摘要
目的:研究重庆市黔江区学龄期氟斑牙患儿的应对方式及与生活质量的关系。方法:对学龄期氟斑牙患儿进行问卷调查并记录相关资料。问卷调查内容包括一般情况、疾病特点,医学应对问卷以及生活质量评价量表。比较患儿在积极应对和消极应对得分上的差异,并用偏相关分析法研究患儿应对方式与生活质量的关系。结果:218例调查对象面对维度得分为(2. 38±0. 21)分,回避与屈服维度得分为1. 72±0. 14分;生理功能、社会功能、生理职能、躯体疼痛、精神健康、情感职能、精力、一般健康状况得分分别为(77. 36±8. 35)分、(72. 63±11. 47)分、(75. 69±13. 83)分、(81. 26±8. 46)分、(82. 40±7. 58)分、(83. 24±18. 74)分、(76. 26±18. 73)分、(84. 28±7. 66)分。面对维度得分与健康相关生命质量(health-related quality of life,HRQOL)得分呈正相关;回避与屈服维度与HRQOL得分呈负相关。结论:氟斑牙患儿大部分采取积极的应对方式,可改善生活质量。应加大对5年以上病程、消瘦、低收入家庭患儿的重视,督促患儿家庭正确使用炉灶、改变主食成分、停止煤烟烘粮、饮用自来水,保证正常睡眠时间、接受治疗。
Objective: To study the relationship between coping styles and quality of life of school-age children with dental fluorosis in Qianjiang District of Chongqing.Methods: Survey questionnaire and relevant information was recorded on school-age children with dental fluorosis.Questionnaire was conducted to collect the information of general situation,disease characteristics,medical coping modes questionnaire( MCMQ) and short form 36 questionnaire( SF-36).To compare the difference between children with positive coping scores or negative coping scores.In addition,we researched the correlation between children ’ coping styles and quality of life by using partial correlation analysis. Results: The score of facing dimension was( 2. 38±0. 21),and the score of avoiding and yielding dimension was( 1. 72±0. 14).The scores of physical functioning( PF),social functioning( SF),role-physical( RP),bodily pain( BP),mental health( MH),role-emotional( RE),vitality( VT) and general health( GH) were( 77. 36 ± 8. 35),( 72. 63 ± 11. 47),( 75. 69 ± 13. 83),( 81. 26 ± 8. 46),( 82. 40 ± 7. 58),( 83. 24 ±18. 74),( 76. 26±18. 73) and( 84. 28±7. 66).The score of facing dimension was positively correlated with the health-related quality of life( HRQOL) score.The score of avoiding and yielding dimension was negatively correlated with the HRQOL score.Conclusion: Most of the children with dental fluorosis adopted positive coping styles that can improve the quality of life.More attention must be paid to children with over 5 years of disease,thin children and children from low income families. And to urge the family of children correct use range,change the staple food,stop drying grain by soot,drink tap water,ensure normal sleep time and receive treatment.
作者
黄孝丽
顾小红
邓娟
HUANG Xiao-li;GU Xiao-hong;DENG Juan(of Health Management,Army Specialized Medical Center,Army Medical University,Chongqing 400042,China)
出处
《临床口腔医学杂志》
2019年第1期42-46,共5页
Journal of Clinical Stomatology
基金
重庆市决策咨询与管理创新计划项目(cstc2016jccxBX0042)
关键词
儿童
氟斑牙
应对方式
生活质量
Child
Dental fluorosis
Coping style
Quality of life