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首页> 外文期刊>Journal of AAPOS: The official publication of the American Association for Pediatric Ophthalmology and Strabismus >Social and emotional impact of strabismus surgery on quality of life in children.
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Social and emotional impact of strabismus surgery on quality of life in children.

机译：斜视手术对儿童生活质量的社会和情感影响。

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Purpose Improved quality of life after strabismus surgery has been demonstrated in adults, but has not been extensively studied in children. The purpose of this study was to evaluate the psychosocial effects of childhood strabismus surgery. Methods This was a prospective interventional study. A modified version of the RAND Health Insurance Study quality of life instrument was administered to parents or guardians of children with strabismus. The questionnaire was administered by telephone interviews conducted by trained staff before and 2 months after corrective surgery. Results Ninety-eight children with a mean age of 4.5 (+/-3.3) years were studied. Reliability measures (Cronbach's alpha coefficients) indicate that the questionnaire has good internal consistency (alpha > 0.7 in most subscales). Compared with before surgery, significant improvements were noted after surgery, especially within the functional limitations (paired Student's t -test, P = 0.01), social relations ( P < 0.01), general health perceptions ( P < 0.01), and developmental satisfaction ( P < 0.01) subscales. Conclusions Parental proxies can provide meaningful measures of children's response to strabismus surgery. Statistically significant improvements were observed in social, emotional, and functional measures of the children's health status. As previously documented for adults, this study shows that psychosocial benefits afforded by strabismus surgery also contribute to an improvement in quality of life for children.
机译：目的在成人中已证明斜视手术后生活质量得到改善，但在儿童中尚未进行广泛的研究。这项研究的目的是评估儿童斜视手术的心理社会影响。方法这是一项前瞻性干预研究。对患有斜视的儿童的父母或监护人实施了兰德健康保险研究生活质量工具的修改版。在矫正手术之前和之后2个月，由受过训练的人员进行电话访问，对调查表进行管理。结果研究了98名平均年龄为4.5（+/- 3.3）岁的儿童。可靠性度量（Cronbach的α系数）表明，问卷具有良好的内部一致性（在大多数分量表中，α> 0.7）。与手术前相比，手术后有显着改善，尤其是在功能限制（配对学生t检验，P = 0.01），社会关系（P <0.01），总体健康认知（P <0.01）和发育满意度（ P <0.01）分量表。结论父母的代理可以为儿童对斜视手术的反应提供有意义的测量。在对儿童健康状况的社交，情感和功能指标上观察到统计学上的显着改善。如先前针对成人的文献所述，这项研究表明，斜视手术所提供的心理社会效益也有助于改善儿童的生活质量。

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