Improving the Quality of Life of Children with Asthma or Allergy (Developing a QOL Questionnaire)

1.由40个条目组成的哮喘儿童生活质量日本量表(第1版)具有中等信度(Cronbach‘sα=0.85)和效度。因素分析显示为5因素分组。我们对245名年龄在10到18岁(平均年龄：12.3岁)的哮喘患者进行了生活质量问卷调查。结果显示：FEV1.0%<70%者平均得分为160.7±13.3分，大于或等于70%者平均得分为171.2±12.6分(P<0.05)。女生平均得分为166.2±13.7分，低于男生的171.8±12.5分(P<0.01)。结论：1.重度哮喘儿童的生活质量评分不一定低。编制了哮喘儿童生活质量量表(第2版)，该量表由30个条目组成，采用五分Likert量表形式，涵盖五个领域：“身体”、“社会”、“家庭”、“情感”和“同伴”。分析样本为296名10岁至18岁的哮喘儿童。通过因子分析确定了五个维度。该问卷具有较好的信度(克朗巴赫α=0.88)和效度。编制了特应性皮炎儿童生活质量日本量表(第1版)，该量表由35个条目组成，包括症状、情绪、自我、日常活动、人际关系和生活满意度6个领域，采用5分Likert量表形式。

1. A Japanese quality of life scale for children with asthma (Version 1) which has 40 items showed moderate reliability (Cronbach's α=0.85) and validity. Factor analysis indicated a 5 factor grouping. We utilized this QOL questionnaire to 245 subjects, aged 10 to 18 (average age : 12.3 years), with bronchial asthma and receiving home care. The results were as follows : The average score was 160.7±13.3 for children with FEV_<1.0>% rate under 70%, and 171.2±12.6 for those with a rate greater than or equal to 70% (p<0.05). The average score for girls, 166.2±13.7 (maximum 200) was lower than that for boys, 171.8±12.5 (p<0.01). Children with severe asthma did not necessarily have low QOL scores.2. A quality of life scale of children with asthma (Version 2) which has 30 items with a five-point Likert Scale format over five domains : "physical", "social', "familial", "emotional' and "peer group" was developed. The sample for analysis was composed of two hundred ninety six children aged 10 to 18 with asthma. The five domains were confirmed by factor analysis. This QOL questionnaire showed reliability (Cronbach's α=0.88) and validity.3. A Japanese qualily of life scale for children with atopic dermatitis (Version 1) which has 35 items with a five-point Likert Scale format over six domains : "symptoms" , "mood", "selfesteem" "daily activities", "relationships" and "life satisfaction" was developed.