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父母对智力残疾儿童和青年生活质量影响的纵向研究。

Longitudinal study of parents' impact on quality of life of children and young adults with intellectual disabilities.

机构信息

Institute of Health Policy & Management (iBMG), Erasmus University, Rotterdam, The Netherlands.

出版信息

J Appl Res Intellect Disabil. 2012 Jan;25(1):20-8. doi: 10.1111/j.1468-3148.2011.00640.x. Epub 2011 Aug 8.

Abstract

BACKGROUND

Earlier research has distinguished five domains of Quality of life (QoL) for people with ID: material well-being, development and activity, physical well-being, social well-being, and emotional well-being. We investigated parents' perspectives on these domains and QoL for children and young adults with ID and hypothesized that parents' well-being would be a predictive factor in QoL of their children with ID.

METHODS

Our longitudinal study administered questionnaires to parents at T0 (n = 147) and T1 (n = 108). The inclusion criteria were: (i) the child's age 0-24 years and (ii) the child's intellectual disability (IQ < 70 or IQ < 85 in combination with behavioural problems).

RESULTS

Social well-being of parents (P ≤ 0.001), changes in parents' social well-being (P ≤ 0.01) and changes in children's social well-being (P ≤ 0.05) were strong predictors of QoL for children with ID. Emotional well-being of children with ID (P ≤ 0.01), changes in children's emotional well-being (P ≤ 0.01) and changes in emotional well-being of parents (P ≤0.05) also predicted QoL of children with ID. Material well-being of parents, and health, development and activity of the children were not predictors.

CONCLUSION

Our study revealed that predictors of QoL in children and young adults with ID occurred in the following domains: physical well-being (children), social well-being (parents and children) and emotional well-being (parents and children).

摘要

背景

早期研究已经区分了 ID 患者的五个生活质量(QoL)领域:物质福利、发展和活动、身体健康、社会福利和情感福利。我们调查了父母对这些领域以及 ID 儿童和年轻人的生活质量的看法,并假设父母的幸福感将是 ID 儿童生活质量的预测因素。

方法

我们的纵向研究在 T0(n=147)和 T1(n=108)时向父母发放了问卷。纳入标准为:(i)孩子的年龄为 0-24 岁,(ii)孩子的智力残疾(智商<70 或智商<85 结合行为问题)。

结果

父母的社会福利(P≤0.001)、父母社会福利的变化(P≤0.01)和儿童社会福利的变化(P≤0.05)是 ID 儿童生活质量的有力预测因素。ID 儿童的情感福利(P≤0.01)、儿童情感福利的变化(P≤0.01)和父母情感福利的变化(P≤0.05)也预测了 ID 儿童的生活质量。父母的物质福利以及儿童的健康、发展和活动不是预测因素。

结论

我们的研究表明,ID 儿童和年轻人生活质量的预测因素出现在以下领域:身体健康(儿童)、社会福利(父母和儿童)和情感福利(父母和儿童)。

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