中华物理医学与康复杂志
中華物理醫學與康複雜誌
중화물리의학여강복잡지
CHINESE JOURNAL OF PHYSICAL MEDICINE AND REHABILITATION
2013年
1期
13-16
,共4页
黄霞%胡玉民%陈星%叶翔尔%邱纪方
黃霞%鬍玉民%陳星%葉翔爾%邱紀方
황하%호옥민%진성%협상이%구기방
生活质量%脑性瘫痪%康复%母亲
生活質量%腦性癱瘓%康複%母親
생활질량%뇌성탄탄%강복%모친
Quality of life%Cerebral palsy%Rehabilitation%Motherhood
目的 探讨脑瘫儿童母亲生活质量及其影响因素.方法 对123例脑瘫患儿及其母亲发放患儿基本情况调查表和美国简明健康测量量表SF-36,采用自填与访谈相结合的方式进行调查并统计,然后采用t检验、相关分析及单因素方差分析,对其影响因素进行分析;采用多元回归分析方法筛选和分析其生活质量的主要影响因素.结果 脑瘫儿童母亲的总体生活质量普遍下降,其中情感职能、活力、总体健康得分最低,分别为55.28、60.49和65.26分.脑瘫儿童母亲生活质量各个维度的相关性分析显示,患儿年龄与总体健康、生理功能、情感职能三个维度呈正相关(相关系数分别为0.213、0.191、0.298,P<0.05);患儿病情与除身体疼痛外的其它七个维度呈负相关;母亲年龄仅与社会功能呈正相关(相关系数为0.196,P<0.05);母亲文化程度与总体健康、情感职能、社会功能、精神健康呈负相关(相关系数分别为-0.274、-0.312、-0.427和-0.180,P<0.05).单因素分析显示,患儿年龄、患儿病情、父亲职业、母亲职业、母亲文化程度五个因素对母亲生活质量的影响具有统计学意义(P<0.05).以生活质量总积分为因变量,多元线性逐步回归分析(Pin=0.05,Pout=0.10)显示,患儿病情、父亲职业两个因素进入多元线性回归方程,差异有统计学意义(P<0.05).结论 患儿年龄、患儿病情、母亲文化程度、母亲职业、父亲职业五项因素是影响脑瘫儿童母亲生活质量的主要因素;针对脑瘫儿童母亲的心理特征,采取综合性全方位的干预措施,可提高患儿康复效果和改善母亲生活质量.
目的 探討腦癱兒童母親生活質量及其影響因素.方法 對123例腦癱患兒及其母親髮放患兒基本情況調查錶和美國簡明健康測量量錶SF-36,採用自填與訪談相結閤的方式進行調查併統計,然後採用t檢驗、相關分析及單因素方差分析,對其影響因素進行分析;採用多元迴歸分析方法篩選和分析其生活質量的主要影響因素.結果 腦癱兒童母親的總體生活質量普遍下降,其中情感職能、活力、總體健康得分最低,分彆為55.28、60.49和65.26分.腦癱兒童母親生活質量各箇維度的相關性分析顯示,患兒年齡與總體健康、生理功能、情感職能三箇維度呈正相關(相關繫數分彆為0.213、0.191、0.298,P<0.05);患兒病情與除身體疼痛外的其它七箇維度呈負相關;母親年齡僅與社會功能呈正相關(相關繫數為0.196,P<0.05);母親文化程度與總體健康、情感職能、社會功能、精神健康呈負相關(相關繫數分彆為-0.274、-0.312、-0.427和-0.180,P<0.05).單因素分析顯示,患兒年齡、患兒病情、父親職業、母親職業、母親文化程度五箇因素對母親生活質量的影響具有統計學意義(P<0.05).以生活質量總積分為因變量,多元線性逐步迴歸分析(Pin=0.05,Pout=0.10)顯示,患兒病情、父親職業兩箇因素進入多元線性迴歸方程,差異有統計學意義(P<0.05).結論 患兒年齡、患兒病情、母親文化程度、母親職業、父親職業五項因素是影響腦癱兒童母親生活質量的主要因素;針對腦癱兒童母親的心理特徵,採取綜閤性全方位的榦預措施,可提高患兒康複效果和改善母親生活質量.
목적 탐토뇌탄인동모친생활질량급기영향인소.방법 대123례뇌탄환인급기모친발방환인기본정황조사표화미국간명건강측량량표SF-36,채용자전여방담상결합적방식진행조사병통계,연후채용t검험、상관분석급단인소방차분석,대기영향인소진행분석;채용다원회귀분석방법사선화분석기생활질량적주요영향인소.결과 뇌탄인동모친적총체생활질량보편하강,기중정감직능、활력、총체건강득분최저,분별위55.28、60.49화65.26분.뇌탄인동모친생활질량각개유도적상관성분석현시,환인년령여총체건강、생리공능、정감직능삼개유도정정상관(상관계수분별위0.213、0.191、0.298,P<0.05);환인병정여제신체동통외적기타칠개유도정부상관;모친년령부여사회공능정정상관(상관계수위0.196,P<0.05);모친문화정도여총체건강、정감직능、사회공능、정신건강정부상관(상관계수분별위-0.274、-0.312、-0.427화-0.180,P<0.05).단인소분석현시,환인년령、환인병정、부친직업、모친직업、모친문화정도오개인소대모친생활질량적영향구유통계학의의(P<0.05).이생활질량총적분위인변량,다원선성축보회귀분석(Pin=0.05,Pout=0.10)현시,환인병정、부친직업량개인소진입다원선성회귀방정,차이유통계학의의(P<0.05).결론 환인년령、환인병정、모친문화정도、모친직업、부친직업오항인소시영향뇌탄인동모친생활질량적주요인소;침대뇌탄인동모친적심리특정,채취종합성전방위적간예조시,가제고환인강복효과화개선모친생활질량.
Objective To analyze the quality of life (QOL) of mothers of children with cerebral palsy and it's influencing factors.Methods The QOL of 123 children with cerebral palsy and their mothers was assessed a 36-item short form health survey (SF-36) and basic questionnaires combined with interviews.The factors influencing QOL were analyzed with t-tests and one way analysis of variance,and multiple regression analysis was used to determine the main influencing factors.Results Scores on all of the SF-36 items were much lower for mothers of children with cerebral palsy than for mothers of normal children.Average scores in the domains of emotional health,general health and vitality were the lowest (55.28,60.49 and 65.26 respectively).Correlation analysis showed that general health,physical function and role emotions were positively correlated with the child's age.All domains except pain were negatively correlated with the child's condition.Social functioning was positively correlated with the mother's age.The general health,role emotional,social function,and mental health scores were all negatively correlated with the mother's education level.Univariate analysis showed that the child's age and condition,the mother's education level and occupation,and the father's occupation all significantly predicted the mother's QOL.Multivariate regression analysis confirmed that the child's age and the father's occupation had significant predictive power.Conclusions The QOL of the mother of a child with cerebral palsy is mainly influenced by the child's age and condition,the mother's education level and occupation,and the father's occupation.Comprehensive and effective measures should be taken to improve the QOL of mothers of children with cerebral palsy and to improve the efficacy of rehabilitation for children with cerebral palsy.