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《普拉德-威利综合征儿童的生活质量及其对家庭功能的影响》

Quality of Life in Children with Prader-Willi Syndrome and the Impact of the Disease on the Functioning of Families.

机构信息

Department of Nursing and Obstetrics, Division of Family and Pediatric Nursing, Wroclaw Medical University, 50-367 Wroclaw, Poland.

出版信息

Int J Environ Res Public Health. 2022 Dec 6;19(23):16330. doi: 10.3390/ijerph192316330.

Abstract

Objective: Prader−Willi (PWS; OMIM#176270) syndrome is a clinically distinct genetic disorder, caused by an abnormality in the 15q11-q13 region, referred to as the critical region. One of the most popular concepts existing in modern sciences, not only within psychology, but also in the aspect of all sciences that are related to human life and its course, is the quality of life (QoL). Though it is known that health-related quality of life in children with PWS can be reduced, less is understood about the impact on the family. We aimed to identify factors related to the quality of life of children with PWS and the impact of the disease on family functioning. Methods: A cross-sectional questionnaire survey. The subjects were 46 parents of children with PWS. The Computer Assisted Self-Interviewing (CASI) method was used; the Paediatric Quality of Life Inventory and the PedsQL Family Impact Module. Results: The PedsQL mean score was 49.0; (min−max: 5.6−90.8; SD = 16.8), with the highest scores in the Emotional Functioning (EF) (EF; 55.9; min−max: 5.0−100.0; SD = 22.0), and the lowest in the Social Functioning (SF) (SF; 42.7; min−max: 5.0−85.0; SD = 18.7) 56.4 (SD ± 14.7). The child’s age does not affect the quality of life, there were no statistically significant (p > 0.05). families have difficulties in performing daily activities (total score 27.6; SD 16.7), support family functioning (total score 28.9; SD 18.8) and effects physical domain (total score 27.7; SD 15.7). Conclusion: Research on the QoL of patients with PWS and their families is very important in order to assess the QoL, but also to provide the perspective of an active change in the perspective of a better treatment process, rehabilitation and communication in society.

摘要

目的

普拉德-威利(PWS;OMIM#176270)综合征是一种具有明显临床特征的遗传疾病,由 15q11-q13 区域的异常引起,称为关键区域。在现代科学中,不仅在心理学领域,而且在与人类生活及其进程相关的所有科学领域,都存在着一个最流行的概念,即生活质量(QoL)。尽管已知患有 PWS 的儿童的健康相关生活质量可能会降低,但对家庭的影响却知之甚少。我们旨在确定与 PWS 儿童生活质量相关的因素以及疾病对家庭功能的影响。方法:横断面问卷调查。研究对象为 46 名 PWS 儿童的父母。采用计算机辅助自我访谈(CASI)法;儿科生活质量量表和 PedsQL 家庭影响模块。结果:PedsQL 平均得分为 49.0;(最小-最大:5.6-90.8;SD=16.8),情感功能(EF)得分最高(EF;55.9;最小-最大:5.0-100.0;SD=22.0),社会功能(SF)得分最低(SF;42.7;最小-最大:5.0-85.0;SD=18.7)56.4(SD±14.7)。儿童年龄不影响生活质量,无统计学差异(p>0.05)。家庭在执行日常活动(总分 27.6;SD 16.7)、支持家庭功能(总分 28.9;SD 18.8)和身体领域(总分 27.7;SD 15.7)方面存在困难。结论:对 PWS 患者及其家庭生活质量的研究非常重要,不仅要评估生活质量,还要从积极的治疗过程、康复和社会沟通角度提供视角。

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本文引用的文献

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Parenting stress in families of children with Prader-Willi syndrome.普拉德-威利综合征患儿家庭的育儿压力。
Am J Med Genet A. 2021 Jan;185(1):83-89. doi: 10.1002/ajmg.a.61915. Epub 2020 Oct 12.
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High levels of caregiver burden in Prader-Willi syndrome.照料者负担过重与普拉德-威利综合征相关。
PLoS One. 2018 Mar 26;13(3):e0194655. doi: 10.1371/journal.pone.0194655. eCollection 2018.

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