Quality of Life and Caregiver Burden Scale in Iranian Children on Continuous Ambulatory Peritoneal Dialysis

Nakysa Hooman, Parvin Tatarpoor, Mohammad Ahmadi, Fariba Jahangiri, Leila Ghaffari, Haideh Mamiyanloo, Zahra Abdolreza- Gharebagh, Mitra Hakim-Shooshtar, Mostafa Sharifian, Mojgan Mazaheri, Azar Nickavar

1

Abstract

Introduction: Chronic kidney diseases are associated with a poor quality of life in patients and their families. Previous studies have shown a three-fold higher rate of exhaustion in peritoneal dialysis compared to hemodialysis patients and their families. Here we studied the quality of life and caregiver’s burden of children receiving chronic ambulatory peritoneal dialysis (CAPD) in comparison with other chronic diseases among pediatric patients.

Materials and Methods: This prospective case-control survey was conducted between 2013 and 2014 in Ali- Asghar Children’s Hospital. The inclusion criteria were age below 18 years and having a chronic disease diagnosed at least six months earlier. The parents of 13 children on peritoneal dialysis (cases) and 160 children with other chronic diseases(controls) were requested to complete the Pediatric Quality of Life Inventory (PedsQL™ 4.0™) appropriate to the patient’s age and the Caregiver Burden Scale (CBS).  Independent t-test was applied to compare the variables between the two groups. P-values < 0.05 were considered significant.

Results: Overall, 353 questionnaires were completed. The CAPD group had a higher mean (SD) score of quality of life in all domains, including somatic symptoms [67 (25.6) vs. 18.5(15.6)], emotional symptoms [71(17) vs. 20.5(15.1)], and social functioning [58(32) vs. 21.3(20)] (p-value<0.001). In addition, the case group had a lower mean (SD) score of caregiver’s burden [50(16.7) vs. 80 (13.5)] compared to the control group (P value<0.001).

Conclusions: CAPD children and their parents had better a PedsQL™ 4.0™ score and a lower CBS compared to children with other chronic diseases. The most affected area of the quality of life was school functioning in the CAPD group and somatic symptoms in the control group.

Keywords: Quality of life; Renal Dialysis; Adaptation; Psychological; Chronic Disease; Child.

Keywords

Quality of life; Renal Dialysis; Adaptation, Psychological; Chronic Disease

Full Text:

PDF

References

Dotis J, Pavlaki A, Printza N, et al. Quality of life in children with chronic kidney disease. Pediatric Nephrology 2016;31(12):2309-16.

Chou HH, Lin CY, Chiou YH, et al. Clinical characteristics and prevalence of complications of chronic kidney disease in children: The Taiwan Pediatric Renal Collaborative study. Pediatric Nephrology 2016;31(7):1113-20.

Thabet AA, Younis JW. Quality of life (QoL) and depression among children with end stage renal dis-ease attending hemodialysis units in Gaza Strip. Psychol Cogn Sci Open J. 2017;3(2):57-65.

Griva K, Goh CS, Kang WC, et al. Quality of life and emotional distress in patients and burden in caregivers: a comparison between assisted peritoneal dialysis and self-care peritoneal dialysis. Quality of Life Research. 2016;25(2):373-84.

Makkar V, Kumar M, Mahajan R, Khaira NS. Comparison of outcomes and quality of life between hemodialysis and peritoneal dialysis patients in Indian ESRD population. Journal of clinical and diagnostic research: JCDR. 2015;9(3):OC28.

Avşar U, Avşar UZ, Cansever Z, et al. Caregiver burden, anxiety, depression, and sleep quality differences in caregivers of hemodialysis patients compared with renal transplant patients. In: Transplantation proceedings 2015;47(5):1388-1391.

Sajadi SA, Ebadi A. Quality of Life among Family Caregivers of Patients on Hemodialysis and its Relevant Factors: A Systematic Review. International journal of community based nursing and midwifery. 2017;5(3):206.

Gheissari A, Farajzadegan Z, Heidary M, et al. Validation of Persian Version of PedsQL™ 4.0™ Generic Core Scales in Toddlers and Children. Int J Prev Med. 2012 May;3(5):341-50.

Farajzadeh A, Akbarfahimi M, Maroufizadeh S, Rostami HR, Kohan AH. Psychometric properties of Persian version of the Caregiver Burden Scale in Iranian caregivers of patients with spinal cord injury. Disability and Rehabilitation. 2016;12:1-6.

Marciano RC, Soares CM, Diniz JS, et al. Behavioral disorders and low quality of life in children and adolescents with chronic kidney disease. Pediatr Nephrol. 2011;26(2):281-90. doi: 10.1007/s00467-010-1683-y. Epub 2010 Nov 26. PubMed PMID: 21110044.

Tsai TC, Liu SI, Tsai JD, Chou LH. Psychosocial effects on caregivers for children on chronic peritoneal dialysis. Kidney Int. 2006 Dec;70(11):1983-7. Epub 2006 Sep 20. PubMed PMID: 16985519.

Lopes M, Ferraro A, Koch VH. Health-related quality of life of children and adolescents with CKD stages 4-5 and their caregivers. Pediatr Nephrol. 2014 Jul;29(7):1239-47. doi: 10.1007/s00467-014-2769-8. Epub 2014 Feb 28. PubMed PMID: 24577804.

Avsar U, Avsar UZ, Cansever Z, et al. Psychological and emotional status, and caregiver burden in caregivers of patients with peritoneal dialysis compared with caregivers of patients with renal transplantation. Transplant Proc. 2013;45(3):883-6.

doi: 10.1016/j.transproceed.2013.03.004. PubMed PMID: 23622578.

Refbacks

  • There are currently no refbacks.