Dykowska Grażyna, Śmigrocka Ewa, Borawska-Kowalczyk Urszula, Sands Dorota, Sienkiewicz Zofia, Leńczuk-Gruba Anna, Gorczyca Damian, Głowacka Mariola
Department of Health Economics and Medical Law, Faculty of Health Sciences, Medical University of Warsaw, 02-091 Warsaw, Poland.
Cystic Fibrosis Department, Institute of Mother and Child, 01-211 Warsaw, Poland.
J Clin Med. 2023 Aug 10;12(16):5214. doi: 10.3390/jcm12165214.
Parental perspective on the health, safety, and quality of life in children and adolescents with cystic fibrosis (CF).
Assessment of the impact of a chronic disease such as cystic fibrosis (CF) on the quality of life and safety of children and adolescents as perceived by parents/caretakers.
The study was conducted at the Department of Lung Diseases of the Institute of Mother and Child, a branch of the Cystic Fibrosis Centre Children of Warsaw SZPZOZ in Dziekanów Leśny, the largest pediatric CF center in Poland, and in the Rodzinamuko group on Facebook. A total of 139 parents participated in the study. The study was conducted using the diagnostic survey method with the use of the Kid- & Kiddo-KINDLR questionnaire for examining the quality of life of children and adolescents and a demographic questionnaire.
The perception of cystic fibrosis (CF) as a chronic disease varies based on parental residence and professional status. The well-being of children and adolescents with CF is tied to their parents' employment, particularly regarding schooling. Social interactions are influenced by the level of parental education. The quality of life in children and adolescents with CF is age-dependent, with younger children exhibiting higher quality of life. This age-quality of life relationship extends to physical well-being, emotional well-being, and school-related aspects. Furthermore, the emotional dimension of quality of life is affected by the child's age at the time of diagnosis.
The Kid- & Kiddo-KINDLR QoL Questionnaire for children with cystic fibrosis is a good tool to measure parental knowledge. The study shows the need for the whole family to understand and be aware of the impact of CF on family life. Parents may be tired or may misunderstand or miscommunicate the medical team's instructions, which may affect both family life and patient safety. To ensure patient safety, parents should work with healthcare professionals at hospitals or clinics but also at home. They should also account for the family as a whole, not just for the problems of the child with CF.
父母对患有囊性纤维化(CF)的儿童和青少年的健康、安全及生活质量的看法。
评估父母/照料者所感知的诸如囊性纤维化(CF)这样的慢性疾病对儿童和青少年生活质量及安全的影响。
该研究在位于德津纳努夫莱希尼的华沙妇幼研究所肺病科进行,该科室是波兰最大的儿科CF中心——华沙SZPZOZ儿童囊性纤维化中心的一个分支机构,同时也在脸书上的“Rodzinamuko”群组开展。共有139位家长参与了该研究。研究采用诊断性调查方法,使用儿童及青少年生活质量调查问卷(Kid- & Kiddo-KINDLR)来评估儿童和青少年的生活质量,并使用一份人口统计学调查问卷。
父母的居住地和职业状况会影响对囊性纤维化(CF)作为一种慢性疾病的认知。患有CF的儿童和青少年的幸福与父母的就业情况相关,尤其是在上学方面。社交互动受父母教育程度的影响。患有CF的儿童和青少年的生活质量与年龄相关,年龄较小的儿童生活质量较高。这种年龄与生活质量的关系延伸到身体健康、情绪健康及与学校相关的方面。此外,生活质量的情感维度受诊断时孩子的年龄影响。
儿童及青少年生活质量调查问卷(Kid- & Kiddo-KINDLR)是衡量父母认知的一个良好工具。该研究表明整个家庭需要了解并意识到CF对家庭生活的影响。父母可能会疲惫,或者可能误解或错误传达医疗团队的指示,这可能会影响家庭生活和患者安全。为确保患者安全,父母不仅应在医院或诊所与医护人员合作,在家中也应如此。他们还应考虑整个家庭,而不仅仅是患有CF的孩子的问题。