I.接近足月早產兒於出生18個月時降低母親健康相關 生活品質:一個以台灣人口為基礎的世代研究 II.接近足月早產兒母親健康相關生活品質的縱向變化

Abstract

I. 研究目的: 探討接近足月早產兒於出生18個月大對父母親健康相關生活品質的影響 研究方法: 經由台灣國家出生登記資料庫進行分層抽樣，選出於2005年出生的孩童與母親，2007年1月至2008年2月於孩童18個月大時進行家戶訪談，進行父母親生活品質測量，測量工具為Medical Outcomes Study 36-itemShort-Form (SF-36)，共有14,578位家長納入研究其中包含13,765位足月兒父母及813位接近足月早產兒父母。 研究結果: 接近足月早產兒相較於足月兒會降低母親生活品質的分數，在適當矯正相關的干擾因子後，在Medical Outcomes Study 36-itemShort-Form (SF-36)八個面向的分數，有四個面向包括身體生理功能、一般健康狀況、活力及生理健康於兩組母親的分數有統計學上顯著的差異 (P < 0.005)。有趣的是，接近足月早產兒的父親生活品質的分數相較於足月兒父親並無顯著的降低。 結論:就我們所知，這是第一篇主要探討接近足月早產兒與足月兒父母親健康相關生活品質差異的研究，在我們研究中，在18個月大時，近足月早產兒的母親有較差的健康相關生活品質，其中包含了生理及心理面向。 II. 題目: 接近足月早產兒母親健康相關生活品質的縱向變化 研究目的: 探討接近足月早產兒對其母親健康相關生活品質的影響隨時間的變化 研究方法: 經由台灣國家出生登記資料庫進行分層抽樣，選出於2005年出生的孩童與母親，分別於孩童6個月、18個月及3歲大時進行家戶訪談，進行父母親生活品質測量，測量工具為Medical Outcomes Study 36-itemShort-Form (SF-36)，共有13,077位家長納入研究其中包含12,347位足月兒父母及730位接近足月早產兒父母。 研究結果: 接近足月早產兒會與母親生活品質的分數在6個月及18個月會呈負相關，在適當矯正相關的干擾因子後，6個月時在Medical Outcomes Study 36-itemShort-Form (SF-36)八個面向的分數，有三個面向包括身體生理功能、情緒角色受限及生理健康於兩組母親的分數有統計學上顯著的差異 (P < 0.005)。18個月時在Medical Outcomes Study 36-itemShort-Form (SF-36)八個面向的分數，有兩個面向包括一般健康狀況及生理健康於兩組母親的分數有統計學上顯著的差異 (P < 0.005)。到了3歲大時，接近足月早產兒與足月兒母親健康相關生活品質的差異就消失了。 結論:就我們所知，這是第一篇主要探討接近足月早產兒與足月兒母親健康相關生活品質隨時間變化的研究，在我們研究中，直到孩童18個月大時，近足月早產兒的母親仍有較差的健康相關生活品質，其中包含了生理及心理面向。

I. Objective: To determine the health-related quality of life (HRQOL) in parents after the birth of a late preterm infant at 18 months. Methods: Mother and child were chosen via a stratified sampling from Taiwan national birth registration database in 2005.Subjects underwent a home interview 18 months after their deliveries between Jan 2007 and Feb 2008.We used the Medical Outcomes Study 36-itemShort-Form (SF-36) to measure the HRQOL of 14,578 parents of 813 late preterm infants versus 13,765 term infants. Results: The mothers with late preterm infants lowered on score of HRQOL compared to those with full-term infants. After controlling for potential confounding factors, of the eight domains score of the SF-36, the four domains including role limitations due to physical health, general health perception, energy vitality and mental health, the HRQOL were significantly different between these two groups of mothers (P < 0.05). Interestingly, no significant decreasing scores of the HRQOL were noted between the father with a late preterm infant and those with a term infant. Conclusion: In our knowledge, this is the first study to primarily explore the difference in the HRQOL among the parents with LPIs and the parents with term infants. In our study, being a mother of LPIs decreased the health-related quality of life included physical and mental domains as compared to those of full-term infants at 18 months of age. II. Objective: To determine the change of health-related quality of life (HRQOL) experienced over time by mother with late preterm infants (LPIs). Methods: The mother and infant were chosen via a stratified sampling from Taiwan national birth registration database in 2005. Longitudinal prospective follow-up study of mothers with late preterm infants and infants from birth to 3 years was performed. We used the Medical Outcomes Study 36-itemShort-Form (SF-36) to measure the health-related quality of life by 13,077 parents of 730 late preterm infants versus 12,347 term infants. Results: There was negative association with LPIs and maternal quality of life at 6 months and 18 months after birth. The differences among three out of the eight domains at 6 months were statistically significant (P<0.05) including physical functioning, role limitation due to Emotional problems and mental health. The differences among two out of the eight domains at 18 months were statistically significant (P<0.05) including general health perception and mental health. The difference with regards to maternal quality of life between LPIs and full-term infant was disappeared at 36 months after birth. Conclusion: In our knowledge, this is the first study to primarily explore the longitudinal change in the HRQOL experienced over time by mother with LPIs. In our study, being a mother of LPIs decreased the health-related quality of life included physical and mental domains as compared to those of full-term infants at 6 and 18 months of age.