correlation of quality of life with component questionnaire in children with acute bronchopulmonary disease

Conclusions: the biggest impact on quality of life of children with acute broncho-pulmonary disease have seizures wheezing and walking up the stairs, moderate effect giving cough and its effect on the general condition, nasal discharge and presence of dyspnea, exercise or physical activity, the problem of pressure in chest, missing school because of broncho-pulmonary diseases, depressed state due to disease and the fear of what may worsen cough, because of the disease the child may lag behind the school program and the impact on sleep. But the most complicated nasal breathing and availability allocation cough and daily activity have little impact on the quality of life for these children by correlation factor.


introduction
For today, it is possible even more often to meet the data, concerning the quality of life (QL) which is the difficult, multicomponent phenomenon, which depends both on objective and various subjective factors in scientifically methodical literature [2].The concept QL is very wide and philosophical, however scientists allocate three main types of definitions: global, component and narrow [9; 11].Support of the quality of life, which is dependent on health, became one of the important components of health care in the world [7].
A global measure of perception by a patient of a disease and the functional status mean under the question of QL, which is connected with health [3; 10].Therefore, considering question of QL of patients, estimate the degree of wellbeing and satisfaction with those aspects of life which illness and its treatment influences [6].
Various questionnaires are used for the purpose of an assessment of QL and definition of influence of a disease on state of a patient [1-4; 6].Concerning the questionnaires of QL which concern broncho-pulmonary diseases, they are developed for persons with chronic pathologies [5; 8; 10].
As the interaction between a rehabilitologist and a patient is one of the factors of successful rehabilitation, we need to consider both objective data of inspections, and subjective estimates of state of a patient, by drawing up the program.Besides for today it is recognized that influence of a disease on an organism can't be estimated only by use objective criteria (a status assessment by a doctor) [1].Therefore, we developed the questionnaire of poll for children with the sharp broncho-pulmonary diseases (BPD) for the purpose of definition of influence of symptomatology of a disease on motor activity and quality of life of a child [4].

communication of the research with scientific programs, plans, subjects
The work is performed by a subject of the Built plan of the research work in the sphere of physical culture and sport for 2011-2015, the subject 4.2.«Physical rehabilitation of incomplete with violation of activity of the musculoskeletal system» (number of the state registration is 0111U006471).

purpose of the research
To define influence of symptomatology of a disease on the quality of life of children with sharp broncho-pulmonary diseases according to the developed questionnaire.

SlobozanS'kiJ naUkoVo-SportiVniJ ViSnik
This work is licensed under a Creative Commons 4.0 International (CC BY 4.0) plicated by pleurisy at 2 of them) and 79 of the interrogated had different forms of bronchitis.We did the statistical processing of results of researches by means of a standard package of the application program SPSS for Windows 13.

results of the research and their discussion
When studying QL, we rely on the subjective estimation which was given the patient at the time of poll.Besides, it is necessary to consider that the subjective perception of various components of the quality of life by certain people can be very different.However, studying state of children with sharp broncho-pulmonary diseases, for the definition of influence of a disease on their state interested us as the child estimates displays of a disease on the state and motor activity, for the purpose of the subsequent accounting of these data on physical rehabilitation classes.
This questionnaire contains questions which can conditionally be divided on such as: «general questions», «symptoms», «activity», «influence of a disease», at the same time practically all questions (except «general») estimated a state for the last 3 days.So, studying results by the questionnaire of poll of QL, which is developed by us, we saw that children on average gained 58,29±12,01 points from the maximum 156 points.To estimate this result, we applied calculation of index of the quality of life (IQL), applying the approach of calculation, which is used by authors of other techniques for calculation of IQL and evaluation criterion by the formula: where Nfact.-the actual number of points which is received by the specific patient; Nmax.-the maximum number of points which can be received by this questionnaire.
Proceeding from these calculations, on average QL at the interrogated patients is estimated as lowered, as IQL made 62,6±7,8%.However, carrying out the statistical processing of frequencies by means of the standard package of the application program SPSS for Windows 13, we found out what QL is estimated as lowered at 69,2% of respondents, and at 30,8% of children with sharp broncho-pulmonary diseasesas low.
However, considering that the subjective estimate displays individual perception of the quality of life by the child and are based on subjective feelings and personal estimates [9], first, we want to pay attention to correlation communications of an assessment of QL with those questions, which concern an assessment of influence of symptomatology on a state of the child (tab).
Apparently from the table, irrespective of age, moderate influence on the quality of life, according to the questionnaire, children, with sharp broncho-pulmonary diseases has cough and its influence on a state of the child, allocation, from a nose and existence of get out of breath (0,30<r<0,49).
However, complicated nasal breath and existence of allocation at cough have smaller influence on the quality of life of these children according to the correlation coefficient (0,20<r<0,29).The existence of attacks of whistling breath gives the greatest influence on the quality of life, according to the data of inspection.And there we want to pay attention that, estimating get out of breath on motor activity through the question, it was how difficult for children to go upstairs, we see that there is a strong impact on the quantity of life (r=0,682), than at the question concerning the existence of get out of breath at physical activity.In our opinion, it can be explained with that children don't differentiate these questions concerning get out of breath more often, and perceive them as one: «existence of get out of breath» at the time of poll, however they define more accurately it when a performance of specific action by them concerns a question.Concerning influence of a disease on restriction with sports or physical exercises for the last 3 days, we see that there is a moderate communication with the quality of life.SlobozhanSkyi herald of Science and Sport pervision, children who spend a free time at the computer or the TV, consider that the disease doesn't limit him in this opportunity, and often and, on the contrary, carrying out treatment in hospital they attend class in MPC, thereby consider that their engagement in sports/physical culture are on due levels.

correlation communication estimates of the quality of life with components of the offered questionnaire at children with sharp broncho-pulmonary diseases
Here we can allocate pressure problems in breasts, transmission of school through BPD, dejectedness through a disease and fear concerning that which can worsen cough and that because of a disease the child can lag by the school program, rather the correlation communications which concern an assessment of QL and questions of influence sharp broncho-pulmonary disease on a state of the child.Also this analysis of results was confirmed by negative influence of a disease on a dream.Concerning the subgroup of the general questions, they have no close interrelation with an assessment of quality of life at the time of stay of the child in a medical institution, only the assessment of daily activity and an opportunity to concentrate at school has a weak influence (0,20<r<0,29).

conclusions
According to the developed questionnaire, we found out that most of all influence of QL of children with sharp bronchopulmonary diseases of attack of whistling breath and go upstairs.The moderated connection has cough and its influence on the general condition of the child, allocation from a nose, existence of get out of breath, sports or physical exercises, pressure problems in breasts, admissions of classes at school through BPD, dejectedness through a disease and fear of rather possible deterioration in cough and lag from the school program because of a disease, and also negative influence of a disease on a dream.But such data of a clinical picture as complicated nasal breath and existence of allocations at cough, and also daily activity, have a weak influence on the quality of life of these children according to the correlation coefficient.
prospects of the subsequent research: to define correlation communications of QL of this questionnaire with other objective indicators of a state of children with sharp bronchopulmonary diseases in the conditions of hospitalization.