Abstract：
The appropriateness for determining Oral Health Related Quality of Life (OHRQoL) of special children by their caregivers must be thoroughly assessed. The present study was conducted to assess the Oral health related quality of life of children with disability and the stress levels of their parents. Moreover, the study also evaluated the plaque, DMFT (Decayed, missing, filled teeth) and BMI (Body Mass Index) of disabled children (cases) and healthy children (controls). The present case-control study was carried out on 150 parents of disabled children and 30 parents of healthy children (control group) at King Khalid University, Abha, KSA. The Arabic version of the 36-item parenting stress index-short format (PSI-SF) instrument was used for the assessment of parental stress, and the WHOQOL-BREF (World Health Organization Quality of Life Brief Version) Arabic version questionnaire was used for the assessment of quality of life of children. The parents or the caregivers who would be mainly occupied in assisting and rendering care to their children with different disabilities (certified by a pediatrician, aged between 4-14 years), were included in the study. Data were analyzed using statistical software. The total mean value score of the PSI scale of parents of cases was statistically found to be significantly higher compared to the mean scores among parents of controls (p = 0.004). The correlation between BMI and plaque & BMI and DMFT+df of cases indicated no statistically significant correlation while a statistically significant correlation between plaque and DMFT+df values in cases was observed. The mean score of the social relationship domain was statistically significantly different across the four levels of parents\' educational status. The severity of dental caries, plaque accumulation and education-level of caregivers had a significant impact on the OHRQoL, however, BMI did not show a significant relation with DMFT and plaque scores. The parenting stress was found to be statistically higher among the parents of cases compared to the parents of controls.
摘要：
必须彻底评估照顾者确定特殊儿童口腔健康相关生活质量（OHRQoL）的适当性。本研究旨在评估残疾儿童的口腔健康相关生活质量及其父母的压力水平。此外，这项研究还评估了斑块，DMFT(衰减,失踪,填充牙齿）和BMI（体重指数）的残疾儿童（病例）和健康儿童（对照）。本病例对照研究是在哈立德国王大学对150名残疾儿童的父母和30名健康儿童的父母（对照组）进行的，Abha,KSA36项育儿压力指数简短格式（PSI-SF）的阿拉伯语版本用于评估父母压力，使用WHOQOL-BREF(世界卫生组织生活质量简报版)阿拉伯文版问卷评估儿童的生活质量。主要负责协助和照顾不同残疾子女的父母或照顾者(经儿科医生认证，年龄在4-14岁之间)，包括在研究中。使用统计软件对数据进行分析。统计发现，病例父母的PSI量表的总平均值得分明显高于对照组父母的平均值（p=0.004）。BMI与斑块之间的相关性以及病例的BMI与DMFT+df之间没有统计学上的显著相关性,而观察到病例的斑块与DMFT+df值之间具有统计学上的显著相关性。社会关系领域的平均得分在父母的教育状况的四个级别上具有统计学上的显着差异。龋齿的严重程度，斑块积累和护理人员的教育水平对OHRQoL有显著影响，然而,BMI与DMFT和斑块评分没有显着关系。与对照组的父母相比，病例父母的育儿压力在统计学上较高。
