在患有青少年异常性关节炎的患者中,儿童和家长报告的口腔面部症状之间的协议
J M Halbig1,2, T K Pedersen3,4, E B Nordal2,5
1Public Dental Health Competence Centre of Northern Norway (TKNN), Tromsø, Norway.
Scandinavian journal of rheumatology
|October 30, 2024
概括
在青少年异常性关节炎 (JIA) 中,儿童和父母对口腔面部症状的协议是不一致的. 对于13岁以下的儿童,建议从两者收集输入,以准确评估与JIA相关的疼痛和症状.
科学领域:
- 类风湿病学 类风湿病学
- 儿科 儿科 儿科
- 口腔健康 口腔健康
背景情况:
- 青少年异常性关节炎 (JIA) 经常涉及关节,导致口腔面部症状.
- 准确评估这些症状对于儿童患者的有效治疗至关重要.
研究的目的:
- 评估儿童和家长之间对丹麦版"青少年异常性关节炎表情症状评估问卷"中表情症状报告的一致性.
- 为了确定报告协议中与年龄相关的差异.
主要方法:
- 一项涉及34个患有JIA和关节干扰的儿童-父母双节的横截面研究.
- 孩子和父母分别填写了问卷.
- 使用科恩的卡帕和类内相关系数分析了协议.
主要成果:
- 在儿童和家长报告中,对于与JIA相关的口腔症状,总体上发现了"差"到"中等"的一致性.
- 在13岁及以上的儿童中,对于疼痛频率的一致性很大,对于疼痛强度的一致性中等至极佳.
- 在13岁以下的儿童中,对疼痛频率的同意程度很小,对疼痛强度的同意程度较差至中等.
结论:
- 与JIA相关的面部症状的儿童代理报告协议是不一致的.
- 建议从儿童和父母那里收集信息,特别是评估13岁以下儿童的面部疼痛和症状.
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