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Thailand - Health-related Quality of Life in Children with Chronic Diseases at Thammasat University Hospital
Objective: The present study aimed to examine the level of
health related quality of life in pediatric patients with common chronic
diseases who sought care at Thammasat University Hospital.
Material and Method: Cross sectional study in 134 patients aged 2-18,
who visited department of pediatrics at Thammasat University Hospital were
performed. Health related quality of life was evaluated using Thai version of
Pediatric Quality of Life Inventory 4.0 Generic Core Scales (PedsQLTM
4.0). For children aged 2-4 and 5-18, the questionnaire was answered
by their guardians and by themselves and their guardians, respectively.
The present study evaluated health related quality of life in four
aspects: physical, emotional, social and school functioning. Points were then
pooled and divided into three categories, namely total, physical health
summary and psychosocial health summary scale scores. Each category could have
a maximum score of 100.
Results: The mean total scale score from the
questionnaire answering by guardians was highest in allergic rhinitis (77.6
+ 12.1). Physical and psychosocial scale scores were 81.7 + 16.8 and 75.4
+ 12.5. Total scale scores in asthma, chronic renal diseases, leukemia and
lymphoma, and congenital heart defects were 73.8 + 14.7, 73.5 + 18.9, 64.5 +
14.0 and 76.2 + 19.6, respectively. Cerebral palsy had the lowest total
scale score of 27.1 + 16.7 with physical and psychosocial scale scores of
16.9 + 7.5 and 33.0 + 23.2, respectively. When patients answered the
questionnaire by themselves, it was found that allergic rhinitis had the
highest total scale score (79.5 + 13.2). Total scale scores in asthma, chronic
renal diseases, leukemia and lymphoma, and heart diseases were 75.2 +
16.4, 76.3 + 16.2, 70.5 + 9.4 and 72.4 + 22.7, respectively. Cerebral palsy
had the lowest scale scores in all categories, with total scale score of
46.1 + 14.6, physical scale score of 23.4 + 6.6 and psychosocial scale
score of 58.3 + 18.8.
Conclusion: Among chronic diseases, cerebral palsy has the
lowest health related quality of life scale scores in all
categories, namely total, physical and psychosocial health summary.
Keywords: Quality of life, PedsQL, Chronic disease