University of Nebraska Medical Center, College of Nursing, NE, USA; Children's Hospital and Medical Center, NE, USA.
Osteogenesis Imperfecta Specialty Clinic, Children's Hospital and Medical Center, NE, USA.
J Pediatr Nurs. 2020 Nov-Dec;55:75-82. doi: 10.1016/j.pedn.2020.06.009. Epub 2020 Jul 10.
The purpose of this research was to describe the health-related quality of life (HRQoL) perceptions of parents of children diagnosed with osteogenesis imperfecta (OI).
This research used a descriptive design with a comparative sample. The Child Health Questionnaire (CHQ-PF 28) parent form was used to assess HRQoL in a sample of 37 parents from a mid-western tertiary pediatric hospital OI specialty clinic. Comparisons were made with a sample of parents of well children.
Parent HRQoL perception scores were described in both the physical and psycho-social-emotional domains. The domains of physical function (PF), bodily pain (BP), general health (GH), parent impact-emotional (PE), and child self-esteem (SE) were the lowest HRQoL mean domain scores for the parents of the children diagnosed with OI. Ceiling and floor scores were calculated to describe the magnitude of the differences between the mean HRQoL perception domain scores of the two parent groups.
Low HRQoL physical and psycho-social-emotional mean domain scores in conjunction with small percentage scores in the ceiling (and greater percentage scores in the floor) for parents of children diagnosed with OI were described. Findings suggest the on-going need for research to identify interventions to promote physical functioning for the child diagnosed with OI. Outcome based programs for parent and family-centered psycho-social self-care should be developed. PracticeImplications: ip Comprehensive and longitudinal assessment of HRQoL for both parents and their children diagnosed with OI will assist in documenting the outcomes of interventions for the management of chronic care.
本研究旨在描述患有成骨不全症(OI)儿童的父母对健康相关生活质量(HRQoL)的感知。
本研究采用描述性设计和比较样本。使用儿童健康问卷(CHQ-PF 28)父母表格评估来自中西部三级儿科医院 OI 专科诊所的 37 名父母样本的 HRQoL。与健康儿童的父母样本进行比较。
描述了父母 HRQoL 感知分数在生理和心理社会情感领域。生理功能(PF)、身体疼痛(BP)、一般健康(GH)、父母影响-情感(PE)和儿童自尊(SE)领域的分数最低,表明 OI 患儿父母的 HRQoL 感知分数最低。计算了上限和下限分数,以描述两个父母群体的平均 HRQoL 感知分数之间差异的大小。
描述了患有 OI 儿童的父母的 HRQoL 生理和心理社会情感平均分数较低,加上上限(和下限的百分比分数较大)的百分比分数较小。研究结果表明,需要开展研究,确定促进患有 OI 的儿童生理功能的干预措施。应该制定以父母和家庭为中心的心理社会自我保健为基础的基于结果的计划。
对患有 OI 的父母及其子女进行全面和纵向的 HRQoL 评估,将有助于记录慢性病管理干预措施的结果。