不同出生体重儿童的生命质量研究

目的:探讨不同出生体重对学龄期儿童生命质量及影响因素.方法:采用Achendach儿童行为量表、儿少主观生命质量问卷及自制儿童生命质量影响因素问卷,对台湾基隆市8-11岁儿童进行调查,依研究对象按照不同出生体重分组并进行分析.结果:在所调查的350名儿童中,出现行为问题的儿童有21.14%(74/350).使用Logistic回归检验发现行为问题与父亲与主要养育人的教育程度、受试儿童是否对家庭造成心理负担及经济负担四个方面有密切关系.对不同出生体重儿童主观生命质量满意度的分析结果提示:低出生体重儿与正常出生体重儿相比,在生命质量中的情感成份满意度较低(F=2.601;P=0.028);而巨大儿在认知成份满意度较正常出生体重儿差(F=3.189;P=0.012),且多元逐步回归发现:主要养育人的教育程度与母亲每周与孩子相处时间的长短是影响儿童主观生命质量满意度的因素.结论:低出生体重儿生命质量的情感成份满意度较低.而巨大儿生命质量的认知成份满意度较差,出生体重是影响儿童生命质量的因素.

Researches on Quality of Life of Children with Different Birth Weights

Objective: To investigate the birth weight on quality of life. Methods: Achendach's Child behavior checklist (CBCL),ISLQ and self-made questionnaire were used to study children's quality of life and related influencing factors. The study subjects included children aged from eight years to eleven years chosen from KeeLung City, They were divided into different groups according to their birth weight. Results: 74 of the 350 children had behavioral problems and the ratio was 21.14%(74/350). Logistic regression analysis indicated that education level of the father(P=0.016), education level of chief caregivers(P=0.017 ), whether the child brought psychological and economic burdens to their family (P=0.000, P=0.009), were risk factors for behavior problems of children. Analysis of subjective quality of life for children of different birth weight showed that the satisfaction towards subjective quality of life in underweight children was lower (F=2.601 ;P=0.028 )and the satisfaction towards cognitive component of quality of life in overweight children was lower (F=3.189;P=0.012 ); Multiple stepwise regression was performed and the results showed that the educational level of the primary adopter and the time the mother spends with her child per week were relevant with children's ISLQ satisfaction. Conclusion: The satisfaction towards affective components of quality of life for underweight children was lower while the satisfaction towards cognitive component of quality of life was lower for overweight children. Birth weight was related to children's quality of life.