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J Pediatr. 2011 Jan;158(1):37-43. doi: 10.1016/j.jpeds.2010.06.037. Epub 2010 Aug 5.

Predictors of parental quality of life after child open heart surgery: a 6-month prospective study.

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1
Department of Psychosomatics and Psychiatry, University Children's Hospital, Zurich, Switzerland. markus.landolt@kispi.uzh.ch

Abstract

OBJECTIVE:

To prospectively assess parental health-related quality of life (HRQoL) and its predictors after child open heart surgery.

STUDY DESIGN:

Mothers (n = 135) and fathers (n = 97) of 138 children were assessed at discharge from hospital and 6 months after open heart surgery of their child. Parental HRQoL was compared with population norms. Medical, demographic, and psychosocial predictors of HRQoL were examined.

RESULTS:

In both parents, several domains of HRQoL were decreased at their child's hospital discharge with mothers showing lower HRQoL than fathers. Mental domains were more affected than physical domains. At 6 months, parental HRQoL was within or above population norms. At discharge, symptoms of post-traumatic stress and at 6 months a high impact of the child's disease on family life were associated with low mental HRQoL in both parents. In mothers, lower socioeconomic status and foreign nationality were also associated with a higher risk for low mental HRQoL at discharge.

CONCLUSIONS:

Parents' mental HRQoL is low in the immediate period after their child's open heart surgery but normalizes after 6 months. However, parents in whom the child's disease has a high impact on their family life are at increased risk for persistent low mental HRQoL.

PMID:
20688338
DOI:
10.1016/j.jpeds.2010.06.037
[Indexed for MEDLINE]
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