早产与学龄前期家长报告的健康相关生活质量之间的关系：一项回顾性匹配队列研究

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2024-09-01 DOI:10.1016/j.pedhc.2024.05.004

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引用次数: 0

摘要

简介：这项基于医院的回顾性匹配队列研究探讨了早产（PB）与学龄前儿童健康相关生活质量（HRQoL）之间的关系：这项以医院为基础的回顾性匹配队列研究探讨了早产（PB）与学龄前儿童健康相关生活质量（HRQoL）之间的关系：按性别和出生日期（1:2）将早产儿与足月儿（PB = 89，FTP = 178）进行配对。使用TNO-AZL学龄前儿童生活质量问卷对家长报告的儿童HRQoL进行评估。通过条件逻辑回归分析了PB与HRQoL之间的关系：结果：早产儿大多为中度至轻度早产儿（64%），在睡眠（OR = 0.46；95% CI = 0.23-0.91）和行为（OR = 0.46；95% CI = 0.23-0.85）分量表中，其 HRQoL 低于中位数的概率较低。相反，PB 组的沟通 HRQoL 概率更高（OR = 1.91；95% CI = 1.01-3.64）：讨论：PB 与更好的睡眠和行为 HRQoL 相关，但与较差的沟通 HRQoL 相关。这些发现可能意味着中度至轻度儿童脑瘫患者的发育结果可能趋于正常。

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Association Between Preterm Birth and Parent-Reported Health-Related Quality of Life During the Preschool Years: A Retrospective Matched Cohort Study

Introduction

This hospital-based retrospective matched cohort study explored the association between preterm birth (PB) and health-related quality of life (HRQoL) in preschool children.

Method

PB children were matched by sex and day of birth (1:2) with full-term birth (FTB) children (PB = 89, FTP = 178). The children's parent-reported HRQoL was assessed using the TNO-AZL Preschool Children Quality of Life Questionnaire. The association between PB and HRQoL was examined using conditional logistic regressions.

Results

PB children were mostly moderate-to-mild preterm (64%) and exhibited a lower probability of presenting an HRQoL below the median in the sleeping (OR = 0.46; 95% CI = 0.23–0.91) and behavior (OR = 0.46; 95% CI = 0.23–0.85) subscales. Conversely, this probability in communication HRQoL was higher in the PB group (OR = 1.91; 95% CI = 1.01–3.64).

Discussion

PB was associated to better sleeping and behavior HRQoL, but poorer communication HRQoL. These findings could imply a potential normalization of developmental outcomes in moderate-to-mild PB.

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.