预测与沟通相关的生活质量在患有小喉功能障碍的儿童
Robert Brinton Fujiki1, John H Munday2, Manasa Harini Kalluri3
1Department of Otolaryngology - Head & Neck Surgery, Indiana University School of Medicine, Indianapolis, IN, USA.
概括
语音可理解性和高鼻性显著影响口腔裂或耳鼻缺陷儿童的沟通生活质量. 行为健康和社会经济因素也影响结果,需要有针对性的干预措施.
科学领域:
- 儿科语音语言病理学
- 面异常研究研究研究
- 生活质量研究生活质量研究.
背景情况:
- 带有或没有唇裂 (CP±L) 的口腔裂或先天性小喉缺陷 (VPI) 的儿童经常遇到沟通挑战.
- 评估与沟通相关的生活质量 (CRQoL) 对于了解VPI对儿童福祉的影响至关重要.
研究的目的:
- 确定可预测患有CP±L或先天性VPI的儿童CRQoL的因素.
- 分析语音产生,耳鼻功能和整体生活质量之间的关系.
主要方法:
- 一项涉及271名患有CP±L或VPI的18岁以下儿童的横截面研究.
- 从电子医疗记录中提取的数据包括头缺陷生活质量 (VELO) 评分,发音,语音可理解性,共振和语音结果.
- 使用线性回归分析来确定VELO得分的预测因素,考虑人口,社会经济和病史变量.
主要成果:
- 较差的语音可理解性和增加的超鼻性是较低的总VELO分数和多个子尺度的较差结果的显著预测因素.
- 淋巴停止替代预测了更大的情绪影响,而并发性行为健康状况与较低的整体VELO分数有关.
- 在孩子的邻里社会经济贫困与更差的吞相关的生活质量得分相关.
结论:
- 超鼻性和语音理解能力下降是VPI儿童CRQoL的主要决定因素.
- 需要进一步的研究来开发有效的干预措施,以解决与VPI相关的挑战,并增强社会互动和生活质量.
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