【Objective】 To investigate quality of life in children with cerebral palsy(CP) which were treated with comprehensive rehabilitation. 【Method】 70 children with cerebral palsy aged 2 to 6 years were selected, and measured by PedsQL4.0 before and after comprehensive rehabilitation of 6 months. 【Results】 There were 70 participants with cerebral palsy of mean age(35.3±11.3)months, in all 48 were boy and 22 were girl. For education, in all the 70 cases, 7 children had been in kindergarten. The enrollment rate was 10%. Before comprehensive rehabilitation, the scores of physical functioning were (25.40±21.84), emotional functioning were (64.00±20.16)and social functioning were (29.14±21.97). The total scores of PedsQL were (37.16±16.45). After comprehensive rehabilitation, the scores of physical functioning were (31.38±24.98), emotional functioning were (64.00±20.16)and social functioning were (34.50±21.32). The total scores of PedsQL were (42.22±17.06). Mean scores of physical functioning, emotional functioning, social functioning and total scores of PedsQL that measured after comprehensive inhabilitation were higher than that were measured before comprehensive inhabilitation, the differences were significant by paired t-test(P<0.01). For the factors affecting quality of life, the results of multivariate analysis of variance showed that family monthly income more than 3 000 yuan and the primary education of parents had a positive effect. And the effect of Gross Motor Classification System(GMFCS) on quality of life had no statistical significance (P=0.797). 【Conclusions】 Comprehensive rehabilitation can improve the quality of life of children with cerebral palsy. The analysis for influence factor suggest that we should invest more manpower and financial resources to improve quality of life of children with cerebral palsy.
Key words
comprehensive rehabilitation /
cerebral palsy /
quality of life /
influence factor
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References
[1] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑瘫康复专业委员会.小儿脑瘫的定义、分型和诊断条件[J].中华物理医学与康复杂志,2007,29(5):309-311.
[2] 卢奕云,田琪,郝元涛.儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析[J].中山大学学报:医学科学版,2008,29(3):328-331.
[3] Varni JW, Seid M, Knight TS, et al. The PedsQLTM 4. 0 Generic Core Scales: Sensitivity, responsiveness, and impact on clinical decision-making[J]. Journal of Behavioral Medicine,2002,25:175-193.
[4] Varni JW, Seid M. The PedsQLTM 4. 0: Reliability and validity of the pediatric quality of life inventoryTM Version 4. 0 Generic Core Scales in healthy and patient populations[J]. Medical Care,2001,39:800-812.
[5] VarniJW, Burwinkle TM, Katz ER, et al. The PedsQL in pediatric cancer: reliability and validity of the pediatric quality of life inventory generic core scales. multidimensional fatigue scale, and cancermodule[J]. Cancer,2002,94:2090-2106.
[6] 刘振寰,马美美,潘佩光,等.中国脑瘫康复模式的探讨-附三结合康复模式治疗脑瘫患儿100例[J].中医药临床杂志,2004,16(5):414-416.
[7] Martha WJ, Elaine M, Jean ES, et al. Cerebral palsy: introduction and diagnosis(Part I)[J]. J Pediatr Health Care,2007,21:146-152.
[8] Cuomo AV, Gamradt SC, Kim CO, et al. Health-related quality of life outcomes improve after multilevel surgery in ambulatory children with cerebral palsy[J]. Journal of Pediatric Orthopedics,2007,27 (6):653-657.
[9] Annette M, Micheal S, Peter R, et al. Determinants of life quality in school-age children with cerebral palsy[J]. Journal of Pediatrics,2007,151(5):463-469.
[10] Shelly A, Davis E, Waters E, et al. The relationship between quality of life and functioning for children with cerebral palsy[J]. Developmental Medicine & Child Neurology,2008,50:199-203.
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