發(fā)布時(shí)間：2018-03-27 23:24

  本文選題：口腔健康相關(guān)生活質(zhì)量　切入點(diǎn)：學(xué)齡前兒童口腔健康影響程度量表　出處：《新疆醫(yī)科大學(xué)》2014年碩士論文

【摘要】：日的：運(yùn)用學(xué)齡前兒童口腔健康影響程度量表(the Early Childhood Oral Health Impact Scale, ECOHIS)中文版(以下簡(jiǎn)稱C-ECOHIS)調(diào)查和評(píng)價(jià)新疆石河子市3-5歲兒童的口腔健康相關(guān)生活質(zhì)量(Oral Health-Related Quality of Life, OHRQoL);并分析其信度、效度,探討C-ECOHIS在該地區(qū)3-5歲兒童的適用性。方法：采用多階段整群隨機(jī)抽樣的方法,于2012年6-12月期間,隨機(jī)抽取石河子市各區(qū)6所幼兒園的300名3-5歲漢族兒童做調(diào)查。調(diào)查內(nèi)容包括家長(zhǎng)的問(wèn)卷調(diào)查和兒童的口腔dmft檢查。利用SPSS18.0軟件對(duì)問(wèn)卷調(diào)查表的得分進(jìn)行統(tǒng)計(jì)學(xué)分析和數(shù)據(jù)整理。有齲和無(wú)齲兒童C-ECOHIS得分之間做t檢驗(yàn)；不同的家庭背景下兒童的C-ECOHIS得分做Kruiskal-wallist H檢驗(yàn)；Spearman相關(guān)系數(shù)檢驗(yàn)家長(zhǎng)評(píng)價(jià)的兒童口腔健康狀況得分與ECOHIS得分之間的相關(guān)性。結(jié)果：C-ECOHIS總得分的克朗巴赫a系數(shù)(Cronbach's α coefficient)為0.77,重測(cè)信度為0.86。C-ECOHIS得分顯示兒童出現(xiàn)過(guò)“口腔疼痛”這種負(fù)面影響的頻率最高,兒童因口腔問(wèn)題產(chǎn)生“郁郁寡歡”的頻率最低；對(duì)家庭影響最大的是家長(zhǎng)因兒童口腔問(wèn)題而產(chǎn)生的“心里內(nèi)疚”,兒童口腔問(wèn)題對(duì)家庭影響最小的是“家庭財(cái)政產(chǎn)生影響”。家長(zhǎng)受教育程度與C-ECOHIS得分質(zhì)檢差異有統(tǒng)計(jì)學(xué)意義(P0.05)；有齲齒和齲病史兒童的C-ECOHIS得分顯著 于美沒(méi)有齲齒的兒童,差異有統(tǒng)計(jì)學(xué)意義(P0.01)；經(jīng)Spearman相關(guān)系數(shù)檢驗(yàn)證實(shí)家長(zhǎng)評(píng)價(jià)的兒童口腔健康狀況得分與ECOHIS得分之問(wèn)有相關(guān)性(rs=0.81,P0.001)。結(jié)論：石河子市3-5歲兒童的口腔疼痛、飲食不適等口腔問(wèn)題在一定程度上影響其自身及其家庭的生活質(zhì)量,有齲兒童受到的影響明顯大于無(wú)齲兒童；C-ECOHIS問(wèn)卷具有較好的信度和效度,適用于測(cè)評(píng)石河子市3-5歲兒童口腔健康狀況對(duì)其自身和家庭生活質(zhì)量的影響。
[Abstract]:The Chinese version of the Early Childhood Oral Health Impact scale (C-ECOHIS) was used to investigate and evaluate oral health-related quality of life of children aged 3-5 years in Shihezi, Xinjiang, and to analyze its reliability. To explore the applicability of C-ECOHIS in children aged 3-5 years in this area. Methods: a multi-stage cluster random sampling method was used in the period of June to December 2012. A total of 300 Han children aged 3-5 years were randomly selected from 6 kindergartens in Shihezi City. The contents of the survey included the questionnaire of parents and the oral dmft examination of children. The score of the questionnaire was statistically analyzed by SPSS18.0 software. Analysis and data collation. T test was made between the C-ECOHIS scores of caries and caries free children. The C-ECOHIS scores of children in different family backgrounds were tested by Kruiskal-wallist H test and Spearman correlation coefficient. The correlation between the oral health scores of children evaluated by parents and the ECOHIS score was tested. Results the Cronbach's coefficient of the total score of the total score of: C-ECOHIS was equal to that of Cronbachs 偽 cofficient. 0.77, the 0.86.C-ECOHIS score of retest reliability showed that children had the most negative effects of "oral pain". Children have the lowest frequency of "depression" due to oral problems; The biggest impact on the family is the parents'"psychological guilt" caused by children's oral problems, and the "family financial impact" is the least affected by the children's oral problems. The difference between the parents' education level and the C-ECOHIS score is consistent. The C-ECOHIS score of children with dental caries and caries history was significant. The difference was statistically significant in children with no dental caries in the United States (P 0.01), and the correlation between oral health scores assessed by parents and ECOHIS scores was confirmed by Spearman correlation coefficient test. Conclusion: oral pain is found in children aged 3-5 years in Shihezi City. Oral problems such as dietary discomfort affected the quality of life of their own and their families to some extent, and the effect on caries children was obviously greater than that on the C-ECOHIS questionnaire of non-caries children, which had good reliability and validity. It can be used to evaluate the effect of oral health status on the quality of life of children aged 3-5 years in Shihezi city.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R788.1

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本文編號(hào)：1673733