Parental resilience and child quality of life following paediatric hospitalisation: a prospective cohort study.

IF 2.3 4区 医学 Q2 PEDIATRICS
Nonglak Boonchooduang, Ninlapat Jidmahawong, Supakanya Kungsuwan, Sukanlaya Seetaboot, Narueporn Likhitweerawong, Orawan Louthrenoo
{"title":"Parental resilience and child quality of life following paediatric hospitalisation: a prospective cohort study.","authors":"Nonglak Boonchooduang, Ninlapat Jidmahawong, Supakanya Kungsuwan, Sukanlaya Seetaboot, Narueporn Likhitweerawong, Orawan Louthrenoo","doi":"10.1136/bmjpo-2025-003669","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>To investigate how parental resilience affects children's health-related quality of life (QoL) following hospital discharge, comparing outcomes between paediatric intensive care and general ward admissions.</p><p><strong>Design: </strong>Prospective cohort study with 2-month follow-up.</p><p><strong>Setting: </strong>Tertiary care hospital in Thailand (February 2021-August 2022).</p><p><strong>Participants: </strong>100 parent-child dyads (58 paediatric intensive care unit (PICU), 42 general ward) with children aged 4-16 years; 95% completed both assessments.</p><p><strong>Main outcome measures: </strong>Parental resilience assessed using the Resilience Quotient questionnaire and children's QoL measured using the Paediatric QoL Inventory 4.0.</p><p><strong>Results: </strong>Cross-lagged analysis revealed that baseline parental resilience significantly predicted child QoL at follow-up (β=0.426, p=0.038), but baseline child QoL did not significantly predict changes in parental resilience. Hierarchical regression identified changes in parental resilience (β=1.090, p<0.01) and baseline child QoL (β=0.524, p<0.01) as key predictors of later QoL. Parents of general ward patients showed greater improvements in resilience and their children demonstrated significant improvements in social functioning (21.67 vs 8.58 points, p=0.005) and total QoL scores (12.06 vs 4.13 points, p=0.038) compared with the PICU group.</p><p><strong>Conclusions: </strong>Parental resilience is a significant predictor of children's QoL following hospital discharge, with a unidirectional relationship where parental resilience influences subsequent child outcomes. This association persisted after controlling for demographic and clinical factors, suggesting the potential importance of psychological support for parents during their child's hospitalisation regardless of care setting. Longitudinal studies with longer follow-up periods are needed to validate these findings and assess their clinical significance.</p>","PeriodicalId":9069,"journal":{"name":"BMJ Paediatrics Open","volume":"9 1","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406887/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"BMJ Paediatrics Open","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1136/bmjpo-2025-003669","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"PEDIATRICS","Score":null,"Total":0}
引用次数: 0

Abstract

Objective: To investigate how parental resilience affects children's health-related quality of life (QoL) following hospital discharge, comparing outcomes between paediatric intensive care and general ward admissions.

Design: Prospective cohort study with 2-month follow-up.

Setting: Tertiary care hospital in Thailand (February 2021-August 2022).

Participants: 100 parent-child dyads (58 paediatric intensive care unit (PICU), 42 general ward) with children aged 4-16 years; 95% completed both assessments.

Main outcome measures: Parental resilience assessed using the Resilience Quotient questionnaire and children's QoL measured using the Paediatric QoL Inventory 4.0.

Results: Cross-lagged analysis revealed that baseline parental resilience significantly predicted child QoL at follow-up (β=0.426, p=0.038), but baseline child QoL did not significantly predict changes in parental resilience. Hierarchical regression identified changes in parental resilience (β=1.090, p<0.01) and baseline child QoL (β=0.524, p<0.01) as key predictors of later QoL. Parents of general ward patients showed greater improvements in resilience and their children demonstrated significant improvements in social functioning (21.67 vs 8.58 points, p=0.005) and total QoL scores (12.06 vs 4.13 points, p=0.038) compared with the PICU group.

Conclusions: Parental resilience is a significant predictor of children's QoL following hospital discharge, with a unidirectional relationship where parental resilience influences subsequent child outcomes. This association persisted after controlling for demographic and clinical factors, suggesting the potential importance of psychological support for parents during their child's hospitalisation regardless of care setting. Longitudinal studies with longer follow-up periods are needed to validate these findings and assess their clinical significance.

Abstract Image

Abstract Image

儿童住院后父母心理弹性和儿童生活质量:一项前瞻性队列研究
目的:探讨父母心理弹性对儿童出院后健康相关生活质量(QoL)的影响,并比较儿科重症监护和普通病房住院的结果。设计:前瞻性队列研究,随访2个月。环境:泰国三级保健医院(2021年2月- 2022年8月)。参与者:100对4-16岁儿童的亲子对(儿科重症监护室58对,普通病房42对);95%的人完成了两项评估。主要结果测量:父母的心理弹性采用心理弹性商问卷进行评估,儿童的生活质量采用儿科生活质量量表4.0进行测量。结果:交叉滞后分析显示,父母基线心理弹性显著预测儿童随访时的生活质量(β=0.426, p=0.038),但儿童基线生活质量对父母心理弹性的变化无显著预测作用。结论:父母心理弹性是儿童出院后生活质量的重要预测因子,且父母心理弹性对儿童后续结局的影响呈单向关系。在控制了人口统计学和临床因素后,这种关联仍然存在,这表明在儿童住院期间,无论护理环境如何,心理支持对父母的潜在重要性。需要更长随访期的纵向研究来验证这些发现并评估其临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
BMJ Paediatrics Open
BMJ Paediatrics Open Medicine-Pediatrics, Perinatology and Child Health
CiteScore
4.10
自引率
3.80%
发文量
124
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信