唇腭裂患儿父母的家庭功能与生活质量

Family Functions and Life Quality of Parents of Children With Cleft Lip and Palate.

作者信息

Aslan Belma I, Gülşen Ayşe, Tirank Şadiye B, Findikçioğlu Kemal, Uzuner F Deniz, Tutar Hakan, Üçüncü Neslihan

机构信息

Department of Orthodontics, Faculty of Dentistry.

Department of Plastic, Reconstructive and Aesthetic Surgery.

出版信息

J Craniofac Surg. 2018 Sep;29(6):1614-1618. doi: 10.1097/SCS.0000000000004611.

Abstract

OBJECTIVE

This study was designed to identify variables affecting family functions and life quality of parents with cleft lip and/or palate children.

MATERIALS AND METHODS

Family Assesment Scale (FAS) and short form of World Health Organization quality of life (WHOQOL-BREF-TR) were used to measure family functions and life quality of parents. Questionnaire Forms were given to 146 parents: 74 having cleft lip and/or palate children (cleft-group), and the other 72 with healthy children (control-group). Parents were divided into 3 subgroups according to children's age as 0 to 6, 7 to 12, and 13 to 18 years. Kruskal-Wallis and Mann-Whitney U tests were used to evaluate differences between the groups.

RESULTS

Behavior of cleft patients' parents was found to be problematic in behavioral control, required attention and role areas at 0 to 6 years, required attention area at ages 7 to 12 and 13 to 18 years. When compared to control group, significant differences were detected in required attention at ages 0 to 6 years, problem-solving, and communication areas at 7 to 12 years. Findings of life quality were found to be over medium level in physical, social, psychological and environmental areas in cleft group at all age groups; however, life quality was found better in control group in physical, psychological, and social subtests at age 13 to 18 years.

CONCLUSION

Cleft children influence family functions in behavioral control, required attention and role areas at early childhood, and continue to affect required attention through adolescence. Also social, physical, and psychological fields of life quality were found lower in cleft parents compared to control group at adolescence.

摘要

目的

本研究旨在确定影响唇腭裂患儿父母家庭功能和生活质量的变量。

材料与方法

采用家庭评估量表(FAS)和世界卫生组织生活质量简表(WHOQOL-BREF-TR)来测量父母的家庭功能和生活质量。向146名父母发放问卷:74名有唇腭裂患儿(腭裂组),另外72名有健康儿童(对照组)。根据孩子年龄将父母分为3个亚组,分别为0至6岁、7至12岁和13至18岁。采用Kruskal-Wallis检验和Mann-Whitney U检验评估组间差异。

结果

发现腭裂患儿父母在0至6岁时的行为控制、所需关注和角色领域存在问题,在7至12岁和13至18岁时所需关注领域存在问题。与对照组相比,0至6岁时所需关注、7至12岁时解决问题和沟通领域存在显著差异。发现腭裂组在所有年龄组的身体、社会、心理和环境领域的生活质量结果均高于中等水平;然而,在13至18岁时,对照组在身体、心理和社会子测试中的生活质量更好。

结论

腭裂患儿在幼儿期会影响家庭在行为控制、所需关注和角色领域的功能,并在整个青春期持续影响所需关注。此外,与对照组相比,腭裂患儿父母在青春期的生活质量在社会、身体和心理领域较低。

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