Impact of tympanostomy tubes on child quality of life
Impact of tympanostomy tubes on child quality of life
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DOI：
10.1001/archotol.126.5.585
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发表时间：
2000-05-01
影响因子：
--
通讯作者：
Smith, RJH
中科院分区：
文献类型：
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作者：
Rosenfeld, RM;Bhaya, MH;Smith, RJH
背景：鼓室造瘘管治疗中耳炎的客观益处已有定论，但手术对儿童生活质量(QOL)的主观影响还没有系统的研究。目的：确定鼓室造口术对儿童生活质量的主观影响，并比较手术前和手术后QOL的变异性。设计：前瞻性、观察性、前后对照试验。地点：美国14个基于转诊的儿童耳鼻喉科实践。患者：连续(%)和方便(36%)样本248名儿童(中位年龄，1.4年)，并安排双侧鼓室造瘘管放置中耳炎作为单独的手术程序。干预：鼓室造口置管作为常规临床护理的一部分。分别在基线(访视1)、术中(访2)和术后(访3)进行调查。主要观察指标：术前(访1~访2)和术后(访2~访3)生活质量的短期变化。
Background: The objective benefits of tympanostomy tubes for otitis media are well established, but the subjective impact of surgery on child quality of life (QOL) has not been systematically studied.Objectives: To determine the subjective impact of tympanostomy tubes on child QOL, and to compare the variability in QOL before surgery with that observed after surgery.Design: Prospective, observational, before-and-after trial.Setting: Fourteen referral-based pediatric otolaryngology practices in the United States.Patients: Consecutive (64%) and convenience (36%) sample of 248 children (median age, 1.4 years) with otitis media scheduled for bilateral tympanostomy tube placement as an isolated surgical procedure.Intervention: Tympanostomy tubes were inserted as part of routine clinical care. Validated measures of QOL (OM-6 survey), satisfaction with health care decision (Satisfaction With Decision Scale), and satisfaction with office visit; surveys were completed at baseline (visit 1), at surgery (visit 2), and after surgery (visit 3).Main Outcome Measures: Short-term changes in QOL before surgery (visit 1 to visit 2) and after surgery (visit 2 to visit 3).Results: Changes in QOL before surgery were mostly trivial, and were smaller than changes observed after surgery (P