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接受保守治疗的特发性脊柱侧弯青少年的生活质量和压力水平

Quality of life and stress level in adolescents with idiopathic scoliosis subjected to conservative treatment.

作者信息

Kinel Edyta, Kotwicki Tomasz, Podolska Anna, Białek Marianna, Stryła Wanda

机构信息

Department of Rehabilitation, University of Medical Sciences, Poznan, Poland.

出版信息

Stud Health Technol Inform. 2012;176:419-22.

Abstract

Quality of life (QoL) and stress level of adolescents with idiopathic scoliosis is under growing consideration by physicians, physiotherapists and other specialists (psychologist, nurses). The aim of the study was to evaluate the quality of life and stress level in adolescents with idiopathic scoliosis who are under brace treatment. It involved 45 adolescents, ages ranging between 10.0 and 15.0 years, all with Adolescent Idiopathic Scoliosis (AIS) with Cobb angle between 20-45 degrees. The adolescents were wearing the same kind of brace (Chêneau orthosis) for more than 3 months for at least 12h per day. Two questionnaires were used: the Brace Questionnaire (BrQ) and Bad Sobernheim Stress Questionnaire (BSSQ). The analysis considered the type of treatment, curve location, correlation of the total score with age, Cobb angle and Bunnell rotation angle. The age was 13.6 ± 1.3 years. Cobb angle was 31.7 ± 7.6 degrees. The mean score for BrQ was 78.1 ± 11.3 points. Adolescents revealed higher score with BSSQ Deformity (median = 15) comparing to BSSQ Brace (median = 12). Conservative treatment does not severely impact on the quality of life of scoliotic adolescents. The adolescents who were under brace treatment suffered moderate level of stress from the deformity.

摘要

特发性脊柱侧弯青少年的生活质量(QoL)和压力水平越来越受到医生、物理治疗师及其他专家(心理学家、护士)的关注。本研究的目的是评估接受支具治疗的特发性脊柱侧弯青少年的生活质量和压力水平。研究涉及45名年龄在10.0至15.0岁之间的青少年,均为青少年特发性脊柱侧弯(AIS),Cobb角在20 - 45度之间。这些青少年佩戴同一种支具(谢诺支具)超过3个月,每天至少佩戴12小时。使用了两份问卷:支具问卷(BrQ)和巴特索伯恩海姆压力问卷(BSSQ)。分析考虑了治疗类型、侧弯位置、总分与年龄、Cobb角和邦内尔旋转角的相关性。年龄为13.6±1.3岁。Cobb角为31.7±7.6度。BrQ的平均得分为78.1±11.3分。与BSSQ支具(中位数 = 12)相比,青少年在BSSQ畸形方面得分更高(中位数 = 15)。保守治疗对脊柱侧弯青少年的生活质量没有严重影响。接受支具治疗的青少年因畸形承受中等程度的压力。

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