Impact of posterior urethral valve on patient quality of life and caregiver burden.

IF 2.9 2区 医学 Q2 UROLOGY & NEPHROLOGY
Kaan Kahraman, Nilüfer Göknar
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引用次数: 0

Abstract

Background: Among the wide range of congenital kidney and urinary tract anomalies, posterior urethral valve (PUV) has most devastating complications such as recurrent urinary tract infections, urinary incontinence, and chronic kidney disease. To assess the quality-of-life (QoL) of children with PUV, determine the factors contributing to reduced patient's QoL and increased caregiver burden.

Methods: A total of 36 boys with PUV and 54 healthy controls aged between 4 and 18 years were included. Both groups completed the Children's Health Related Quality of Life (KINDL). Children with PUV also completed ICIQ-CLUTS incontinence questionnaire. Caregivers of PUV patients completed Impact on Family Scale (IOFS) to assess caregiver burden.

Results: Boys with PUV aged between 7 and 18 years old had significantly lower total QoL scores and lower scores in physical well-being, emotional well-being, self-esteem, family interactions, social interactions and school subscales compared to healthy controls. Patients who underwent multiple surgeries had lower emotional wellbeing scores than those with a single surgery. Among PUV patients, enuresis was associated with lower physical wellbeing score, daytime incontinence with lower emotional wellbeing and urge incontinence with lower school scores. Higher lower urinary tract symptom severity was correlated higher IOFS total scores, including familial/social impact and personal strain subscales.

Conclusion: Boys aged 7-18 years with PUV experience lower QoL than healthy peers. Lower urinary tract symptoms are a major contributing factor to both reduced QoL in patients and increased caregiver burden. Early and effective management of lower urinary tract symptoms may improve QoL of PUV patients and lower caregiver burden.

后尿道瓣膜对患者生活质量和护理人员负担的影响。
背景:在广泛的先天性肾脏和尿路异常中,后尿道瓣膜(PUV)具有最具破坏性的并发症,如复发性尿路感染、尿失禁和慢性肾脏疾病。评估PUV患儿的生活质量(QoL),确定导致患者生活质量下降和护理人员负担增加的因素。方法:选取年龄在4 ~ 18岁的PUV患儿36例和健康对照54例。两组均完成儿童健康相关生活质量(KINDL)。PUV患儿同时完成ICIQ-CLUTS失禁问卷。PUV患者的照护者完成家庭影响量表(Impact on Family Scale, IOFS)评估照护者负担。结果:7 ~ 18岁PUV男孩的总体生活质量得分显著低于健康对照组,身体健康、情绪健康、自尊、家庭互动、社会互动和学校亚量表得分均低于健康对照组。接受过多次手术的患者的情绪健康得分低于只接受过一次手术的患者。在PUV患者中,遗尿与较低的身体健康评分相关,白天尿失禁与较低的情绪健康评分相关,急迫性尿失禁与较低的学习成绩相关。较高的下尿路症状严重程度与较高的IOFS总分相关,包括家庭/社会影响和个人压力分量表。结论:7 ~ 18岁PUV患者的生活质量低于健康同龄人。下尿路症状是降低患者生活质量和增加护理人员负担的主要因素。早期有效处理下尿路症状可改善PUV患者的生活质量,减轻护理人员负担。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
World Journal of Urology
World Journal of Urology 医学-泌尿学与肾脏学
CiteScore
6.80
自引率
8.80%
发文量
317
审稿时长
4-8 weeks
期刊介绍: The WORLD JOURNAL OF UROLOGY conveys regularly the essential results of urological research and their practical and clinical relevance to a broad audience of urologists in research and clinical practice. In order to guarantee a balanced program, articles are published to reflect the developments in all fields of urology on an internationally advanced level. Each issue treats a main topic in review articles of invited international experts. Free papers are unrelated articles to the main topic.
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