发展中国家严重未经治疗的特发性早发性脊柱侧凸青少年的健康相关生活质量和身体形象障碍。
Health-related Quality of Life and Body Image Disturbance of Adolescents With Severe Untreated Idiopathic Early-onset Scoliosis in a Developing Country.
机构信息
Department of Orthopaedic Surgery, Al Zahraa University Hospital, Al-Azhar University, Cairo, Egypt.
出版信息
Spine (Phila Pa 1976). 2018 Nov 15;43(22):1566-1571. doi: 10.1097/BRS.0000000000002686.
STUDY DESIGN
A cross-sectional study.
OBJECTIVE
This study aimed to investigate the health-related quality of life (HRQOL) and body image disturbance of adolescents with untreated severe idiopathic early-onset scoliosis (IEOS) in a developing country.
SUMMARY OF BACKGROUND DATA
IEOS has the potential to progress rapidly and may lead to significant disability if left untreated. Moreover, it can lead to significant body image changes that may lead to social and psychological stresses on developing adolescents. In developing countries, untreated severe IEOS among adolescents is common.
METHODS
The Scoliosis Research Society 22 revision (SRS-22r) Arabic version questionnaire and Body Image Disturbance Questionnaire-Scoliosis version (BIDQ-S) were used to investigate the HRQOL and body image disturbance of these patients.
RESULTS
A total of 137 patients with untreated severe IEOS (mean age, 15.5 years; range, 12-21 years) were included: group 1 (76 patients) with major curve angles of 90° to 120°, group 2 (61 patients) with major curve angles above 120°, and group 3 comprising 50 healthy controls were used for comparison. No significant differences were found regarding age, sex, and body mass index among the groups. Group 1 had significantly lower scores than group 3 in all SRS-22r domains (P < 0.001). Group 2 had significantly lower scores than group 1 in all SRS-22r domains, except for satisfaction (P < 0.005); the satisfaction domain had 100% worst answers in groups 1 and 2. Group 2 had worse scores than group 1 in all BIDQ-S questions (P < 0.001). No significant differences were found between males and females in all SRS-22r domains and BIDQ-S questions (P > 0.05). Further, 13% to 100% and 25% to 71% of the patients provided the worst answers to the SRS-22r and BIDQ-S questions, respectively.
CONCLUSION
The HRQOL and body image of the adolescents with untreated severe IEOS in a developing country were severely impaired.
LEVEL OF EVIDENCE
研究设计
一项横断面研究。
目的
本研究旨在调查发展中国家未经治疗的严重特发性早发性脊柱侧凸（IEOS）青少年的健康相关生活质量（HRQOL）和身体形象障碍。
背景资料概要
IEOS 有快速进展的潜力，如果不治疗，可能会导致严重的残疾。此外，它会导致显著的身体形象变化，这可能会给发育中的青少年带来社会和心理压力。在发展中国家，青少年未经治疗的严重 IEOS 很常见。
方法
使用 Scoliosis Research Society 22 修订版（SRS-22r）阿拉伯语版问卷和身体形象障碍问卷-脊柱侧凸版（BIDQ-S）调查这些患者的 HRQOL 和身体形象障碍。
结果
共纳入 137 例未经治疗的严重 IEOS 患者（平均年龄 15.5 岁，范围 12-21 岁）：第 1 组（76 例）主曲线角度为 90°-120°，第 2 组（61 例）主曲线角度大于 120°，第 3 组包括 50 名健康对照用于比较。各组间年龄、性别和体重指数无显著差异。第 1 组在所有 SRS-22r 领域的得分均显著低于第 3 组（P<0.001）。第 2 组在所有 SRS-22r 领域的得分均显著低于第 1 组，除满意度外（P<0.005）；第 1 组和第 2 组的满意度领域均有 100%最差答案。第 2 组在所有 BIDQ-S 问题上的得分均差于第 1 组（P<0.001）。在所有 SRS-22r 领域和 BIDQ-S 问题中，男性和女性之间均无显著差异（P>0.05）。此外，分别有 13%至 100%和 25%至 71%的患者对 SRS-22r 和 BIDQ-S 问题给出了最差答案。
结论
发展中国家未经治疗的严重 IEOS 青少年的 HRQOL 和身体形象受到严重损害。
证据水平
3 级。
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