The quality of life of children with epilepsy in Poland – the opinion of children and their parents

D. Talarska, M. Michalak, Patrycja Talarska
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Abstract

Summary Background Every chronic illness, including epilepsy, has a negative effect on both the quality of life of the sufferer as well as on their relationship with their surroundings. Aims To investigate the quality of life of children suffering from epilepsy and analyse how they assessed and scored their experiences compared to their parents. Materials and methods The study included 209 children with epilepsy and their parents. The research tool was a questionnaire for gathering demographic and clinical data as well as the Pediatric Quality of Life Inventory™ 4.0 Generic Core Scales (PedsQL™ 4.0) questionnaire in two versions, one for 8–12 year olds and one for 13–18 year olds and their parents. Results Cronbach’s alpha coefficient for the entire PedsQL™ 4.0 questionnaire was 0.91 and 0.93 for children with epilepsy and their parents respectively. Children rated their Total Scale Score higher (67.5 points) than their parents (62.5 points). Whilst analyzing children’s functioning in different areas it was observed that girls’ assessments were higher than boys’, except for Emotional Functioning. Both parents and children scored School Functioning the lowest. The greatest agreement of responses was observed in the domain of Physical Functioning, the smallest in the domain of Emotional Functioning. Conclusions Quality of life was rated higher by both age groups of children suffering from epilepsy than by their parents. A statistically significant difference was found when comparing the assessment scores of children and parents in light of the following variables; child age, gender, illness duration, seizure frequency and treatment effectiveness.
波兰癫痫儿童的生活质量——儿童及其父母的意见
背景每一种慢性疾病,包括癫痫,对患者的生活质量以及他们与周围环境的关系都有负面影响。目的调查癫痫患儿的生活质量,分析其与父母生活质量的比较。材料与方法对209例癫痫患儿及其家长进行研究。研究工具是收集人口统计和临床数据的问卷以及儿科生活质量量表™4.0通用核心量表(PedsQL™4.0)问卷,分为两个版本,一个面向8-12岁儿童,一个面向13-18岁儿童及其父母。结果癫痫患儿及其家长的整个PedsQL™4.0问卷Cronbach 's alpha系数分别为0.91和0.93。孩子们的总量表得分(67.5分)高于父母(62.5分)。在分析儿童在不同领域的功能时,我们观察到女孩的评估高于男孩,除了情感功能。父母和孩子对学校功能的评分都是最低的。在身体功能领域观察到最大的一致反应,在情绪功能领域观察到最小的一致反应。结论两年龄组癫痫患儿的生活质量评分均高于其父母。根据以下变量比较儿童和家长的评估分数,发现有统计学上显著的差异;儿童年龄、性别、病程、发作频率及治疗效果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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