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利用国家质量登记处监测1型糖尿病儿童的健康相关生活质量:一项试点研究。

Use of the national quality registry to monitor health-related quality of life of children with type 1 diabetes: a pilot study.

作者信息

Petersson Christina, Huus Karina, Samuelsson Ulf, Hanberger Lena, Akesson Karin

机构信息

Jonkoping University, Sweden

School of Health Science, Sweden.

出版信息

J Child Health Care. 2015 Mar;19(1):30-42. doi: 10.1177/1367493513496674. Epub 2013 Aug 23.

Abstract

The management of diabetes is complicated, as treatment affects the everyday life of both children and their families. To enable optimal care for children with type 1 diabetes, it is important to highlight health-related quality of life (HrQoL) as well as medical outcomes to detect psychological problems that otherwise could be missed. The aim was to study HrQoL in children and adolescents with type 1 diabetes dependent on gender, age and co-morbidity and to study the consistency between children's self-reporting and parents' proxy reporting. The cross-sectional data were collected using the questionnaire DISABKIDS Chronic Generic Measure and the DISABKIDS diabetes module. Parents in the proxy report perceived their children's HrQoL to be lower than children themselves. Boys reported their HrQoL to be better than girls. Results show that living with an additional disease has an impact on the HrQoL, which is an important factor to consider in the quality registry. Assessing HrQoL on a routine basis may facilitate detection and discussion of HrQoL-related questions in the national quality registry.

摘要

糖尿病的管理很复杂,因为治疗会影响儿童及其家庭的日常生活。为了能为1型糖尿病儿童提供最佳护理,强调与健康相关的生活质量(HrQoL)以及医疗结果以发现那些否则可能会被遗漏的心理问题很重要。目的是研究1型糖尿病儿童和青少年的HrQoL与性别、年龄和合并症的关系,并研究儿童自我报告与父母代理报告之间的一致性。横断面数据通过问卷《残疾儿童慢性病通用量表》和《残疾儿童糖尿病模块》收集。在代理报告中,父母认为他们孩子的HrQoL低于孩子自己的感知。男孩报告他们的HrQoL比女孩好。结果表明,患有其他疾病会对HrQoL产生影响,这是质量登记中需要考虑的一个重要因素。在国家质量登记中定期评估HrQoL可能有助于发现和讨论与HrQoL相关的问题。

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