학술논문

Health-related quality of life among paediatric patients with coarctation of the aorta: an observational study.
Document Type
Article
Source
Psychology, Health & Medicine. Sep2024, Vol. 29 Issue 8, p1512-1521. 10p.
Subject
*PARENTS
*SELF-evaluation
*RESEARCH funding
*AORTIC coarctation
*SCIENTIFIC observation
*SEX distribution
*DESCRIPTIVE statistics
*ANXIETY
*AGE distribution
*PEDIATRICS
*QUALITY of life
*MEDICAL records
*ACQUISITION of data
*COGNITION disorders
*PSYCHOLOGY of caregivers
*PATIENTS' attitudes
*CAREGIVER attitudes
Language
ISSN
1354-8506
Abstract
Advancements in early diagnosis and paediatric cardiac surgery have improved the long-term survival of patients with congenital heart disease, necessitating a thorough assessment of their health-related quality of life (HRQoL). This study aimed to assess HRQoL in paediatric patients with coarctation of the aorta (CoA) (both as reported by patients and caregivers), and to evaluate associated factors. Patients aged 5–18 years diagnosed with CoA and their parents were enrolled at Bambino Gesù Children's Hospital between September 2016 and December 2017. Socio-demographic characteristics were recorded using a family form, and the Pediatric Quality of Life Inventory (PedsQL) 3.0 cardiac module was used to evaluate HRQoL. Clinical data were retrieved from medical chart reviews. In this observational study, sixty-five pediatric patients (39 males, median [IQR] age 12 [9–14]) with CoA and their parents (65 mothers and 65 fathers) were enrolled. These patients exhibited overall good HRQoL. Mothers reported significantly lower total HRQoL scores compared to patient self-reports (p =.037), as well as treatment anxiety (p =.033), and cognitive problems (p =.021). Pediatric patients with CoA perceived their HRQoL better than their mothers did. Female sex and older age were associated with lower HRQoL scores. [ABSTRACT FROM AUTHOR]