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有一个患哮喘的兄弟姐妹会影响儿童的生活质量吗?

Does having an asthmatic sibling affect the quality of life in children?

作者信息

Yılmaz Özge, Türkeli Ahmet, Karaca Özlem, Yüksel Hasan

机构信息

Division of Pediatric Allergy and Immunogy, Celal Bayar University, Manisa, Turkey.

Eskişehir State Hospital, Eskişehir, Turkey.

出版信息

Turk J Pediatr. 2017;59(3):274-280. doi: 10.24953/turkjped.2017.03.007.

DOI:10.24953/turkjped.2017.03.007
PMID:29376572
Abstract

Yılmaz Ö, Türkeli A, Karaca Ö, Yüksel H. Does having an asthmatic sibling affect the quality of life in children? Turk J Pediatr 2017; 59: 274-280. Chronic illness in a family member leads to deterioration of quality of life in other members of that family. We aimed to investigate the influence of having an asthmatic sibling on a childs quality of life (QoL). We enrolled 2-12 year aged healthy children with an asthmatic sibling in the study group and healthy children with a healthy sibling in the control group of this cross-sectional study. Sociodemographic characteristics of children and disease severity characteristics of asthmatic siblings were recorded. All parents filled in Turkish generic PedsQLTM short form appropriate for the childs age group. Study and control groups had 114 children each. Total PedsQLTM scores were not significantly different in any of the age groups (p=0.23, p=0.13, p= 0.11 respectively). Emotional PedsQLTM sub-scores in children with an asthmatic sibling were significantly worse (83.0±16.5 vs 91.6±10.9 in the 2-4 year age group, 72.0±17.8 vs 92.2±11.6 in the 5-7 year age group, 73.7±24.1 vs 88.7±14.8 in the 8-12 year age group respectively, p≤0.002 for all). Similarly, psychosocial sub-score was significantly lower in the 2-4 and 5-7-year-olds but not the 8-12 year old groups (p=0.01, p=0.01, p=0.08 respectively). In conclusion, healthy children with asthmatic siblings have significantly lower emotional QoL and this needs to investigated for other chronic diseases in further research.

摘要

伊尔马兹·Ö、图尔凯利·A、卡拉卡·Ö、于克塞尔·H。有哮喘病的兄弟姐妹会影响儿童的生活质量吗?《土耳其儿科学杂志》2017年;59: 274 - 280。家庭成员中的慢性病会导致该家庭其他成员生活质量下降。我们旨在研究有哮喘病的兄弟姐妹对儿童生活质量(QoL)的影响。在这项横断面研究中,我们将研究组纳入了2至12岁有哮喘病兄弟姐妹的健康儿童,对照组纳入了有健康兄弟姐妹的健康儿童。记录了儿童的社会人口学特征以及哮喘病兄弟姐妹的疾病严重程度特征。所有家长填写适合孩子年龄组的土耳其通用儿童生活质量量表(PedsQLTM)简表。研究组和对照组各有114名儿童。在任何年龄组中,儿童生活质量量表(PedsQLTM)的总分均无显著差异(分别为p = 0.23、p = 0.13、p = 0.11)。有哮喘病兄弟姐妹的儿童在儿童生活质量量表(PedsQLTM)情感子量表得分明显更差(2至4岁年龄组中分别为83.0±16.5对91.6±10.9,5至7岁年龄组中为72.0±17.8对92.2±11.6,8至12岁年龄组中为73.7±24.1对88.7±14.8,所有p≤0.002)。同样,心理社会子量表得分在2至4岁和5至7岁儿童中显著更低,但在8至12岁儿童组中并非如此(分别为p = 0.01、p = 0.01、p = 0.08)。总之,有哮喘病兄弟姐妹的健康儿童情感生活质量显著更低,这需要在进一步研究中针对其他慢性病进行调查。

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