少年儿童慢性鼻窦炎患者生存质量的影响因素

Quality of life for adolescents and children with chronic sinusitis and its influencing factors

目的探讨少年儿童慢性鼻窦炎患者生存质量及影响其改善的相关因素。方法运用少年儿童慢性鼻窦炎生存质量量表对接受鼻内镜手术的86例慢性鼻窦炎患儿进行一般情况和生存质量调查,术后6个月随访,t检验比较手术前后生存质量的变化,逐步回归方法分析影响其改善的相关因素。结果86例患儿术前生存质量总分、症状子量表及普适性子量表评分(x-±s,下同)分别为55·86±8·24、34·10±4·64、21·76±4·65,术后为69·24±7·62、40·33±3·95、28·92±4·12,差异有统计学意义(P值均<0·01)。逐步回归分析筛选出6个影响生存质量改善的主要因素,包括术前症状评分(P=0·003)、家庭经济状况(P=0·003)、父母对患儿的态度(P=0·009)、病变程度(P=0·019)、地区差异(P=0·010)以及父母教育水平(P=0·048)。结论经鼻内镜手术后患儿的生存质量能够得到明显改善。在诊治慢性鼻窦炎患儿的过程中应重视其主观症状,并将其作为选择手术的重要参考依据;注重父母对患儿态度、地区及教育水平差异等影响因素。

Objective To investigate the status of the quality of life for adolescents and children with chronic sinusits and its influencing factors. Methods Eighty-six patients were measured with the General Information Questionnaire and Chronic Sinusitis Quality of Life Scale. Six months after operation, the Chronic Sinusitis Quality of Life Scale was retested. T-test and stepwise regression were used to study the improvement and influencing factors of quality of life. Results The preoperative and postoperative quality of life scores showed a significant difference （ all P 〈 0. 01 ）. The main factors influencing the quality of life included symptom scores （ P = 0. 003 ） , family economic status （ P = 0. 003 ） , parents＇ attitude （ P = 0. 009 ） , extents of pathological changes（ P = 0. 019 ） , regional disparity（ P =0. 010 ） and parents＇ educational level （P = 0. 048）. Conclusion The children＇s subjective symptoms should be viewed as an important aspect for surgery selection. The quality of life in adolescent and children was influenced significantly by family economic status, their parents＇ attitude and the difference of education.