The Quality of Life (QOL) of Japanese Schoolchildren of Outpatients

Wednesday, 24 July 2013

Kayuri Furuya, RN, PHN, DNSc
Division of Health Innovation and Nursing, Faculty of Medicine, University of Tsukuba, Tsukuba, Ibaraki, Japan
Noriko Hiraga, RN, PHN, MS
Department of Nursing, Ibaraki Children's Hospital, Mito, Ibaraki, Japan
HIdeko Koike, RN, PhD
Okinawa Prefectural College of Nursing, Naha, Okinawa, Japan

Learning Objective 1: The learner will be able to know the quality of life (QOL) of Japanese schoolchildren of outpatient.

Learning Objective 2: The learner will be able to know the differences in the QOL score between self-reports and proxy-reports by their parents among Japanese schoolchildren of outpatient.

Purpose:

To reveal the quality of life (QOL) of Japanese schoolchildren of outpatient and the differences in the QOL score between self-report and proxy-report by their guardians.

Methods:

We investigated the QOL 270 schoolchildren of outpatient (173 primary schoolchildren and 97 junior high students) with childhood cancer, heart disease, and Internal secretion disease. QOL was assessed in selves and proxies with the generic Kinder Lebensqualitat Fragebogen (KINDLR) questionnaire exploring overall well-being and 6 well-being subdimensions (physical, psychological, self-esteem, family-related, friend-related, and school-related). We compared to those of proxy-report by their parents by Wilcoxon-test using SPSS19.0J for Windows.

Results:

In this study, schoolchildren reported high scores of KINDLR(mean=71.87, SD=13.63). Schoolchildren and their guardians reported the same score highest on "psychological well-being" (schoolchildren’s mean=83.59, SD=16.41 / proxy’s mean=80.58, SD=15.53) . On the other hand the score that both evaluated lowest is "self-esteem" (schoolchildren’s mean=57.17, SD=24.42 / proxy’s mean=62.29, SD=24.42). There were significant differences in the QOL score between self-report and proxy-report (p< 0.05). Self-report’s "physical well-being" and "psychological well-being" are higher than proxy’s, on the other hand self-report’s "self-esteem" and "school-related" are lower than proxy’s.

Conclusion:

The QOL of Japanese schoolchildren of outpatient were generally favorable. We suggested the guardians worried about the situation of a children's mind and body superfluously, and a possibility of recognizing neither self-esteem nor school life correctly.