唇腭裂儿童生活质量及其影响因素分析

上海口腔医学 ›› 2016, Vol. 25 ›› Issue (1): 63-67.

唇腭裂儿童生活质量及其影响因素分析

周猛¹，刘宗响²，王鹏来 ¹，刘超¹

1.徐州医学院附属徐州口腔医院口腔颌面外科
2.牙周病科，江苏徐州 221002

收稿日期:2015-03-26 修回日期:2015-07-09 出版日期:2016-02-25 发布日期:2016-03-09
通讯作者: 刘超，Tel:0516-85866002，E-mail:liuchao2299@163.com E-mail:drzhoumeng87@126.com
作者简介:周猛（1987-），男，硕士，主治医师
基金资助:
徐州市社会科技发展计划项目

Quality of life and its influential factors of children and adolescents with congenital cleft lip and palate

ZHOU Meng¹, LIU Zong-xiang², WANG Peng-lai¹, LIU Chao¹.

1.Department of Oral and Maxillofacial Surgery, 2.Department of Periodontics, Xuzhou Stomatological Hospital. Xuzhou 221002, Jiangsu Province, China

Received:2015-03-26 Revised:2015-07-09 Online:2016-02-25 Published:2016-03-09

摘要/Abstract

摘要： 目的： 调查唇腭裂患儿生活质量及其流行病学分布情况，探讨影响其生活质量的重要因素。方法： 选取164例唇腭裂患儿纳入实验组，对照组为102例健康儿童。应用一般情况调查表、儿童青少年生活质量量表（child and adolescents’ quality of life scale , CAQOL）对研究对象进行问卷调查，统计描述其生活质量的流行病学分布。采用SPSS19.0软件包对数据进行多元线性逐步回归分析探讨影响唇腭裂患儿生活质量的因素。结果： ①唇腭裂组的师生关系、同伴关系、亲子关系、自我概念、躯体感觉、负性情绪、作业态度、生活便利性、活动机会性、自我满意度各因子得分和CAQOL总分显著低于对照组（P<0.05）。②多元线性逐步回归分析表明，唇腭裂类型、主要抚养人、母亲文化程度、家庭月收入及居住地区进入回归方程。结论： 唇腭裂儿童生活质量偏低，疾病类型、母亲文化程度、主要抚养人、家庭月收入及居住地是其重要影响因素。

关键词: 唇裂, 腭裂, 生活质量

Abstract: PURPOSE: To investigate the quality of life of children undergoing clef lip or and palate repair as well as the influential factors of the quality of life, and provide theoretical foundation for future studies such as psychological interventions. METHODS： Totally 164 children and young adolescent patients with cleft lip and palate undergoing maxillofacial surgery and orthodontic treatment in Xuzhou Stomatology Hospital were selected as experimental group, and 102 normal children and young adolescents were selected as control group. Both groups were investigated by general information questionnaire and child and adolescents’ quality of life scale (CAQOL). The results were analyzed and the influential factors on quality of life were evaluated by multivariate regression analysis with SPSS 19.0 software package. RESULTS: The overall CAQOL scores and most of the subscale scores (teacher-student relationship, peer relationships, parent-child relationship, self-awareness, physical discomfort, negative emotions, attitude about homework, access to transportation from home, extra curricular activities, self-esteem) in the experimental group were significantly lower compared with the control group (P<0.05). Single factor analysis of the quality of life showed that there was no significant difference between gender distribution; on the contrary, residential areas, parents’ level of education, the main caregivers, family income and types of the disease had significant difference (P<0.05). Multiple linear regression equation showed that mother’s education level of patients, cleft lip and palate category, family income, the main caregivers and residential areas were the important influential factors on children’ quality of life. Among them, the type of disease was the most important influential factor (beta=0.260), followed by mother’s education level (beta=0.215). CONCLUSIONS: The quality of life of children with cleft lip/palate is poor. Patients’ scores of CAQOL are closely related with mothers’ education level, type of cleft lip/palate, family income, the main caregivers and residential areas.

Key words: Cleft lip, Cleft palate, Quality of life

中图分类号:

R782.2

周猛，刘宗响，王鹏来，刘超. 唇腭裂儿童生活质量及其影响因素分析[J]. 上海口腔医学, 2016, 25(1): 63-67.

ZHOU Meng, LIU Zong-xiang, LIU Chao.. Quality of life and its influential factors of children and adolescents with congenital cleft lip and palate[J]. Shanghai Journal of Stomatology, 2016, 25(1): 63-67.

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