Blank Sarah J, Grindler David J, Schulz Kristine A, Witsell David L, Lieu Judith E C
Department of Otolaryngology-Head and Neck Surgery, Washington University School of Medicine, St Louis, Missouri, USA.
Division of Otolaryngology-Head and Neck Surgery, Duke University School of Medicine, Durham, North Carolina, USA.
Otolaryngol Head Neck Surg. 2014 Aug;151(2):348-53. doi: 10.1177/0194599814531912. Epub 2014 Apr 18.
Otitis media (OM) in children is the most frequent reason for physician visits in developed countries and burdens caregivers, society, and the child. Our objective was to describe the impact of OM severity on parent/caregiver quality of life (QoL).
Multi-institutional prospective cross-sectional study.
Otolaryngology, family, and pediatric practices.
Children 6 to 24 months old with and without a primary diagnosis of recurrent OM and their caregivers. Physicians provided patient history, and parents/caregivers completed a Family Information Form, the PedsQL Family Impact survey, the Patient Reported Outcomes Measurement Information System (PROMIS) survey, and the OM 6-item severity survey (OM-6).
A total of 2413 subjects were enrolled and data from 1208 patients and physician were analyzed. The average child age was 16 months, and 54% were male. The mean OM-6 score was 3.2. The mean PedsQL Family Impact score for parents was 66.9 from otolaryngology sites and 78.8 from pediatrics/family practice sites (P < .001). Higher (worse) OM-6 scores correlated significantly with worse PedsQL Family Impact scores (Pearson r = -0.512, P < .01). Similarly, increasing OM-6 scores strongly correlated with increased parental anxiety, depression, and fatigue, as well as decreased satisfaction (all P < .01).
Worse PedsQL Family Impact and PROMIS scores were highly correlated with elevated OM-6 scores, suggesting that severity of childhood OM significantly affects parent/caregiver QoL. Understanding the impact of a child's illness on parent/caregiver QoL can help physicians counsel patients and families and provide better family-centered, compassionate care.
在发达国家，儿童中耳炎（OM）是就医的最常见原因，给照料者、社会和儿童带来负担。我们的目的是描述中耳炎严重程度对父母/照料者生活质量（QoL）的影响。
多机构前瞻性横断面研究。
耳鼻喉科、家庭医疗和儿科诊所。
6至24个月大、有或无复发性中耳炎初步诊断的儿童及其照料者。医生提供患者病史，父母/照料者填写家庭信息表、儿童生活质量量表家庭影响调查问卷、患者报告结局测量信息系统（PROMIS）调查问卷以及中耳炎6项严重程度调查问卷（OM-6）。
共纳入2413名受试者，分析了1208名患者和医生的数据。儿童平均年龄为16个月，54%为男性。OM-6平均得分为3.2。耳鼻喉科诊所父母的儿童生活质量量表家庭影响平均得分为66.9，儿科/家庭医疗诊所为78.8（P <.001）。较高（较差）的OM-6得分与较差的儿童生活质量量表家庭影响得分显著相关（Pearson r = -0.512，P <.01）。同样，OM-6得分增加与父母焦虑、抑郁和疲劳增加以及满意度降低密切相关（均P <.01）。
较差的儿童生活质量量表家庭影响得分和PROMIS得分与升高的OM-6得分高度相关，表明儿童中耳炎的严重程度显著影响父母/照料者的生活质量。了解儿童疾病对父母/照料者生活质量的影响有助于医生为患者及其家庭提供咨询，并提供更好的以家庭为中心的关怀护理。
