Health and Quality of Life Outcomes | |
Quality of life in caregivers of children and adolescents with Osteogenesis Imperfecta | |
Ida V D Schwartz3  Neusa Sica da Rocha1  Têmis M Félix2  Ana Paula Vanz2  | |
[1] Postgraduate Program in Medical Sciences: Psychiatry, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil;Medical Genetics Service, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil;Department of Genetics, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil | |
关键词: WHOQOL-BREF; Caregivers; Quality of life; Osteogenesis imperfecta; | |
Others : 1207714 DOI : 10.1186/s12955-015-0226-4 |
|
received in 2014-11-12, accepted in 2015-02-20, 发布年份 2015 | |
【 摘 要 】
Background
Osteogenesis imperfecta (OI) is a group of genetic disorders of collagen biosynthesis, characterized by low bone density leading to fractures. Most patients exhibit functional impairment and require the aid of a caregiver. The aim of this study is to assess the quality of life (QoL) of caregivers of patients with OI.
Methods
In this cross-sectional study, a convenience sampling strategy was used to enroll adult caregivers of children and adolescents with OI who attended a referral center in southern Brazil. The WHOQOL-BREF instrument was used to assess QoL.
Results
Twenty-four caregivers of 27 patients (10 with type I, 4 with type III, and 13 with type IV OI) were included in the study. Eighteen caregivers were the patients’ mothers, two had OI, and 22 cared for only one patient. Mean WHOQOL-BREF scores were 14.59 for the physical health domain, 13.80 for the psychological domain, 15.19 for the social relationships domain, and 12.87 for the environmental domain; the mean total QoL score was 14.16. QoL scores did not differ significantly according to patients’ OI type or number of fractures. Economic status was not correlated significantly with QoL scores.
Conclusions
QoL appears to be impaired in caregivers of patients with OI. Additional studies are required to confirm these findings and to ascertain which factors account for this phenomenon.
【 授权许可】
2015 Vanz et al; licensee BioMed Central.
【 预 览 】
Files | Size | Format | View |
---|---|---|---|
20150530091147798.pdf | 335KB | download |
【 参考文献 】
- [1]The WHOQOL. Group. Development of the World Health Organization WHOQOL-BREF Quality of Life Assessment. Psychol Med. 1998; 28:551-8.
- [2]Taylor R, Kirby B, Burdon D, Caves R. The assessment of recovery in patients after myocardial infarction using three generic quality-of-life measures. J Cardiopulm Rehabil. 1998; 18(2):139-44.
- [3]Testa MA, Simonson DC. Assesment of quality-of-life outcomes. N Engl J Med. 1996; 334(13):835-40.
- [4]Glorieux FH. Osteogenesis Imperfecta. Best Pract Res Clin Rheumatol. 2008; 22:85-100.
- [5]Steiner RD, Pepin MG, Byers PH. Osteogenesis Imperfecta. 2005 Jan 28. In: Pagon RA, Bird TD, Dolan CR, et al., editors. GeneReviews™ [Internet]. Seattle (WA): University of Washington, Seattle; 1993-. Available from: http://www.ncbi.nlm.nih.gov/books/NBK1295/.
- [6]Van Dijk FS, Sillence DO. Osteogenesis imperfecta: clinical diagnosis, nomenclature and severity assessment. Am J Med Genet A. 2014; 164A(6):1470-81.
- [7]Engelbert RHH, Raoul HH, Frits AB, Van der Graaf Y, Helders P. Osteogenesis imperfecta in childhood: Impairment and disability- A follow-up study. Arch Phys Med Rehabil. 1999; 80:896-903.
- [8]Nagi S. Some conceptual issues in disability and rehabilitation. In: Sociology and rehabilitation. Sussman M, editor. American Sociological Association, Washington (DC); 1965: p.100-13.
- [9]Dogba MJ, Bedos C, Durigova M, Montpetit K, Wong T, Glorieux FH, Rauch F. The impact of severe osteogenesis imperfecta on the lives of young patients and their parents - a qualitative analysis. BMC Pediatr. 2013; 13:153. BioMed Central Full Text
- [10]Motta MGC. O entrelaçar dos mundos: família e hospital. In: O viver em família e sua interface com a saúde e a doença. Elsen I, Marcon SS, Silva MRS, editors. Eduem, Maringá; 2004: p.156-168.
- [11]Hoekstra-Weebers J, Jaspers J, Kamps W, Klip E. Psychological adaptation and social support of parents of pediatric cancer patients. J Pediatr Psychol. 2001; 26:225-235.
- [12]Dogba MJ, Rauch F, Tre G, Glorieux FH, Bedos C. Shaping and managing the course of a child’s disease: Parental experiences with osteogenesis imperfecta. Disabil Health J. 2014; 7(3):343-9.
- [13]Szczepaniak-Kubat A, Kurnatowska O, Jakubowska-Pietkiewicz E, Chlebna-Sokót D. Assessment of quality of life of parents of children with osteogenesis imperfecta. Adv Clin Exp Med. 2012; 21(1):99-104.
- [14]Fleck MPA, Louzada S, Xavier M, Chachamovich E, Vieira G, Santos L, Pinzon V. Application of the Portuguese version of the abbreviated instrument of quality life WHOQOL-BREF. Rev Saude Publica. 2000; 34(2):178-83.
- [15]Brasil- ABEP-Associação Brasileira de Empresas de Pesquisa. Critérios de Classificação Econômica Brasil, 2012. [Access at http://www.abep.org/criterioBrasil.aspx]
- [16]Beck ARM, Lopes MHBM. Tensão de papel de cuidador entre cuidadores de crianças com câncer. Rev Bras Enferm. 2007; 60(5):513-8.
- [17]Rubira EA, Marcon SR, Belasco AGS, Gaíva MAM, Espinosa MM. Burden and quality of life of caregivers of children and adolescents with chemotherapy treatment for cancer. Acta Paul Enferm. 2012; 25(4):567-73.
- [18]Beck AR, Lopes MH. Caregivers of children with cancer: aspects of life affectcet by the caregiver role. Rev Bras Enferm. 2007; 60(6):670-5.
- [19]Pelletier L, Godin G, Lepage L, Dussault G. Social support received by mothers of chronically ill children. Child Care Health Dev. 1994; 20:115-131.
- [20]Gordia AP, Quadros TM, Campos WD. Sociodemographic variables as determinant of the environment domain of quality of life of adolescents. Cien Saúde Colet. 2009; 14(6):2261-8.
- [21]Silver EJ, Westbrook LE, Stein REK. Relationship of parental psychological distress to consequence of chronic health conditions in children. J Pediatr Psychol. 1998; 23:5-15.
- [22]Brasil- ABEP-Associação Brasileira de Empresas de Pesquisa. Critérios de Classificação Econômica Brasil, 2008. [Access at http://www.abep.org/criterioBrasil.aspx]
- [23]Brasil- ABEP-Associação Brasileira de Empresas de Pesquisa. Critérios de Classificação Econômica Brasil, 2008. Dados com base no Levantamento Sócio Econômico, 2005, IBOPE. [Access at www.abep.org/Servicos/Download.aspx?id=07]
- [24]Rocha NS, Fleck MP. Evaluation of quality of life in adults with chronic health conditions: the role of depressive symptoms. Rev Bras Psiquiatr. 2010; 32(2):119-124.