中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (12): 1070-1073.

• 科研论著 • 上一篇    下一篇

早产低出生体重儿健康相关生活质量的临床研究

叶秀霞1,孙建华1,黄萍1,步军1,贝斐1,胡雯2,叶晓来1,黄红3   

  1. 1 上海交通大学医学院附属上海儿童医学中心,上海市环境与儿童健康重点实验室,上海 200127;
    2 上海市浦东新区妇幼保健院,上海 201206;
    3 上海交通大学医学院附属新华医院,上海市儿科医学研究所,上海市环境与儿童健康重点实验室,上海 200092
  • 收稿日期:2012-06-29 发布日期:2012-12-06 出版日期:2012-12-06
  • 通讯作者: 黄红,E-mail:hhong@shsmu.edu.cn
  • 作者简介:叶秀霞(1977-),女,浙江人,主治医师,硕士学位,主要研究方向为早产低出生体重儿健康保健
  • 基金资助:
    上海市卫生局青年科研项目(2009Y026)

Research on the health-related quality of life in prematures with low birth weight

YE Xiu-xia1,SUN Jian-hua1,HUANG Ping1,BU Jun1,BEI Fei1,HU Wen2,YE Xiao-lai1,HUANG Hong3   

  1. 1 Shanghai Children's Medical Center Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200127,China;
    2 Maternal and Child Health Care Hospital of Pudong District,Shanghai 201206,China;
    3 Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai Institute for Pediatric Research,Shanghai Key Laboratory of Children's Environmental Health,Shanghai 200092,China
  • Received:2012-06-29 Online:2012-12-06 Published:2012-12-06

摘要: 【目的】 了解早产低出生体重儿健康相关生活质量现况,为该群体小儿的健康干预提供理论依据。 【方法】 横断面研究,由符合入组标准的1~4岁早产低出生体重儿包括早产中度低出生体重组(1 500 g≤BW<2 000 g)、早产轻度低出生体重组(2 000 g≤BW<2 500 g)和足月正常出生体重组(BW≥2 500 g)的主要带养人完成TAPQOL问卷。 【结果】 三组在胃部问题、皮肤问题、睡眠问题、胃纳和运动功能方面,以及问题行为和认知功能方面差异均有统计学意义(P<0.05或<0.01)。 【结论】 早产低出生体重儿健康相关生活质量总体得分并不低,中度低出生体重儿表现出更多的身体机能和认知行为问题。应加强对这部分人群的重视和关怀,并建立基于家庭基础上的健康干预措施。

关键词: 早产, 低出生体重, 健康相关生活质量

Abstract: 【Objective】 To evaluate health-related quality of life (HR-QOL) in prematures with low birth weight. 【Methods】 A cross-sectional study was conducted in Shanghai.A self-administrated questionnaire (TAPQOL) was completed by the primary caregivers of the prematures with mild to moderate birth weight and normal controls at the age of 1~5. 【Results】 Among the three groups,significant differences were found at the level of stomach,skin,sleep,appetite,motion function,problem behavior and cognitive function (P<0.05 or <0.01 ). 【Conclusions】 Children born with low birth weight do not experience an overall lower HR-QOL at preschool age.Children with moderate low birth weight perform more poor in physical function,cognitive function and behaviors.More attention and family-based health intervention are needed.

Key words: prematures, low birth weight, health-related quality of life

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