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与儿童哮喘健康相关生活质量相关的风险因素。

Risk factors associated with health-related quality of life in pediatric asthma.

机构信息

Department of Respiratory Medicine, Anhui Provincial Children's Hospital, Anhui, China.

出版信息

Sci Prog. 2021 Apr-Jun;104(2):368504211013657. doi: 10.1177/00368504211013657.

Abstract

To evaluate the quality of life (QOL) of children with asthma and analyze the related factors. A total of 360 children diagnosed with asthma were enrolled. We conducted the pediatric asthma quality of life questionnaire (PAQLQ). The differences in clinical characteristics between the two groups were compared. Clinical characteristics were compared between high and low QOL. More female was observed in low QOL group ( = 0.013). Patients with higher income ( = 0.003) were shown with higher QOL. Female patients presented significantly lower values for activity limitation ( = 0.016) and emotional function ( = 0.016) as compared to male patients. For patients who have low income, the QOL scores for dimensions of activity limitation was significantly worse than those have higher income ( = 0.001). Univariable results showed that gender ( = 0.013) and income ( = 0.001) were factors associated with QOL in asthma children. However, multivariate analysis suggested that only gender (OR = 0.558,  = 0.008) and income (OR = 1.762,  < 0.001) were the independent factors that affected the QOL levels. In this study, we found that the QOL dimensions of pediatric asthma differed between various subpopulations. For patients with risk factors of poor QOL, target intervention is advised in order to increase QOL.

摘要

目的

评估哮喘儿童的生活质量(QOL)并分析相关因素。

方法

共纳入 360 例哮喘患儿。采用儿童哮喘生活质量问卷(PAQLQ)进行调查。比较两组间临床特征的差异。比较 QOL 高低组间的临床特征。

结果

低 QOL 组女性患者更多(P=0.013)。收入较高的患者(P=0.003)QOL 更高。与男性患者相比,女性患者的活动受限(P=0.016)和情绪功能(P=0.016)评分显著较低。对于低收入患者,活动受限维度的 QOL 评分明显差于高收入患者(P=0.001)。单变量结果显示,性别(P=0.013)和收入(P=0.001)是与哮喘儿童 QOL 相关的因素。然而,多变量分析表明,只有性别(OR=0.558,P=0.008)和收入(OR=1.762,P<0.001)是影响 QOL 水平的独立因素。

结论

本研究发现,哮喘儿童的 QOL 维度在不同亚群中存在差异。对于 QOL 较差的高危患者,建议进行针对性干预,以提高 QOL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d9cf/10358580/9540f5fc0736/10.1177_00368504211013657-fig1.jpg

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