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患有鲁宾斯坦-泰比综合征儿童的巴西家庭的生活质量:一项探索性横断面研究。

Quality of life of Brazilian families who have children with Rubinstein-Taybi syndrome: An exploratory cross-sectional study.

作者信息

Vale Amanda Rodrigues, de Avó Lucimar Retto da Silva, Pilotto Rui Fernando, Germano Carla Maria Ramos, Melo Débora Gusmão

机构信息

Department of Medicine, Federal University of São Carlos (UFSCar), São Carlos, São Paulo, Brazil.

National Institute on Population Medical Genetics, INAGEMP, Porto Alegre, Rio Grande do Sul, Brazil.

出版信息

Am J Med Genet A. 2022 Nov;188(11):3294-3305. doi: 10.1002/ajmg.a.62914. Epub 2022 Aug 1.

Abstract

This exploratory cross-sectional study aimed to examine the family quality of life (FQoL) among 51 Brazilian families who have children with Rubinstein-Taybi syndrome, a rare genetic disorder. Data were collected using sociodemographic and clinical data forms, as well as the Beach Center FQoL Scale, a 5-point Likert scale ranging from "very dissatisfied" (1) to "very satisfied" (5). The average score of the overall FQoL was 3.93 ± 0.64. Families' scores were higher for family interaction (4.17 ± 0.76), parenting (4.13 ± 0.61), and disability-related support (4.08 ± 0.76) domains, and lower for the family's emotional well-being (3.31 ± 0.96) and physical/material well-being (3.76 ± 0.82) domains. Family income, attendance at religious services, presence of ocular abnormalities, and aggressive behavior explained 46.2% of the variance in the overall FQoL. In summary, FQoL seems to be anchored in aspects such as family interaction and the care of parents, and be negatively affected by emotional issues, physical, and material limitations. In this context, psychological assistance should be provided to both parents and siblings whenever indicated, for improving emotional well-being and increasing family resilience. Additionally, investments in social policies, services, and human and material resources are needed to improve the physical and material conditions of families, promote better health care, and therefore reduce the family burden.

摘要

这项探索性横断面研究旨在调查51个育有患有鲁宾斯坦-泰比综合征(一种罕见的遗传疾病)孩子的巴西家庭的家庭生活质量(FQoL)。使用社会人口统计学和临床数据表格以及海滩中心FQoL量表收集数据,该量表是一个从“非常不满意”(1)到“非常满意”(5)的5点李克特量表。总体FQoL的平均得分为3.93±0.64。家庭在家庭互动(4.17±0.76)、养育子女(4.13±0.61)和与残疾相关的支持(4.08±0.76)领域的得分较高,而在家庭情感幸福(3.31±0.96)和身体/物质幸福(3.76±0.82)领域的得分较低。家庭收入、参加宗教活动、眼部异常的存在以及攻击性行为解释了总体FQoL中46.2%的方差。总之,FQoL似乎基于家庭互动和父母照顾等方面,并且受到情感问题、身体和物质限制的负面影响。在这种情况下,应在必要时为父母和兄弟姐妹提供心理援助,以改善情感幸福并增强家庭恢复力。此外,需要在社会政策、服务以及人力和物力资源方面进行投资,以改善家庭的身体和物质条件,促进更好的医疗保健,从而减轻家庭负担。

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