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鼻中隔偏曲患儿健康相关生活质量评估

An Evaluation of Health-Related Quality of Life in Children with Nasal Septum Deviation.

作者信息

Chmielik Lechoslaw Pawel, Mielnik-Niedzielsk Grazyna, Kasprzyk Anna, Stankiewicz Tomasz, Niedzielski Artur

机构信息

Pediatric ENT Department, Postgraduate Teaching Center for Medicine, 00-908 Warsaw, Poland.

Pediatric ENT Department, Hospital for Children, 05-092 Dziekanow Lesny, Poland.

出版信息

Children (Basel). 2022 Nov 9;9(11):1714. doi: 10.3390/children9111714.

Abstract

BACKGROUND

From the 1950s, the quality of life criterion came to be studied in earnest, originally forming a part of measurement of human development in Western Europe and the USA. The present study aims to compare the health-related quality of life (HRQL) between children with nasal septum deviation and healthy children controls.

MATERIALS AND METHODS

Subjects were children suffering from nasal septum deviation, one of the commonest chronic diseases of the upper respiratory tract. Controls were randomly recruited from kindergarten, primary and secondary schools (junior high school & high school). All schools and subjects were randomly selected. The CHQ-PF50 questionnaire was used and outcome scores were calculated by an algorithm for the 13 tested HRQL variables.

RESULTS

Means for all outcome scores in the test subjects (i.e., children with deviated nasal septums) varied between 3.65-89.27 with a standard deviation between 0.83-25.66 and a median between 3.4-100 ( = 101). Those for the controls ( = 102) were 3.78-97.11, 0.86-14.21 and 4.40-100, respectively. Test subjects showed significant scoring declines in Physical Fitness, Role/Social-Emotional/Behavioral, Role/Social-Physical, Mental Health, Self-esteem, General Health Perceptions, Parental Impact Emotional and Time and Family Limitations in Activities.

CONCLUSIONS

  1. The well-being of children with nasal septum deviation was found to be chiefly limited by their physical fitness, effects of physical condition on social behavior/interaction and how health is perceived. 2. Parents considered their children's health to be paramount, as demonstrated by assessing the HRQL.
摘要

背景

自20世纪50年代起,生活质量标准开始得到认真研究,最初它是西欧和美国人类发展衡量指标的一部分。本研究旨在比较鼻中隔偏曲患儿与健康儿童对照组在健康相关生活质量(HRQL)方面的差异。

材料与方法

研究对象为患有鼻中隔偏曲这一最常见上呼吸道慢性病之一的儿童。对照组从幼儿园、中小学(初中和高中)中随机招募。所有学校和研究对象均随机选取。采用CHQ-PF50问卷,并通过一种算法计算13个测试的HRQL变量的结果得分。

结果

测试对象(即鼻中隔偏曲患儿)所有结果得分的均值在3.65 - 89.27之间,标准差在0.83 - 25.66之间,中位数在3.4 - 100之间(n = 101)。对照组(n = 102)的均值分别为3.78 - 97.11、0.86 - 14.21和4.40 - 100。测试对象在身体健康、角色/社会情感/行为、角色/社会身体、心理健康、自尊、总体健康认知、父母情感影响以及活动中的时间和家庭限制等方面的得分显著下降。

结论

  1. 发现鼻中隔偏曲患儿的幸福主要受其身体健康状况、身体状况对社会行为/互动的影响以及对健康的认知所限制。2. 通过对HRQL的评估表明,父母认为孩子的健康至关重要。

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