CAJ | 학술논문

目的评估注意缺陷多动障碍(ADHD)儿童的生存质量.方法采用横断面病例对照研究设计.病例组为73例ADHD儿童(ADHD组),正常对照组(对照组)为与ADHD组性别、年龄匹配的98例正常儿童.使用儿科生存质量测定量表(pediatric quality of life inventory~(TM) version 4.0,PedsQL~(TM)4.0)中文版普适性核心量表、Conners父母问卷对儿童及其父母评估.结果调查的171个家庭中169个家庭完成问卷,应答率98.8%.ADHD儿童PedsQL~(TM)4.0中文版儿童评分总分(72.7±13.0)比对照组(83.7±12.0)低(t=-49.3,P=0.000),父母报告评分总分(70.0±12.4)比对照组(82.4±11.2)低(t=-57.7, P=0.000).ADHD儿童心理领域分(儿童评分68.6±14.5,父母报告评分64.9±15.4)比生理领域分(儿童评分81.2±14.0,父母报告评分81.7±15.6)低(t=3.79、6.88,P=0.000).ADHD儿童Conners父母问卷总分(44.54±17.89)高于对照组(16.09±9.23)(t=100.08, P=0.000).ADHD儿童PedsQL~(TM)4.0中文版角色功能儿童自评评分与Conners父母问卷学习问题、多动指数、总分呈负相关(r=-0.650、-0.630、-0.599, P=0.000).结论 ADHD儿童生存质量较正常儿童差,品行、学习、冲动控制等问题与之有关.
목적 평고주의결함다동장애(ADHD)인동적생존질량.방법 채용횡단면병례대조연구설계.병례조위73례ADHD인동(ADHD조),정상대조조(대조조)위여ADHD조성별、년령필배적98례정상인동.사용인과생존질량측정량표(pediatric quality of life inventory~(TM) version 4.0,PedsQL~(TM)4.0)중문판보괄성핵심량표、Conners부모문권대인동급기부모평고.결과 조사적171개가정중169개가정완성문권,응답솔98.8%.ADHD인동PedsQL~(TM)4.0중문판인동평분총분(72.7±13.0)비대조조(83.7±12.0)저(t=-49.3,P=0.000),부모보고평분총분(70.0±12.4)비대조조(82.4±11.2)저(t=-57.7, P=0.000).ADHD인동심리영역분(인동평분68.6±14.5,부모보고평분64.9±15.4)비생리영역분(인동평분81.2±14.0,부모보고평분81.7±15.6)저(t=3.79、6.88,P=0.000).ADHD인동Conners부모문권총분(44.54±17.89)고우대조조(16.09±9.23)(t=100.08, P=0.000).ADHD인동PedsQL~(TM)4.0중문판각색공능인동자평평분여Conners부모문권학습문제、다동지수、총분정부상관(r=-0.650、-0.630、-0.599, P=0.000).결론 ADHD인동생존질량교정상인동차,품행、학습、충동공제등문제여지유관.
Objective To assess the quality of life of children with attention deficit hyperactivity disorders (ADHD). Methods The PedsQL 4. 0 generic core scales (Chinese Version) were administered to 73 ADHD children and 98 gender and age-matched healthy children. The parents of the children completed the Conners Parent Symptom Questionnaire. Results A total of 169 out of 171 recruited families completed the questionnaires, with a response rate of 98. 8%. The ADHD children had significantly lower scores (72. 7±13. 0) of PedsQL~(TM) 4. 0 than that of the healthy children(83. 7±b 12. 0, t=-49. 3, P = 0. 000). The Parent Proxy-Report total score of the ADHD children (70. 0 12. 4) was also lower than the normal controls (82. 4±11. 2, t= - 57. 7,P=0. 000). The psychosocial health functioning of ADHD children (Children Self-Report 68. 6±14. 5, Parent Proxy-Report 64. 9±15.4) was consistently poorer than the Physical Functioning (Children Self-Report 81. 2±14. 0, Parent Proxy-Report 81. 7±15. 6)(F=0. 000). The ADHD children had significantly higher scores in Conners Parent Symptom Questionnaire (44. 54±17. 89) than the normal controls (16. 09±9. 23, t=100. 08,P=0. 000). The PedsQL~(TM)4. 0 scores were negatively correlated with school functioning scores, learning problems, hyperactivity index and the total scores of Conners Parent Symptom Questionnaire (r=-0. 650, -0. 630, and -0.599 respectively, P = 0. 000). Conclusion ADHD children suffer from poor quality of life and learning difficulties.