Dunamalyan R, Mardiyan M, Danielyan L, Mkrtchyan S, Chopikyan A
Yerevan State Medical University after M. Heratsi, Department of Health Governance and Economics; Department of ENT, Armenia.
Georgian Med News. 2017 Feb(263):60-64.
Quality of Life (QL) currently is one of the most important criteria for evaluating a child's function. The main characteristics of QL in pediatrics are the psychological, physical and social functioning of the body. Integral characteristics of QOL based on the subjective perception of the components of the child and his parents. As a result of the official statistics and our research it turned out that children in this age-group more often suffer from intestinal infections, anemia, hypertrophy, rickets, skin and subcutaneous fiber disease, deficiencies occurring in prenatal period. The aim of the research is to evaluate the peculiarities of QL criteria change in case of rickets. So far in Armenia there were no tools of QL assessment of children of an early age, thereby the most acceptable questionnaire of QUALIN was used to create Armenian version on its basis. We cooperated with MAPI institute and the authors of QUALIN(Qualite de vie du Nourisson) questionnaire (Manificat S., Dazord A,) and got MAPI's permission to apply the questionnaire in the Republic of Armenia. The questionnaire QUALIN was selected for studying children's QL. The results show that the QL of children with rickets is lower than the QL of the ones who are healthy. The difference is more vividly expressed in the following parameters of QL: neuropsychological development and physical health, the ability to stay alone. In this case the pediatricians have given lower mark of QL than parents. We think that one of the possible motives of such diversity is the professional approach of doctors who estimated the QL more strictly than parents did. So QUALIN international questionnaire can be applied to estimate the peculiarities of QL criteria change of children with rickets at an early age.
生活质量(QL)目前是评估儿童功能的最重要标准之一。儿科中生活质量的主要特征是身体的心理、生理和社会功能。基于儿童及其父母对各组成部分的主观认知的生活质量的整体特征。根据官方统计和我们的研究结果,该年龄组的儿童更常患肠道感染、贫血、肥大、佝偻病、皮肤和皮下纤维疾病,以及产前出现的缺陷。该研究的目的是评估佝偻病情况下生活质量标准变化的特点。到目前为止,亚美尼亚还没有评估幼儿生活质量的工具,因此在其基础上使用了最可接受的QUALIN问卷来创建亚美尼亚版本。我们与MAPI研究所及QUALIN(婴儿生活质量)问卷(马尼菲卡特S.、达佐尔德A.)的作者合作,并获得了MAPI在亚美尼亚共和国应用该问卷的许可。选择QUALIN问卷来研究儿童的生活质量。结果表明,佝偻病患儿的生活质量低于健康儿童。这种差异在生活质量的以下参数中表现得更为明显:神经心理发育和身体健康、独处能力。在这种情况下,儿科医生给出的生活质量评分低于父母。我们认为这种差异的一个可能原因是医生的专业方法,他们对生活质量的评估比父母更严格。因此,QUALIN国际问卷可用于评估幼儿佝偻病患儿生活质量标准变化的特点。