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关于儿童耳鼻喉科患者疲劳的亲子协议
Amy E Ensing1, Amy L Zhang1, Rebecca Z Lin1
1Department of Otolaryngology, Head and Neck Surgery Washington University School of Medicine St. Louis Missouri USA.
Laryngoscope investigative otolaryngology
|April 3, 2025
概括
父母和儿童的疲劳报告在儿童耳鼻喉科患者中大致一致. 然而,发育迟缓的儿童的显著差异突显了直接患者自我报告疲劳的必要性.
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 患者报告的结果
- 儿童心理学 儿童心理学
背景情况:
- 准确的疲劳评估在儿科耳鼻喉学中对于有效治疗至关重要.
- 家长的代理报告经常被使用,但他们的同意与孩子的自我报告需要调查.
- 了解影响协议的因素可以改善临床护理.
研究的目的:
- 评估儿童耳鼻喉科患者关于疲劳报告的父母儿童协议.
- 根据诊断 (听力损失,阻塞性睡眠呼吸暂停) 和患者因素来确定是否不同.
- 评估分数差异的临床意义.
主要方法:
- 采用了一个横截面调查设计.
- 招募了接受听力损失 (HL) 或阻塞性睡眠呼吸暂停 (OSA) 评估的5-18岁儿童.
- 儿童生活质量库存多维疲劳量表 (PedsQL MFS) 被儿童和他们的父母完成.
主要成果:
- 在大多数组中,在父母和孩子的PedsQL MFS得分之间观察到强烈的相关性 (Pearson r > 0.7).
- 临床意义在特定的子组中接近,特别是有发育/言语/语言延迟的儿童.
- 在报告发育迟缓的儿童中,特别是在总体,一般和认知领域,发现父母儿童得分相关性下降.
结论:
- 父亲代理PedsQL MFS通常与儿童耳鼻喉科患者的儿童自我报告强烈一致.
- 特定群体的差异,特别是发育迟缓的群体,强调了优先考虑儿童自我报告的重要性.
- 需要进一步研究更广泛的置信区间,以确认特定亚组的临床意义.
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