Study on the influencing factors of quality of life in children with congenital anorectal malformation

Abstract

Objective To analyse the influencing factors of quality of life(QOL)among postoperative children with congenital anorectal malformation(ARM), so as to provide evidence for developing comprehensive interventions and improve QOL of children with ARM. Methods The QOL of 100 children aged at 2 and 5 years old were evaluated by using the Chinese version of PedsQL™4.0 scale, and the total and 4 dimensions scores of QOL were calculated.Univariate and multiple stepwise regression model was applied to analyse the influencing factors of the QOL. Results The results of univariate analysis among ARM children aged at 2 years old showed that the clinical classification, bowel disorders and family residence have different influence on QOL scores of the 4 dimensions and total scale(P<0.05). The results of univariate analysis among ARM children aged at 5 years old showed that the clinical classification, bowel disorders and maternal education had different influence on QOL scores of the 4 dimensions and total scale(P<0.05). The results of multiple stepwise regression model among ARM children aged at 2 years old showed that the major influence factor of QOL scores in physical function was family residence and bowel disorders(P<0.05), the major influence factor of QOL scores in social functioning was bowel disorders(P<0.05), the major influence factor of the total scores was bowel disorders and family residence(P<0.05). The results of multiple stepwise regression model among ARM children aged at 5 years old showed that the major influence factor of QOL scores in physical function was maternal occupation and clinical classification(P<0.05), the major influence factor of QOL scores in emotional functioning was bowel disorders(P<0.05), the major influence factor of QOL scores in social functioning was clinical classification and bowel disorders(P<0.05), the major influence factor of QOL scores in school performance was maternal occupation(P<0.05), the major influence factor of total scores was bowel disorders and clinical classification(P<0.05). Conclusion Family residence and bowel disorders have effct on QOL of ARM children aged at 2 years old.Maternal occupation, clinical classification and bowel disorders have effct on QOL of ARM children aged at 5 years old.We should take positive interventions on these influencing factors to improve QOL of children with ARM. Key words: Children; Anorectal malformation; Quality of life; Influencing factors