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Assessment of quality of life and psychosocial problems in children with Congenital Heart Disease

Published online by Cambridge University Press:  27 January 2025

Meral Bulbul Oztoprak*
Affiliation:
Department of Pediatric Health and Diseases, Bismil State Hospital, Diyarbakir, Turkey
Meki Bilici
Affiliation:
Department of Pediatric Cardiology, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
Tugba Dogac
Affiliation:
Department of Child and Adolescent Psychiatry, Malatya Turgut Ozal University, Faculty of Medicine, Malatya, Turkey
Alper Akin
Affiliation:
Department of Child and Adolescent Psychiatry, Malatya Turgut Ozal University, Faculty of Medicine, Malatya, Turkey
Mehmet Ture
Affiliation:
Department of Child and Adolescent Psychiatry, Malatya Turgut Ozal University, Faculty of Medicine, Malatya, Turkey
Hasan Balik
Affiliation:
Department of Pediatric Cardiology, Gazi Yasargil Training and Research Hospital, Diyarbakir, Turkey
Kamil Yilmaz
Affiliation:
Department of Pediatric Health and Diseases, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
Omer Satıcı
Affiliation:
Department of Biostatistics, Dicle University, Faculty of Medicine, Diyarbakir, Turkey
Busra Emir
Affiliation:
Department of Biostatistics, Izmir Katip Celebi University, Faculty of Medicine, Izmir, Turkey
*
Corresponding author: Meral Bulbul Oztoprak; Email: [email protected]

Abstract

Objective:

Congenital heart disease (CHD) is a condition that can significantly impact health-related quality of life due to the need for long-term follow-up and treatment. The purpose of this study was to analyse the quality of life of children diagnosed with CHD and to assess the relationship between the disease and their physical and mental well-being.

Materials and Methods:

The study involved 180 patients and 180 healthy controls. Both groups were divided into three age categories (5–7 years, 8–12 years, and 13–18 years), with 60 children in each age group. The researchers administered the Pediatric Quality of Life Inventory (PedsQL) to the participants, taking into account their age.

Results:

Comparisons between the patient and control groups showed that the patient group had significantly lower scores than the control group in terms of total quality of life scale score, physical health score, and psychosocial health score of the Pediatric Quality of Life Inventory (p < 0.001, p < 0.001, and p < 0.001). Quality of life was also compared between patients receiving and not receiving medication treatment. Patients receiving medication treatment had lower scores for total quality of life score, physical health score, and psychosocial health score of the Pediatric Quality of Life Inventory compared to the control group (p < 0.001, p = 0.005, and p < 0.001).

Conclusion:

Children with CHD experience a negative impact on their quality of life. Given the extended life expectancy resulting from new treatment options, it is important to monitor these children both physically and psychosocially and to implement activities aimed at improving their quality of life.

Type
Original Article
Copyright
© The Author(s), 2025. Published by Cambridge University Press

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Footnotes

a

This study was prepared as Meral Bulbul Oztoprak’s medical speciality thesis at the Department of Pediatrics, Dicle University Faculty of Medicine.

References

World Health Organization. The constitution of the WHO. Who Chron 1947; 1: 29.Google Scholar
Topçu, B, Saraçlı, S, Dursun, P, Gazeloğlu, C. Akademisyenlerin yaşam kaliteleri üzerine bir çalışma: Afyon kocatepe üniversitesi örneği. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2012; 2 ( 1 ): 1519.Google Scholar
Long, PH. On the quantity and quality of life. Med Times 1960; 88: 613619.Google ScholarPubMed
Varni, JW, Seid, M, Rode, CA. The pedsQL: measurement model for the pediatric quality of life inventory. Med Care 1999; 37 ( 2 ): 126139.CrossRefGoogle ScholarPubMed
Fitzpatrick, R, Davey, C, Bucton, MJ, Jones, DR. Evaluating patient-based outcome measures for use in clinical trials. Healt Technol Assess 1998; 2 ( 14 ): 174.CrossRefGoogle ScholarPubMed
Bernstein, D. Congenital heart disease. In: Behrman, RE, Kliegman, RM, Jenson, HB (eds). Nelson textbook of pediatrics, 18th. Saunders, Philadelphia, 2007, pp18781942.Google Scholar
Virani, SS, Alonso, A, Aparicio, HJ, et al. Heart disease and stroke statistics—2021 update. Circulation 2021; 143 ( 8 ): e254e743.CrossRefGoogle ScholarPubMed
Tsao, CW, Aday, AW, Almarzooq, ZI, et al. Heart disease and stroke statistics 2014; 2022 update: a report from the American heart association. Circulation 2022; 145 ( 8 ): e153e639.CrossRefGoogle Scholar
Uzark, K, Jones, K, Slusher, J, et al. Quality of life in children with heart disease as perceived by children and parents. Pediatrics 2008; 121 ( 5 ): e1060e1067.CrossRefGoogle ScholarPubMed
O’Connor, AM, Cassedy, A, Wray, J, et al. Differences in quality of life in children across the spectrum of congenital heart disease. J Pediatr 2023; 263: 113701. DOI: 10.1016/j.jpeds.2023.113701.CrossRefGoogle ScholarPubMed
Mellion, K, Uzark, K, Cassedy, A, et al. Pediatric cardiac quality of life inventory testing study consortium. Health-related quality of life outcomes in children and adolescents with congenital heart disease. J Pediatr 2014; 164 ( 4 ): 781788.e1.CrossRefGoogle ScholarPubMed
Ruggiero, KM, Hickey, PA, Leger, RR, Vessey, JA, Hayman, LL. Parental perceptions of disease-severity and health-related quality of life in school-age children with congenital heart disease. J Spec Pediatr Nurs 2018; 23 ( 1): e12204.CrossRefGoogle ScholarPubMed
Çakın, M, Ağaoğlu, N, Coşkun, B, Karakaya, A. Çocuklar İçin Yaşam Kalitesi Ölçeğinin 8-12 Yaş Çocuk Formunun geçerlik ve güvenirliği. Çocuk ve Gençlik Ruh Sağlığı Dergisi 2008; 15 ( 2 ): 8798.Google Scholar
Kalaycı, E, Çalışkan, Z. The quality of life and influencing factors in turkish children receiving cancer treatment. J Pediatr Nurs 2021; 61: 213218.CrossRefGoogle ScholarPubMed
Dewi, SP, Gondhowiardjo, SA, Mangunatmadja, I, et al. Quality of life in children with brain tumors post radiotherapy in a lower-middle income country. Pediatr Hematol Oncol 2022; 29: 110.Google Scholar
Handisides, JC, Hollenbeck-Pringle, D, Uzark, K, et al. Pediatric heart network investigators. Health-related quality of life in children and young adults with marfan syndrome. J Pediatr 2019; 204: 250255.e1. DOI: 10.1016/j.jpeds.2018.08.061.CrossRefGoogle Scholar
Baygani, S, Zieles, K, Jea, A. PedsQL for prediction of postoperative patient-reported outcomes following Chiari decompression surgery. J Neurosurg Pediatr 2019; 6 ( 1 ): 16.Google Scholar
Gao, Q, Wang, S, Ren, J, Wen, X. Measuring parent proxy-reported quality of life of 11 rare diseases in children in Zhejiang, China. Health Qual Life Outcomes 2020; 18 ( 1 ): 372.CrossRefGoogle ScholarPubMed
Fuertes-Moure, A, Meyer, M, Häcker, A, Reiner, B, Brudy, L, et al. Longitudinal health-related quality of life assessment in children with congenital heart disease. Congenit Heart Dis 2020; 15 ( 4 ): 217227.CrossRefGoogle Scholar
Berkes, A, Varni, JW, Pataki, I, et al. Measuring health-related quality of life in Hungarian children attending a cardiology clinic with the pediatric quality of life inventory. Eur J Pediatr 2010; 169 ( 3 ): 333347.CrossRefGoogle ScholarPubMed
Amodeo, G, Ragni, B, Calcagni, G, et al. Health-related quality of life in Italian children and adolescents with congenital heart diseases. BMC Cardiovasc Disord 2022; 22 (1): 173. DOI: 10.1186/s12872-022-02611-y.CrossRefGoogle ScholarPubMed
Drakouli, M, Petsios, K, Giannakopoulou, M, et al. Determinants of quality of life in children and adolescents with CHD: a systematic review. Cardiol Young 2015; 25 ( 6 ): 10271036.CrossRefGoogle ScholarPubMed
Sertçelik, T, Alkan, F, Sapmaz, Ş.Y, Coşkun, Ş., Eser, E. Doğuştan kalp hastalığı olan çocuklarda yaşam kalitesi. Türk Pediatri Arşivi 2018; 53 ( 2 ): 7886.Google Scholar
Ozdemir, R, Kutlu, A, Mese, T, et al. Quality of life among children aged 2 to 7 years with congenital or acquired heart disease in Turkey. Bulletin of Clinical Psychopharmacology 2015; 25 ( 1 ): 96.Google Scholar
Yuan, Y, Pan, B, Liang, X, Lv, T, Tian, J. Health-related quality of life in children with congenital heart disease following interventional closure versus minimally invasive closure. Front Cardiovasc Med 2022; 9: 974720.CrossRefGoogle ScholarPubMed
Saavedra, MJ, Eymann, A, Pérez, L, et al. Health related quality of life in children with congenital heart disease that undergo cardiac surgery during their first year of life. Arch Argent Pediatr 2020; 118 ( 3 ): 166172.Google ScholarPubMed
Bai, G, Herten, MH, Landgraf, JM, Korfage, IJ, Raat, H. Childhood chronic conditions and health-related quality of life: findings from a large population-based study. PLoS One 2017; 12 ( 6 ): e0178539.CrossRefGoogle ScholarPubMed
Cadman, D, Boyle, M, Szatmari, P, Offord, DR. Chronic illness, disability, and mental and social well-being: findings of the Ontario child health study. Pediatrics 1987; 79 ( 5 ): 805813.CrossRefGoogle ScholarPubMed
Sawyer, MG, Reynolds, KE, Couper, JJ, et al. Health-related quality of life of children and adolescents with chronic illness--a two year prospective study. Qual Life Res 2004; 13 ( 7 ): 13091319.CrossRefGoogle ScholarPubMed
Durualp, E, Kara, FN, Yılmaz, V, Alabeyoğlu, K. Kronik Hastalığı Olan ve Olmayan Çocukların ve Ebeveynlerinin Görüşlerine Göre Yaşam Kalitelerinin Karşılaştırılması. Ankara Üniversitesi Tıp Fakültesi Mecmuası 2010; 63 ( 2 ): 5563.Google Scholar