ABSTRACT
Objective To evaluate the current situation of quality of life and psychological status of pediatric recipients after kidney transplantation and analyze the influencing factors. Methods Ninety-six pediatric recipients undergoing kidney transplantation were enrolled in this study. Baseline data of the recipients were collected. The quality of life was assessed by Pediatric Quality of Life Inventory 3.0 (PedsQLTM3.0). The psychological status was evaluated by Strengths and Difficulties Questionnaire (SDQ). The influencing factors of postoperative quality of life and psychological status of pediatric kidney transplant recipients were subject to univariate and multivariate analyses. Results The total score of quality of life of pediatric kidney transplant recipients was (71±14) and (12.4±5.8) for the total difficulty score. Univariate analysis showed that gender, postoperative body mass index (BMI) and postoperative complications were the influencing factors of the total score of quality of life of pediatric kidney transplant recipients (all P < 0.05). Gender, postoperative complications and follow-up time were the influencing factors of the total difficulty score of pediatric kidney transplant recipients (all P < 0.05). Multivariate analysis demonstrated that gender, postoperative BMI, postoperative complications, dialysis type before kidney transplantation were the influencing factors of postoperative quality of life of pediatric kidney transplant recipients, whereas gender, postoperative complications and follow-up time were the influencing factors of postoperative psychological status (all P < 0.05). Conclusions The quality of life and psychological status of pediatric kidney transplant recipients are good. In clinical practice, special attention should be paid to those children who are female, with low BMI after kidney transplantation, postoperative complications and short follow-up time. Preventive interventions are recommended to further improve the quality of life of the children.
ABSTRACT
OBJECTIVES: This study aims to determine the quality of life (QoL) of children and adolescents with psychiatric disorders at PCMC using child, parent and clinician reports.METHODOLOGY: Consecutive referrals of 125 children and adolescents and their parents assessed QoL using the Pediatric Quality of life Inventory (PedsQL) and the Child and Adolescent Functional Assessment Scale (CAFAS) for clinicians.RESULTS: Eight diagnostic categories were identified: attention deficit hyperactivity disorder (ADHD), anxiety disorder, disruptive behavior disorders, mood disorder, no axis I diagnosis, psychotic disorder, parent-child relational problem, and others. From the children's report , no significant difference was noted in the QoL among diagnostic categories. From the parent's report, children with disruptive behavior disorders had the poorest psychosocial health. From the clinician's report, children with psychotic and mood disorders had the poorest QoL. Specific functional domains were affected per diagnostic category: for children with ADHD, school functioning; for children with disruptive behavior disorder, home, community domains and social and school functioning; for children with mood disorders, home, community and self-harm domain; for children with psychotic disorder, behavior toward others, mood, thinking, and social domains.CONCLUSION: Multi-rater assessment of QoL of children and adolescents varied. Domains of functioning must be targeted to improve overall QoL.
Subject(s)
Humans , Male , Female , Adolescent , Child , Child , Anxiety Disorders , Attention Deficit Disorder with Hyperactivity , Attention Deficit and Disruptive Behavior Disorders , Mood Disorders , Parents , Psychotic Disorders , Quality of Life , Referral and Consultation , Self-Injurious Behavior , Mental Disorders , Research ReportABSTRACT
OBJECTIVES: This study aims to determine the quality of life (QoL) of children and adolescents with psychiatric disorders at PCMC using child, parent and clinician reports.METHODOLOGY: Consecutive referrals of 125 children and adolescents and their parents assessed QoL using the Pediatric Quality of life Inventory (PedsQL) and the Child and Adolescent Functional Assessment Scale (CAFAS) for clinicians.RESULTS: Eight diagnostic categories were identified: attention deficit hyperactivity disorder (ADHD), anxiety disorder, disruptive behavior disorders, mood disorder, no axis I diagnosis, psychotic disorder, parent-child relational problem, and others. From the children's report , no significant difference was noted in the QoL among diagnostic categories. From the parent's report, children with disruptive behavior disorders had the poorest psychosocial health. From the clinician's report, children with psychotic and mood disorders had the poorest QoL. Specific functional domains were affected per diagnostic category: for children with ADHD, school functioning; for children with disruptive behavior disorder, home, community domains and social and school functioning; for children with mood disorders, home, community and self-harm domain; for children with psychotic disorder, behavior toward others, mood, thinking, and social domains.CONCLUSION: Multi-rater assessment of QoL of children and adolescents varied. Domains of functioning must be targeted to improve overall QoL.
Subject(s)
Humans , Male , Female , Adolescent , Child , Child , Anxiety Disorders , Attention Deficit Disorder with Hyperactivity , Attention Deficit and Disruptive Behavior Disorders , Mood Disorders , Parents , Psychotic Disorders , Quality of Life , Referral and Consultation , Self-Injurious Behavior , Mental Disorders , Research ReportABSTRACT
Pediatric quality of life inventory is a tool to evaluate the quality of pediatric life,which stemmed from the abroad,so it is necessary to introduce and apply it.This paper introduced the origin and the frame of pediatric quality of life inventory,and summed up the research status with the help of experience at aboard,so as to provide reference material for assessing pediatric quality of life and increasing the level of health at home.