青少年特发性脊柱侧凸患者与家属对治疗前SRS-22量表评分认知的一致性及影响因素

The cognitive consistency and the influence factors of pretreatment SRS-22 questionnaire in adolescent idiopathic scoliosis patients and their families

中文关键词:  青少年特发性脊柱侧凸  SRS-22量表  心理健康  健康相关生活质量

英文关键词:Adolescent idiopathic scoliosis  SRS-22 questionnaire  Mental health  Health related quality of life

中文摘要:

  【摘要】 目的：比较青少年特发性脊柱侧凸（adolescent idiopathic scoliosis，AIS）患者与家属对脊柱侧凸研究学会-22（Scoliosis Research Society-22，SRS-22）量表认知一致性的差异，明确影响SRS-22量表各维度得分的临床及影像学参数。方法：2019年1月～2020年1月于我院就诊的46例AIS患者及其家属在治疗前分别填写SRS-22量表，患者中女性37例，男性9例，年龄11~19岁（13.6±1.8岁）。比较AIS患者与家属在SRS-22量表各维度得分的一致性，分析患者性别、年龄、身体质量指数（BMI）、病程、侧凸主弯部位、主弯Cobb角、轴向躯干旋转角（ATR）与SRS-22量表各维度的相关性。结果：AIS患者自评SRS-22量表疼痛、心理状况、功能状况、自我形象得分和总分分别为4.6±0.5、4.0±0.8、4.4±0.6、3.6±0.6和4.2±0.5分，家属评价各维度得分分别为4.6±0.5、4.1±0.7、4.2±0.7、3.2±0.6和4.1±0.5分，患者疼痛、心理状况得分与家属无显著性差异（P=0.868、0.195），功能状况、自我形象得分和总分高于家属，差异有统计学意义（P=0.048、＜0.001和0.038）。患者自评年龄与心理状况得分呈显著性负相关（r=-0.343，P=0.020），主弯Cobb角度数与功能状况得分呈显著性负相关（r=-0.366，P=0.012），病程、BMI、ATR与各维度得分无显著相关性（P>0.05）；家属评价各维度得分与患者年龄、主弯Cobb角度数、病程、BMI、ATR均无显著相关性。女性患者的家属在疼痛亚维度平均得分低于男性患者的家属，差异有统计学意义（4.5±0.6分 vs 5.0±0.1，P=0.017）；其他维度得分无统计学差异（P>0.05）。结论：AIS患者对功能状况和自我形象维度的满意度高于其家属，双方在疼痛和心理状况方面具有较好的认知一致性，年龄、主弯Cobb角分别是影响AIS患者SRS-22量表疼痛、功能状况维度得分的因素。

英文摘要:

  【Abstract】 Objectives: To clarify the differences of cognitive consistency between adolescent idiopathic scoliosis(AIS) patients and their families on the dimensions of Scoliosis Research Society-22(SRS-22) questionnaire before treatment, and to investigate the influence factors of clinical and imaging parameters on SRS-22 scores in AIS patients and their family members. Methods: The AIS patients and their families in our hospital filled out SRS-22 questionnaire respectively from January, 2019 to January, 2020. There were 46 AIS patients with an average age of 13.6±1.8 years, including 37 females and 9 males. The consistency between the AIS patients and their family members regarding SRS-22 questionnaire scores was analyzed. The correlation between gender, age, body mass index(BMI), course of disease, main curve of scoliosis, Cobb angle of main curve, and angle of axial trunk rotation(ATR) and SRS-22 questionnaire scores was analyzed. Results: The results of consistency between the AIS patients and their family members showed that the function, the self-image, and the total score of SRS-22 questionnaire in AIS patients was higher than that in their family members(P=0.048, ＜0.001, and 0.038, respectively), and no significant difference was found in pain and mental health between AIS patients and their family members. In the results of the SRS-22 questionnaire scores evaluated by the AIS patients, the age was negatively correlated with the mental health (r=-0.343, P=0.020), and the Cobb angle of main curve was negatively correlated with the function(r=-0.366, P=0.012). The course of disease, BMI and ATR angle were not correlated with SRS-22 questionnaire scores. In the results of the SRS-22 questionnaire evaluated by the family members of patients with AIS, the female was associated with the lower pain scores than males(4.5±0.6 vs 5.0±0.1, P=0.017). There was no significant difference in other sub-dimensional evaluation. Conclusions: The family members were less satisfied with the function and the self-image than the AIS patients, while they have good cognitive consistency in the pain and the mental health. The age and Cobb angle of main curve were the influencing factors of the pain and function scores of SRS-22 questionnaire in the AIS patients respectively.