Yıl: 2004 Cilt: 15 Sayı: 1 Sayfa Aralığı: 3 - 8 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

An assessment of the impact of cerebral palsy on children's quality of life

Öz:
Amaç: Bu çalışmanın amacı, serebral paralizinin çocukların yaşam kalitesi üzerine olan etkisini değerlendirmek ve hastalığın şiddeti ile yaşam kalitesi arasındaki ilişkiyi incelemekti. Yöntem ve gereç: Yaşları 5-12 yıl arasında değişen 45 serebral paralizili ve 64 sağlıklı çocuk üzerinde karşılaştırmalı bir çalışma yapıldı. Sağlıkla ilgili yaşam kalitesini değerlendirmek amacıyla Çocuk Sağlık Anketi (CHQ-PF50) kullanıldı. Serebral paralizi şiddeti Kaba Motor Fonksiyon Sınıflama Sistemi (GMFCS) ile değerlendirildi. Sonuçlar: Gruplar yaş ve cinsiyet yönünden dengedeydi. Serebral paralizili olguların çoğu (% 66.7) GMFCS' ne göre IV. veya V. seviyedeydi. Serebral paralizili olgularda eşlik eden tıbbi problemler daha sıktı. Serebral paralizi ağrı ve mental sağlık dışındaki tüm ölçeklerde yaşam kalitesinin anlamlı şekilde kötüleşmesine yol açmıştı (p<0.01). Korelasyon analizleri, GMFCS seviyesi artarken CHQ-PF50' nin fiziksel fonksiyon, sosyal-fiziksel rol güçlüğü ve sosyal / emosyonel / davranış kısıtlanmaları ölçeklerindeki puanların azaldığını gösterdi. Tartışma: Çalışmamızın sonuçları, serebral paralizinin bu hastalıktan etkilenen çocukların yaşam kalitesi üzerine çok büyük olumsuz etkilerinin olduğunu gösterdi. Motor bozukluk şiddeti sadece fiziksel sağlık ile değil, aynı zamanda psikolojik sağlıkla da ilişkiliydi. Bu çocukların yaşam kalitelerini iyileştirmek için disiplinler arası bir yaklaşıma gereksinim vardır.
Anahtar Kelime: Beyin felci Hastalık ciddiyet indeksi Çocuk Anketler Yaşam kalitesi

Konular: Genel ve Dahili Tıp Rehabilitasyon

Serebral paralizinin çocukların yaşam kalitesi üzerine olan etkisinin değerlendirilmesi

Öz:
Purpose: The aim of the present study was to evaluate the impact of cerebral palsy on children's health-related quality of life (HRQoL) and explore the association between the severity of disease and perception of HRQoL. Material and methods: A comparative study was conducted on 45 children with CP and 64 healthy children aged 5-12 years. Child Health Questionnaire (CHQ-PF50) was used to evaluate HRQoL. The severity of the CP was assessed by Gross Motor Function Classification System (GMFCS). Results: Groups were comparative with respect to age and gender. Most of the subjects (66.7%) with CP were classified as GMFCS Level IV or V. Associated medical problems were more frequent in subjects with CP. Cerebral palsy led to significantly worse quality of life in all domains with the exception bodily pain and mental health scales (p<0.01). Correlation analyses showed that the scores on the physical functioning, role / social-physical limitations, and role / social, emotional / behavioral limitations scales of the CHQ-PF 50 decreased while the GMFCS level increased. Conclusion: Our results showed that cerebral palsy has a tremendous negative impact on quality of life of children. The severity of the motor impairment is associated with not only physical health but also psychological health. Interdisciplinary team approach is needed to improve quality of life of these children.
Anahtar Kelime: Child Questionnaires Quality of Life Cerebral Palsy Severity of Illness Index

Konular: Genel ve Dahili Tıp Rehabilitasyon
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • 1.Cblver A. Benefits of a population register of children with cerebral palsy. Indian Pediatr. 2003;40:639-644.
  • 2.Singhi PD, Ray M, Suri G. Clinical spectrum of cerebral palsy in north India-an analysis of 1,000 cases. J Trop Pediatr. 2002;48:162-166.
  • 3.Guzzetta A, Mercuri E, Cioni G. Visual disorders in children with brain lesions: 2. Visual impairment associated with cerebral palsy. Eur J Paediatr Neurol. 2001;5:115-119.
  • 4.Pharoah PO, Cooke T, Johnson'MA, et al. Epidemiology of cerebral palsy in England and Scotland, 1984-9. Arch Dis Child Fetal Neonatal Ed. 1998;79:F21-F25.
  • 5.Engel JM, Schwartz L, Jensen MP, et al. Pain in cerebral palsy: the relation of coping strategies to adjustment. Pain. ¡2000;88:225-230.
  • 6.Schwartz L, Engel JM, Jensen MP. Pain in persons with cerebral palsy. Arch Phys Med Rehabil. 1999;80:1243-1246.
  • 7.Seidel UP, Chadwick OF, Rutter M. Psychological disorders in crippled children. A comparative study of children with and without brain damage. Dev Med Child Neurol. 1975;17:563-573.
  • 8.Breslau N. Does brain dysfunction increased children's Vulnerability to environmental stress? Arch Gen Psychiatry. 1990;47:15-20.
  • 9.Beckung E, Hagberg G. Neuroimpairments,, activity limitations, and participation restrictions in children with cerebral palsy. Dev Med Child Neurol. 2002;44:309-316.
  • 10.Bjornson KF, McLaughlin JF. The measurement of health-related quality of life (HRQL) in children with cerebral palsy. Eur J Neurol. 2001;8 (suppl 5):S183-S193.
  • 11.Palisano R, Rosenbaum P, Walter S, et al. Development and reliability of a system to classify gross motor function in children with cerebral palsy. Dev Med Child Neurol. 1997;39:214-223.
  • 12.Ozdogan H, Ruperto N, Kasapcopur O, et al. Paediatric Rheumatology International Trials Organisation. The Turkish version of the Childhood Health Assessment Questionnaire (CHAQ) and the Child Health Questionnaire (CHQ). Clin Exp Rheumatol.2001;19(suppl 23):S158-S162.
  • 13.Landgraft JM, Abetz L, Ware JE. The CHQ User's Manual. Boston: The Health Institute, New England Medical Center; 1996.
  • 14.von Wendt L, Rantakallio P, Saukkonen AL, et al. Cerebral palsy and additional handicaps in a 1-year birth cohort from northern Finland—a prospective follow-up study to the age of 14 years. Ann Clin Res. 1985;7:156-161.
  • 15.Srivastava VK, Laisram N, Srivastava RK. Cerebral palsy. Indian Pediatr. 1992;29:993-996.
  • 16.Krageloh-Mann I, Hagberg G, Meisner C, et al. Bilateral spastic cerebral palsy—a comparative study between south-west Germany and western Sweden. I: Clinical patterns and disabilities. Dev Med Child Neurol. 1993;35:1037-1047.
  • 17.Bhatia M, Joseph B. Rehabilitation of cerebral palsy in a developing country: the need for comprehensive assessment. Pediatr Rehabil. 2001;4:83-86.
  • 18.Roscigno CI. Addressing spasticity-related pain in children with spastic cerebral palsy. J Neurosci Nurs. 2002;34:123-133.
  • 19.Malleson P, Clinch J. Pain syndromes in children. Curr Opin Rheumatol. 2003;15:572-580.
  • 20.Perquin CW, Hazebroek-Kampschreur AA, Hunfeld JA, et al. Pain in children and adolescents: a common experience. Pain. 2000;87:51-58.
  • 21.Blair RJ. Neurocognitive models of aggression, the antisocial personality disorders, and psychopathy. J Neurol Neurosurg Psychiatry. 2001 ;71:727-731.
  • 22.Bohnert AM, Crnic KA, Lim KG. Emotional competence and aggressive behavior in school-age children. J Abnorm Child Psychol. 2003;31:79-91.
  • 23.James A, Berelowitz M, Vereker M. Borderline, personality disorder: study in adolescence. Eur Child Adolesc Psychiatry. 1996;5:11-17.
APA Tüzün E, EKER L, DAŞKAPAN A (2004). An assessment of the impact of cerebral palsy on children's quality of life. , 3 - 8.
Chicago Tüzün Emine Handan,EKER LEVENT,DAŞKAPAN Arzu An assessment of the impact of cerebral palsy on children's quality of life. (2004): 3 - 8.
MLA Tüzün Emine Handan,EKER LEVENT,DAŞKAPAN Arzu An assessment of the impact of cerebral palsy on children's quality of life. , 2004, ss.3 - 8.
AMA Tüzün E,EKER L,DAŞKAPAN A An assessment of the impact of cerebral palsy on children's quality of life. . 2004; 3 - 8.
Vancouver Tüzün E,EKER L,DAŞKAPAN A An assessment of the impact of cerebral palsy on children's quality of life. . 2004; 3 - 8.
IEEE Tüzün E,EKER L,DAŞKAPAN A "An assessment of the impact of cerebral palsy on children's quality of life." , ss.3 - 8, 2004.
ISNAD Tüzün, Emine Handan vd. "An assessment of the impact of cerebral palsy on children's quality of life". (2004), 3-8.
APA Tüzün E, EKER L, DAŞKAPAN A (2004). An assessment of the impact of cerebral palsy on children's quality of life. Fizyoterapi Rehabilitasyon, 15(1), 3 - 8.
Chicago Tüzün Emine Handan,EKER LEVENT,DAŞKAPAN Arzu An assessment of the impact of cerebral palsy on children's quality of life. Fizyoterapi Rehabilitasyon 15, no.1 (2004): 3 - 8.
MLA Tüzün Emine Handan,EKER LEVENT,DAŞKAPAN Arzu An assessment of the impact of cerebral palsy on children's quality of life. Fizyoterapi Rehabilitasyon, vol.15, no.1, 2004, ss.3 - 8.
AMA Tüzün E,EKER L,DAŞKAPAN A An assessment of the impact of cerebral palsy on children's quality of life. Fizyoterapi Rehabilitasyon. 2004; 15(1): 3 - 8.
Vancouver Tüzün E,EKER L,DAŞKAPAN A An assessment of the impact of cerebral palsy on children's quality of life. Fizyoterapi Rehabilitasyon. 2004; 15(1): 3 - 8.
IEEE Tüzün E,EKER L,DAŞKAPAN A "An assessment of the impact of cerebral palsy on children's quality of life." Fizyoterapi Rehabilitasyon, 15, ss.3 - 8, 2004.
ISNAD Tüzün, Emine Handan vd. "An assessment of the impact of cerebral palsy on children's quality of life". Fizyoterapi Rehabilitasyon 15/1 (2004), 3-8.