石河子市300名学龄前儿童口腔健康相关生活质量的调查

发布时间：2018-03-27 23:24

本文选题：口腔健康相关生活质量　切入点：学龄前儿童口腔健康影响程度量表　出处：《新疆医科大学》2014年硕士论文

【摘要】：日的：运用学龄前儿童口腔健康影响程度量表(the Early Childhood Oral Health Impact Scale, ECOHIS)中文版(以下简称C-ECOHIS)调查和评价新疆石河子市3-5岁儿童的口腔健康相关生活质量(Oral Health-Related Quality of Life, OHRQoL);并分析其信度、效度,探讨C-ECOHIS在该地区3-5岁儿童的适用性。方法：采用多阶段整群随机抽样的方法,于2012年6-12月期间,随机抽取石河子市各区6所幼儿园的300名3-5岁汉族儿童做调查。调查内容包括家长的问卷调查和儿童的口腔dmft检查。利用SPSS18.0软件对问卷调查表的得分进行统计学分析和数据整理。有龋和无龋儿童C-ECOHIS得分之间做t检验；不同的家庭背景下儿童的C-ECOHIS得分做Kruiskal-wallist H检验；Spearman相关系数检验家长评价的儿童口腔健康状况得分与ECOHIS得分之间的相关性。结果：C-ECOHIS总得分的克朗巴赫a系数(Cronbach's α coefficient)为0.77,重测信度为0.86。C-ECOHIS得分显示儿童出现过“口腔疼痛”这种负面影响的频率最高,儿童因口腔问题产生“郁郁寡欢”的频率最低；对家庭影响最大的是家长因儿童口腔问题而产生的“心里内疚”,儿童口腔问题对家庭影响最小的是“家庭财政产生影响”。家长受教育程度与C-ECOHIS得分质检差异有统计学意义(P0.05)；有龋齿和龋病史儿童的C-ECOHIS得分显著于美没有龋齿的儿童,差异有统计学意义(P0.01)；经Spearman相关系数检验证实家长评价的儿童口腔健康状况得分与ECOHIS得分之问有相关性(rs=0.81,P0.001)。结论：石河子市3-5岁儿童的口腔疼痛、饮食不适等口腔问题在一定程度上影响其自身及其家庭的生活质量,有龋儿童受到的影响明显大于无龋儿童；C-ECOHIS问卷具有较好的信度和效度,适用于测评石河子市3-5岁儿童口腔健康状况对其自身和家庭生活质量的影响。
[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 伪 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.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R788.1

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