学龄儿童健康相关生活质量及其与家庭环境关系.docVIP

学龄儿童健康相关生活质量及其与家庭环境关系 　　【摘要】 目的 探讨学龄儿童健康相关生活质量与家庭环境的关系，为改善和提高儿童健康相关生活质量提供科学依据。?方法?采用“儿科健康相关生活质量普适性核心量表4.0”（PedsQLTM 4.0）及自编“家庭环境调查表”，对广州市某小学一～六年级778名学生进行现况调查,采用协方差分析探讨家庭环境与儿童健康相关生活质量的关系。结果 学龄儿童躯体评分、心理评分及总评分依次为(89.0±12.3)分、(80.1±13.1)分和(82.3±11.9)分。在控制混杂因素的条件下，与父母对子女的教育“很耐心”、“较耐心”组相比，“不大耐心”组在情感、社交和角色功能3个维度评分上降低了(4.81±1.5)～(12.22±2.0)分(?P?＜0.05)。父、母与子女的交流及父母关系在上述3个维度有类似联系。结论 父母对子女耐心教育及家庭内成员的交流有助于提高学龄儿童的健康相关生活质量。 　　【关键词】 生活质量；家庭；因素分析，统计学；儿童 　　【中图分类号】 R 179 R 395.6 G 78 【文献标识码】 A 【文章编号】 1000－9817(2007)05－0423－03 　　Health?related Quality of Life Among School?aged Children and Its Association with Family Environment/ WANG Cui?ling?*, WU Jiang?nan, ZHAO Wen?heng, et al. ?* Department of Medical Statistics and Epidemiology, School of Public Health, Sun Yat?sen University, Guangzhou(510080), China 　　【Abstract】 Objective To discuss the relations between health?related quality of life and family environment among school?aged children and to provide scientific evidence for improving childrens health?related quality of life. Methods The cross?sectional study was conducted among 841 pupils in Guangzhou, by using the Pediatric Quality of Life Inventory Version 4.0 (PedsQL 4.0). Analysis of covariance was used to evaluate the association between family environment and health?related quality of life. Results The scores of physical functioning, psychological functioning and the total scale were 89.0±12.3,80.1±13.1 and 82.3±11.9 respectively. Compared with most patient group and patient group, mean score of less patient group of parental rearing attitudes reduced 4.8±1.6-12.2±2.0(P＜0.05). Similar association of parents?children communication or parental relationship with the scores of the above?mentioned three dimensions was found. Conclusion Sound family environment is essential for improving the health?related quality of life of school?aged children. 　　【Key words】 Quality life;Family;Factor analysis,statistical;Child 　　随着健康观的转变, 患病率、治愈率等疾病频率指标很难全面和准确地评估人群健康状况。健康相关生活质量（health