Mardiyan Marine, Mkrtchyan Siranush, Shukuryan Artur, Chopikyan Armine, Dunamalyan Razmik, Danielyan Lusine
Department of Health Governance and Economics, Yerevan State Medical University, 2 Koryun Street, 0025, Yerevan, Armenia.
Department of ENT diseases, Yerevan State Medical University, Yerevan, Armenia.
Health Qual Life Outcomes. 2017 Aug 25;15(1):171. doi: 10.1186/s12955-017-0741-6.
A number of the QL researches in case of different pathologies are being increased during the last decade. The existing traditional research methods provide mostly arbitrary data on the disease and its treatment, which are not sufficient for the schoolchildren overall psychological and social adaptation and wellness evaluation.
The research object became schoolchildren of 3 randomly selected schools in Yerevan. 443 monitoring units formed the selection population. The degree of situational and personal anxiety was evaluated with the help of Spielberger's and Gerbachevski's tests.
According to our research data the anxiety degree was 29,2 ± 2,3 points among the girls and 12,5 ± 1,6 points among the boys, respectively. The individual anxiety level was especially high: it made up 44,5 ± 0,8 points, and that of the situational anxiety made up 37,2 ± 0,5 points (p < 0,05). According to Gerbachovski's test in the group of schoolchildren with ENT pathology those with a high level of demands made up 53,5 ± 3,2%, with a medium level of demands - 32,4 ± 3,0% and with a low level of demands -14,1 ± 2,2%. A number of the practically healthy schoolchildren with a low level of demands made up 50,3%, and with a high level - 30,7%.
According to the investigation data those children who suffer from the ENT chronic diseases usually avoided communication, were sluggish and shy. According to the results of the research, the socio-psychological and adaptation abilities of children with the ENT chronic diseases were lower than those of the practically healthy (without ENT pathologies) coevals. This fact urges to improve the prophylactic measures provision in the mentioned pathologies aspect.
在过去十年中，针对不同病理情况的生活质量（QL）研究数量不断增加。现有的传统研究方法大多提供关于疾病及其治疗的随意数据，这些数据不足以用于对学童的整体心理和社会适应以及健康状况进行评估。
研究对象为埃里温随机选取的3所学校的学童。443个监测单位构成了抽样总体。借助斯皮尔伯格测试和格尔巴乔夫斯基测试评估情境焦虑和个人焦虑程度。
根据我们的研究数据，女孩的焦虑程度分别为29.2±2.3分，男孩为12.5±1.6分。个人焦虑水平尤其高：为44.5±0.8分，情境焦虑水平为37.2±0.5分（p<0.05）。根据格尔巴乔夫斯基测试，在患有耳鼻喉科疾病的学童组中，高需求水平的占53.5±3.2%，中等需求水平的占32.4±3.0%，低需求水平的占14.1±2.2%。一些需求水平低的实际健康学童占50.3%，高需求水平的占30.7%。
根据调查数据，患有耳鼻喉科慢性病的儿童通常避免交流，行动迟缓且害羞。根据研究结果，患有耳鼻喉科慢性病的儿童的社会心理和适应能力低于实际健康（无耳鼻喉科疾病）的同龄人。这一事实促使在上述病理方面改进预防措施。
