Pediatric Liver Transplantation: Caregivers? Quality of Life

Carregando...
Imagem de Miniatura
Citações na Scopus
2
Tipo de produção
article
Data de publicação
2022
Título da Revista
ISSN da Revista
Título do Volume
Editora
KOREAN SOC PEDIATRIC GASTROENTEROLOGY & NUTRITION
Autores
TAVARES, Ana Paula Bastos
SEIXAS, Lucas Belem Pessoa de Melo Guerra
JAYME, Caren Lopes Wanderlei
SEIXAS, Renata Belem Pessoa de Melo
CARVALHO, Elisa de
Citação
PEDIATRIC GASTROENTEROLOGY HEPATOLOGY & NUTRITION, v.25, n.6, p.489-499, 2022
Projetos de Pesquisa
Unidades Organizacionais
Fascículo
Resumo
Purpose: The survival rate of pediatric patients undergoing liver transplantation has increased considerably. Despite this, the period after transplantation is still complex and poses several challenges to the recipient's family, which is responsible for care management. Recently, more attention has been paid to the impact of this complex procedure on the quality of life of caregivers. Hence, this study is aimed at assessing the quality of life of caregivers of patients who have undergone liver transplantation and the aspects that influence it. Methods: This was an observational and cross-sectional study. From November 2020 to January 2021, short-form-36 questionnaires and additional questions were given to the main caregivers of children and adolescents who underwent pediatric liver transplantation. Results: Thirty-eight questionnaires were completed and the results revealed a lower quality of life in comparison to Brazilian standards, primarily in the mental domains (41.8 +/- 14.1 vs. 51.1 +/- 2.8; p < 0.001). It did not show a significant association with socioeconomic or transplant-related factors, but it did show a negative impact on parents' perception of the child's health. Parents who reported worse health status for their children had a lower mental quality of life (44.1 +/- 13.8 vs. 33.3 +/- 12.6; p < 0.05). Conclusion: The caregivers of transplanted children have a lower quality of life than those of the local population. Psychological assistance should be routinely provided to parents for long-term follow-up to mitigate potential negative effects on the transplanted child's care.
Palavras-chave
Liver transplantation, Liver, Pediatrics, Quality oflife, Caregivers
Referências
  1. Adam R, 2012, J HEPATOL, V57, P675, DOI 10.1016/j.jhep.2012.04.015
  2. Ando H, 2011, J HEPATO-BIL-PAN SCI, V18, P26, DOI 10.1007/s00534-010-0301-5
  3. Andrade Samkya F. de O., 2014, Psicol. cienc. prof., V34, P1014, DOI 10.1590/1982-370002332013
  4. Bowling A, 1999, J PUBLIC HEALTH MED, V21, P255, DOI 10.1093/pubmed/21.3.255
  5. Cáceres-Manrique Flor de María, 2018, Rev. salud pública, V20, P147, DOI [10.15446/rsap.v20n2.43391, 10.15446/rsap.V20n2.43391]
  6. Cousino MK, 2017, PEDIATR TRANSPLANT, V21, DOI 10.1111/petr.12900
  7. Cousino MK, 2013, J PEDIATR PSYCHOL, V38, P809, DOI 10.1093/jpepsy/jst049
  8. de Carvalho E, 2010, J PEDIAT-BRAZIL, V86, P473, DOI [10.1590/S0021-75572010000600005, 10.2223/JPED.2054]
  9. Duran-Arenas L, 2004, SALUD PUBLICA MEXICO, V46, P306, DOI 10.1590/S0036-36342004000400005
  10. Elisofon SA, 2020, PEDIATR TRANSPLANT, V24, DOI 10.1111/petr.13605
  11. Gurevich M, 2015, ANN SURG, V262, P1141, DOI 10.1097/SLA.0000000000001094
  12. Hopkins PC, 2017, J PEDIATR-US, V187, P253, DOI 10.1016/j.jpeds.2017.05.006
  13. Hopman WM, 2000, CAN MED ASSOC J, V163, P265
  14. Jimenez-Rivera C, 2013, J PEDIATR GASTR NUTR, V56, P344, DOI 10.1097/MPG.0b013e318282a913
  15. Kikuchi R, 2015, J PEDIATR NURS, V30, P463, DOI 10.1016/j.pedn.2014.12.013
  16. Kohli R, 2018, ARCH DIS CHILD, V103, P192, DOI 10.1136/archdischild-2015-310023
  17. Kwong A, 2020, AM J TRANSPLANT, V20, DOI 10.1111/ajt.15674
  18. Laguardia Josué, 2013, Rev. bras. epidemiol., V16, P889, DOI 10.1590/S1415-790X2013000400009
  19. Laguardia J, 2011, HEALTH QUAL LIFE OUT, V9, DOI 10.1186/1477-7525-9-61
  20. Meirelles RF, 2015, EINSTEIN-SAO PAULO, V13, P149, DOI 10.1590/S1679-45082015RW3164
  21. MIELIVERGANI G, 1989, LANCET, V1, P421
  22. Miloh T, 2017, LIVER TRANSPLANT, V23, P244, DOI 10.1002/lt.24677
  23. Parikh ND, 2010, LIVER TRANSPLANT, V16, P1352, DOI 10.1002/lt.22181
  24. Rawal N, 2017, PEDIATR CLIN N AM, V64, P677, DOI 10.1016/j.pcl.2017.02.003
  25. Ware JE, 2000, SPINE, V25, P3130, DOI 10.1097/00007632-200012150-00008
  26. Ware JEKM, 1994, SF 36 PHYS MENTAL HL
  27. Westphal Ana Carolina, 2005, J. epilepsy clin. neurophysiol., V11, P71, DOI 10.1590/S1676-26492005000200001
  28. Young GS, 2003, PEDIATRICS, V111, pE725, DOI 10.1542/peds.111.6.e725
  29. Zanon Márcia Andreya, 2012, Rev. paul. pediatr., V30, P392