics and to examine the relationships among measures of individual and family QoL using correlations (Pearson and Spearman).

RESULTS

Findings showed that family ratings of QoL were generally low. Families interviewed reported a low level of QoL in 'Support from Others' and 'Community Interaction', while 'Family Relationships' and 'Health of the Family' rated higher. For individual QoL, individuals had the lowest scores in the area of 'Spiritual being' and higher scores in the area of 'Physical being'. Correlations examining possible relationships among Importance, Satisfaction and Opportunities found some statistically significant correlation coefficients between some aspects of the three main areas of individual QoL (Being, Belonging and Becoming) and the nine family domains. Most of these correlations regarded family 'Financial Well-Being', 'Family Relationships, 'Support from Service' and 'Support from Others' areas.

CONCLUSIONS

The results of this study suggest that QoL is perceived somewhat differently by individuals with ID and by members of their families. This difference could negatively impact QoL of people with ID, if their views are not taken into account when planning for family support. The relationships between individual and family QoL appear to be quite complex, and such complexity needs to be clarified in future research.

摘要

背景

有大量文献研究智力障碍(ID)个体的生活质量(QoL)。ID 患者家属的生活质量正成为一个重要的研究领域。尽管如此,关于两者关系的研究仍然缺乏。

目的

本研究旨在探讨 ID 个体的生活质量评分与家属生活质量评分之间的关系。

方法

本研究招募了来自意大利托斯卡纳四个不同研究中心的 27 名 ID 成年患者的 27 名父母或亲属作为受访者,通过意大利版家庭生活质量调查-2006(FQoLS-2006)进行访谈,该工具是为多国家庭生活质量研究而开发的。FQoLS-2006 通过三次修订被翻译成意大利语并进行了调整。最后一次修订提交给了原始版本的作者,他们还为各国的统计评估维护一个电子数据文件和数据档案。ID 个体的生活质量通过使用生活质量-工具包进行评估。使用相关分析(Pearson 和 Spearman)分析生活质量评分,以描述人口特征,并检验个体和家庭生活质量测量之间的关系。

结果

研究结果表明,家庭生活质量评分普遍较低。接受访谈的家庭报告称,在“他人支持”和“社区互动”方面的生活质量较低,而在“家庭关系”和“家庭健康”方面的评分较高。对于个体生活质量,个体在“精神存在”方面的得分最低,在“身体存在”方面的得分较高。检验个体生活质量的重要性、满意度和机会之间可能存在的关系的相关分析发现,个体生活质量的三个主要领域(存在、归属和成长)和家庭的九个领域之间存在一些具有统计学意义的相关系数。这些相关性大多涉及家庭的“经济状况”、“家庭关系”、“服务支持”和“他人支持”领域。

结论

本研究结果表明,ID 个体和家属对生活质量的感知存在差异。如果在为家庭提供支持时不考虑 ID 个体的观点,这种差异可能会对 ID 个体的生活质量产生负面影响。个体和家庭生活质量之间的关系似乎相当复杂,需要在未来的研究中进一步澄清。

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