尼日利亚中北部一家三级医院哮喘儿童健康相关生活质量评估。
Assessment of the health related quality of life in children with asthma in a tertiary hospital in North Central, Nigeria.
机构信息
Department of Paediatrics, Jos University Teaching Hospital, Plateau State, Nigeria.
Community Medicine Department, University of Jos, Plateau State, Nigeria.
出版信息
Pan Afr Med J. 2022 Jan 20;41:58. doi: 10.11604/pamj.2022.41.58.30171. eCollection 2022.
INTRODUCTION
asthma is a chronic inflammatory disorder of the airways with over 339 million people affected worldwide. Asthma can impair the quality of life (QoL) in its various bio-psycho-social domains causing poor concentration, poor school performance and impaired daily activities. This study assessed the QoL in asthmatic children aged 7- 17 years.
METHODS
a descriptive cross-sectional study of 46 children with asthma. Relevant bio-data and medical history were documented and the QoL assessment was carried out using the paediatric asthma quality of life questionnaire. Asthma severity and asthma control were defined based on the global initiative for asthma protocol. The data was analysed with IBM SPSS version 22.
RESULTS
the mean age was 12.4 ± 3.3 years, with a male to female ratio of 1: 1.9. About 61% of the study population were moderately impaired in their QoL and 41.3% had uncontrolled asthma. The mean QoL score was 5.80 with the activity domain and the emotion domain having the lowest mean scores (5.78 ± 1.0 and 5.91 ± 1.2 respectively). There was a significant association between QoL and age, asthma severity, asthma control and social class (p< 0.05) but not Gender. The logistic regression did not identify any of these factors as being predictors of QoL in the children. the study participants had moderately impaired QoL with the 7-10 year-olds more severely affected. The activity and emotion domains are more impaired. Therefore in addition to providing medical intervention, the treatment of children with asthma should include psychological support and counselling.
简介
哮喘是一种气道慢性炎症性疾病，全球有超过 3.39 亿人受到影响。哮喘会损害生活质量（QoL）的各个生物心理社会领域，导致注意力不集中、学习成绩不佳和日常活动受损。本研究评估了 7-17 岁哮喘儿童的 QoL。
方法
对 46 名哮喘儿童进行描述性横断面研究。记录相关的生物数据和病史，并使用儿童哮喘生活质量问卷进行 QoL 评估。根据全球哮喘倡议协议定义哮喘严重程度和哮喘控制情况。使用 IBM SPSS 版本 22 对数据进行分析。
结果
平均年龄为 12.4 ± 3.3 岁，男女比例为 1:1.9。约 61%的研究人群的 QoL 受到中度损害，41.3%的哮喘未得到控制。平均 QoL 得分为 5.80，活动和情绪领域的平均得分最低（分别为 5.78 ± 1.0 和 5.91 ± 1.2）。QoL 与年龄、哮喘严重程度、哮喘控制和社会阶层显著相关（p<0.05），但与性别无关。逻辑回归未发现这些因素中的任何一个是儿童 QoL 的预测因素。研究参与者的 QoL 受到中度损害，7-10 岁的儿童受影响更严重。活动和情绪领域受损更严重。因此，除了提供医疗干预外，哮喘儿童的治疗还应包括心理支持和咨询。
Zotero 插件