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학령기 경직성 뇌성마비 아동 부모의 삶의 질과 아동의 삶의 질 및 기능과 일상생활활동 수행 수준의 관련성 KCI 등재

Relationship Among Parents’ Quality of Life, Functional Level, Performance in the Activities of Daily Living, and the Quality of Life in School-aged Children With Spastic Cerebral Palsy

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한국전문물리치료학회지 (Physical Therapy Korea)
한국전문물리치료학회 (Korean Research Society of Physical Therapy)
초록

Background: In cerebral palsy (CP), parents’ quality of life and rearing attitude are considered possible factors that influence patients’ quality of life, function level, and performance in daily activities. Despite these facts, little attention has been given to demonstrate a relation between these factors. Objects: This study aimed to demonstrate the relationship between parents’ quality of life, functional level, and performance in daily activities, the quality of life of school-aged children with spastic CP. Methods: This study included 24 parents of school-aged children with spastic CP. The KIDSCREEN-52 and World Health Organization quality of life (WHOQOL)-BREF questionnaires (including physical, psychological, social, and environmental domains) were used as research tools to assess the quality-of-life profiles of the children with spastic CP and those of their parents, respectively. In addition, the function levels and performance in daily activities of the children with CP were assessed by using the gross motor function measure (GMFM) and modified Barthel index (MBI). Correlation and multiple regression analyses were performed to clarify the determinants of the quality of life of the children with CP. Results: The KIDSCREEN-52 score correlated with the total score (r=.735, p<.01) and all domains of the WHOQOL-BREF questionnaire (physical: r=.542, p<.01; psychological: r=.690, p<.01; social: r=.568, p<.01; and environmental: r=.783, p<.01). In addition, significant correlation was found between the KIDSCREEN-52 and MBI scores (r=.411, p<.05), and between the MBI and GMFM scores (r=.427, p<.05). After controlling for age, gender, paralytic type, GMFM, and MBI, the WHOQOL-BREF score (R2=.621), particularly in the environmental domain (R2=.699), remained independently related to the quality of life of the children. Conclusion: These findings suggest that the quality of life of school-aged children with spastic CP can be influenced by the quality of life of their parents. This study provides useful information for future studies to investigate the quality of life of children with CP

목차
6. Lee YS. Phys Ther Korea. 2017(1)51-60
 Abstract
 Ⅰ. 서론
 Ⅱ. 연구방법
  1. 연구대상자
  2. 평가도구 및 방법
  3. 연구절차
  4. 분석 방법
 Ⅲ. 결과
  1. 뇌성마비 아동과 부모의 삶의 질, 아동의 기능 및 일상생활활동 수행 수준의 상관관계
  2. 뇌성마비 아동의 삶의 질에 영향을 미치는 요인
 Ⅳ. 고찰
 Ⅴ. 결론
 References
저자
  • 이예슬(국립교통재활병원 물리치료실, Dept. of Physical Therapy, National Traffic Rehabilitation Hospital) | Ye-seul Lee, BHSc, PT
  • 오덕원(청주대학교 보건의료대학 물리치료학과, Dept. of Physical Therapy, College of Health Science, Cheongju University) | Duck-won Oh, PhD, PT Corresponding author