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伊朗西南部重型β地中海贫血患儿及青少年的生活满意度

Life Satisfaction in children and adolescents with beta thalassemia major in southwest Iran.

作者信息

Hatami Gissou, Motamed Niloofar

机构信息

Assistant Professor of Pediatrics, Department of Pediatrics, Ali-e- Asghar Pediatric Center, Faculty of Medicine, Bushehr University of Medical Sciences, Bushehr, Iran.

Associate Professor of Community Medicine, Department of Community Medicine, Faculty of Medicine, Bushehr University of Medical Sciences, Moallem Street, Bushehr, Iran.

出版信息

Electron Physician. 2014 Feb 1;6(1):759-67. doi: 10.14661/2014.759-767. eCollection 2014 Jan-Mar.

Abstract

BACKGROUND

Beta thalassemia major has a considerable impact on quality of life. The purpose of this study was to determine the life satisfaction of beta-thalassemic children and adolescents compared to healthy controls.

METHODS

This research, conducted in 2009, was a controlled, cross-sectional study in which beta-thalassemic patients, who were being followed-up by the Thalassemic Center in Bushehr, a city in southern Iran, were compared with a healthy control group. The Multi-dimensional Student Life Satisfaction Scale (MSLSS) was used to measure the participants' quality of life in five domains. The chi-squared test, t-test, Pearson's Product Moment Correlation, and multiple regression analysis were used for the statistical analyses.

RESULTS

The unadjusted mean scores of three of the domains, i.e., school, friends, and living environment, and the total score of five domains, i.e., school, friends, living environment, family, and self, were significantly higher in thalassemic patients than in the control group (P < 0.05). These significant differences were persistent after adjusting the mean scores of the three domains and the total score of the five domains for age, gender, and educational level.

CONCLUSION

The thalassemic patients were more satisfied with life than the healthy controls in Bushehr. Many factors may be responsible for this finding. The results of this study suggest that the attitude of parents and society concerning assigning responsibility to patients should be assessed. The assessment should include comparing the satisfaction with life of thalassemic patients with that of their healthy siblings and conducting national studies on the quality of life of thalassemic patients and their satisfaction with life.

摘要

背景

重型β地中海贫血对生活质量有相当大的影响。本研究的目的是确定与健康对照相比,β地中海贫血儿童和青少年的生活满意度。

方法

这项于2009年开展的研究是一项对照横断面研究,将伊朗南部城市布什尔的地中海贫血中心所随访的β地中海贫血患者与一个健康对照组进行比较。使用多维学生生活满意度量表(MSLSS)来测量参与者在五个领域的生活质量。采用卡方检验、t检验、皮尔逊积矩相关和多元回归分析进行统计分析。

结果

地中海贫血患者在三个领域(即学校、朋友和生活环境)的未调整平均得分以及五个领域(即学校、朋友、生活环境、家庭和自我)的总得分显著高于对照组(P < 0.05)。在对这三个领域的平均得分和五个领域的总得分进行年龄、性别和教育水平调整后,这些显著差异仍然存在。

结论

在布什尔,地中海贫血患者比健康对照组对生活更满意。许多因素可能导致这一结果。本研究结果表明,应评估父母和社会对患者责任分配的态度。评估应包括比较地中海贫血患者与其健康兄弟姐妹的生活满意度,并开展关于地中海贫血患者生活质量及其对生活满意度的全国性研究。

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