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应对沃尔夫-贺希洪综合征:家庭照顾者的生活质量和社会心理特征。

Coping with Wolf-Hirschhorn syndrome: quality of life and psychosocial features of family carers.

机构信息

Facultad de Psicología y Educación, Neuro-e-Motion, Investigación sobre aspectos Neuropsicológicos y Psicosociales de las Enfermedades Raras, Universidad de Deusto, Avda. Universidades 24, 48007, Bilbao, Spain.

Hospital Universitario Central de Asturias, Neurología Pediátrica, Oviedo, Spain.

出版信息

Orphanet J Rare Dis. 2020 Oct 19;15(1):293. doi: 10.1186/s13023-020-01476-8.

Abstract

BACKGROUND

Wolf-Hirschhorn Syndrome (WHS) is a rare, congenital disease characterized by a distinctive facial phenotype, seizures, intellectual disability and developmental delay, and pre and postnatal growth requiring lifelong care. The psychosocial status of the family caregivers of children diagnosed with WHS is unknown. This study aims to characterize the sociodemographic and psychosocial profile of WHS caregivers and analyze how these variables impact their quality of life (QoL) and well-being.

RESULTS

The sociodemographic and clinical profile of 22 Spanish caregivers of children with WHS and the characteristics of those affected have been described. Significant relationships were found between sociodemographic and psychosocial characteristics among caregivers. The impact on the parents' QoL and negative relationship with the symptomatology were assessed. The use of engagement strategies such as problem focused coping was associated with improved psychological QoL and social support.

CONCLUSIONS

WHS caregivers share similarities in their profile and needs with caregivers of children with other rare diseases. Pychosocial support groups involving parents caring for children with the same disease could improve caregivers' well-being and QoL by strengthening their social support network and using positive coping styles.

摘要

背景

沃尔夫-赫希霍恩综合征(WHS)是一种罕见的先天性疾病,其特征为独特的面部表型、癫痫发作、智力残疾和发育迟缓,以及需要终身照顾的产前和产后生长。患有 WHS 的儿童的家庭照顾者的社会心理状况尚不清楚。本研究旨在描述 WHS 照顾者的社会人口学和社会心理特征,并分析这些变量如何影响他们的生活质量(QoL)和幸福感。

结果

描述了 22 名西班牙儿童 WHS 照顾者的社会人口学和临床特征以及受影响者的特征。在照顾者中发现了社会人口学和社会心理特征之间的显著关系。评估了对父母 QoL 的影响以及与症状的负面关系。采用以问题为中心的应对策略等参与策略与改善心理 QoL 和社会支持有关。

结论

WHS 照顾者的特征和需求与照顾其他罕见疾病儿童的照顾者相似。涉及照顾患有相同疾病的儿童的父母的社会心理支持小组可以通过加强他们的社会支持网络和使用积极的应对方式来改善照顾者的幸福感和 QoL。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51b6/7574588/11bfa54ab4c7/13023_2020_1476_Fig1_HTML.jpg

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