慢性皮肤病患儿家长精神因素与患儿生活质量的相关性研究

The correlation between children quality of life with chronic skin diseases and the emotion of their parents

目的:探讨慢性皮肤病患儿生活质量与家长情绪的相关性。方法:选取2008年3月—2013年9月期间慢性皮肤病患儿587例[特应性皮炎(AD)、白癜风(Vi)、银屑病(Ps)]及其家长1 031例,并分别对患儿疾病严重程度及家长情绪(抑郁、焦虑)进行评估。结果:AD、Vi及Ps患儿的病情严重程度均与儿童皮肤病生活质量指数评分量表(CDLQI)评分相关。AD患儿中,家长焦虑组患儿的CDLQI评分[(10.67±7.86)分]明显高于家长无焦虑组[(7.68±7.13)分](P=0.004)。Vi及Ps患儿中,家长抑郁组CDLQI评分为[(12.93±7.54)分和(12.05±7.77)分],明显高于家长无抑郁组[(10.34±8.02)分和(11.85±9.01)分](P=0.021,0.036)。结论:家长情绪与慢性皮肤病患儿生活质量相关。

Objective： To investigate the correlation between the quality of life of children with chronic skin diseases and the emotion of the parents. Methods： A total of 587 eases of children with chronic skin diseases（atopic dermatitis, vitiligo and psoriasis） and 1 031 parents were enrolled from May 2008 to Sep 2013. The evaluation of severity of the diseases, and the emotion（depression, anxiety） of the parents were performed. The children disease life quality（CDLQI） scores were mea- sured to assess the quality of life of the children, the Hamilton＇s anxiety score（HAS） and Beek＇s depression Inventory（BDI） were used to assess the extent of depression and anxiety expressed by the parents. Results： The severity of atopic dermatitis, vitiligo and psoriasis were correlated with the CDLQI scores of children with chronic skin diseases. The parents with anxiety in the children with atopie dermatitis group showed higher CDLQI scores（10.67±7.86） than that of the parents without anxi- ety（7.68±7.13）（P=0.004）. The parents with depression in the children with vitiligo and psoriasis group showed higher CDLQI scores than that of the parents without depression（P=0.021, 0.036）. Conclusion： The emotion of the parents are correlated with the quality life of their children with chronic skin diseases.