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Evaluation of quality of life and parental attitudes in patients who underwent atrial septal defect closure in childhood

Published online by Cambridge University Press:  11 December 2023

Zeynep Torunoğlu Bek*
Affiliation:
Department of Pediatrics, Gazi University Hospital, Ankara, Türkiye
A. Deniz Oğuz
Affiliation:
Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye
A. Şebnem Soysal Acar
Affiliation:
Department of Pediatrics, Gazi University Hospital, Ankara, Türkiye
Semiha Terlemez
Affiliation:
Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye
Fatma Hayvacı Canbeyli
Affiliation:
Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye
Serdar Kula
Affiliation:
Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye
Fatma Sedef Tunaoğlu
Affiliation:
Department of Pediatric Cardiology, Gazi University Faculty of Medicine, Ankara, Türkiye
*
Corresponding author: Z. Torunoğlu Bek; Email: zeyneptorunoglu@hotmail.com

Abstract

Objective:

In this study, we aimed to evaluate quality of life and parental attitudes in children who underwent an atrial septal defect closure procedure with a transcatheter or surgical method in childhood and whether they continued their lives with similar activities to their healthy peers by comparing the two groups.

Methods:

Patient forms to define sociodemographic and clinical features, the Questionnaire for Measuring Health-Related Quality of Life in Children and Adolescents (KINDL) to measure the quality of life of children, and the Parent-Child Relationship Test (Parental Attitude Research Instrument) to measure parental attitudes were used.

Results:

The groups were similar in terms of age and sex. The mean quality of life scale scores were high in all groups, and there was no statistically significant difference between the scores. Parents of the patients who underwent closure received higher scores from the demographic attitudes and recognition of quality subdimension compared to the parents of the healthy group.

Conclusions:

The quality of life of children with atrial septal defect closure was found to be similar to their healthy peers. Additionally, the effects of surgical or percutaneous closure of atrial septal defect on quality of life are similar. Children with atrial septal defect closure perceive their health status as well as their healthy peers, and this perception does not cause any difference in the attitudes and behaviours of families.

Type
Original Article
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

Lancaster, LL, Mavroudis, C, Rees, AH, et al. Surgical approach to atriyal septal defect in the female: right thoracotomy versus sternotomy. Am Surg 1990; 56: 218221.Google Scholar
Harper, R, Mottram, P, McGaw, D. Closure of secundum atrial septal defects with the Amplatzer Septal occluder device: techniques and problems. Cath Cardi Int 2002; 57: 508524.CrossRefGoogle ScholarPubMed
KW World health organisation quality of life assessment (WHOQOL) position paper from the world health organisation. Soc Sci Med 1995; 41: 14031409.CrossRefGoogle Scholar
Drotar, D. Measuring Health-related Quality of Life in Children and Adolescents: Implications for Research and Practice. Psychology Press, New York, 2014, p. 392, ISSBN: 9781315821009.Google Scholar
Guthrie, DW, Bartsocas, C, Jarosz-Chabot, P, Konstantinova, M. Psychosocial issues for children and adolescents with diabetes: overview and recommendations. Diabetes Spectr 2003; 16: 712.CrossRefGoogle Scholar
Yıldız, CE, Zahmacıoğlu, O, Koca, B, Oktay, V, Gökalp, S, ve ark, EAG. Bebeklik Döneminde siyanotik kalp hastalığı nedeniyle Açık kalp cerrahisi uygulanmış Ergenlerde Kendilik Algısı ve yaşam niteliği. Türk Ped ArĢ 2011; 46: 7220.Google Scholar
Ulusoy, S. Siyanotik ve Asiyanotik Konjenital Kalp Hastalığı Olan Çocuklarda Hemostatik Değişiklikler. Haseki Eğitim ve Araştırma Hastanesi Çocuk Sağlığı ve Hastalıkları Kliniği, Uzmanlık Tezi, İstanbul. Dr. Sevde Ulusoy, 2008.Google Scholar
Knafl, K, Zoeller, L. Childhood chronic illness: a comparison of mothers' and fathers' experiences. J Fam Nurs 2000; 6:287302.CrossRefGoogle Scholar
Sertçelik, T. 6 -16 yaş grubu konjenital kalp hastalıklı çocuklarda ve ailelerinde yaşam kalitesi, anksiyete ve depresyon ilişkisi. In Celal Bayar Üniversitesi Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Uzmanlık Tezi. Prof. Dr. Şenol Coşkun, Manisa: 2015.Google Scholar
Çolakoğlu, E. Konjenital kalp anamolisi olan 8-11 yaş grubu çocuk ve ebeveynlerin yaşam kalitelerinin belirlenmesi. In Şifa Üniversitesi Sağlık Bilimleri Enstitüsü Çocuk Sağlığı ve Hastalıkları Hemşireliği, Yüksek Lisans Tezi. Doç.Dr. Gülendam Hakverdioğlu, İzmir, Yrd: 2016.Google Scholar
Çakır, H. Postoperatif doğumsal kalp hastalığı olan ergenlerde sağlıkla ilgili yaşam kalitesi ölçeğinin değerlendirilmesi. In İstanbul Üniversitesi İstanbul Tıp Fakültesi Çocuk Sağlığı ve Hastalıkları Anabilim Dalı, Uzmanlık Tezi. Prof. Dr. Aygün Dindar, Ġstanbul: 2018.Google Scholar
Moons, P, Luyckx, K. Quality-of-life research in adult patients with congenital heart disease: current status and the way forward. Acta Paediatr 2019; 108: 17651772.CrossRefGoogle ScholarPubMed
Amodeo, G, Ragni, B, Calcagni, G, et al. Grimaldi capitello health-related quality of life in italian children and adolescents with congenital heart diseases. BMC Cardiovasc Disord 2022; 22: 173.CrossRefGoogle ScholarPubMed
Moreno-Medina, K, Barrera-Castañeda, M, Vargas-Acevedo, C, et al. Quality of life in children with infrequent congenital heart defects: cohort study with one-year of follow-up. Health Qual Life Outcomes 2020; 18: 5.CrossRefGoogle ScholarPubMed
Loup, O, von Weissenfluh, C, Gahl, B, et al. Quality of life of grown-up congenital heart disease patients after congenital cardiac surgery. Eur J Cardiothorac Surg 2009; 36: 105111.CrossRefGoogle ScholarPubMed
Werner, H, Latal, B, Valsangiacomo Buechel, E, et al. Health-related quality of life after open-heart surgery. J Pediatr 2014; 164: 254258.e1.CrossRefGoogle ScholarPubMed
Luo, WY, Ni, P, Chen, L, Pan, QQ. Development of the ICF-CY set for cardiac rehabilitation after pediatric congenital heart surgery. Front Pediatr 2020; 10: 790431.CrossRefGoogle Scholar
Eser, E, ve ark, YH. Çocuklar İçin genel amaçlı sağlıkla İlgili yaşam Kalitesi Ölçeği (Kid-KINDL) Türkçe Sürümünün psikometrik Özellikleri. Türk Psikiyatri Derneği 2008; 19: 409417.Google Scholar
Öner, N. Türkiye’de kullanılan psikolojik testlerden örnekler: Bir başvuru kaynağı. Boğaziçi Üniversitesi Yayınevi,   İstanbul, 2006, ISBN: 9789756193525.Google Scholar
Cuypers, JA, Opić, P, Menting, ME, et al. The unnatural history of an atrial septal defect: longitudinal 35 year follow up after surgical closure at young age. Heart 2013; 99: 13461352.CrossRefGoogle ScholarPubMed
Latal, B, Helfricht, S, Fischer, JE, et al. Psychological adjustment and quality of life in children and adolescents following open-heart surgery for congenital heart disease: a systematic review. BMC Pediatr 2009; 9: 6.CrossRefGoogle ScholarPubMed
Garcia Guerra, G, Robertson, CM, Alton, GY, et al. Quality of life 4 years after complex heart surgery in infancy. Western Canadian complex pediatric therapies follow-up group. J Thorac Cardiovasc Surg 2013; 145: 482488.e2.CrossRefGoogle Scholar
Huisenga, D, La Bastide-Van Gemert, S, et al. Developmental outcomes after early surgery for complex congenital heart disease: a systematic review and meta-analysis. Dev Med Child Neurol 2021; 63: 2946.CrossRefGoogle ScholarPubMed
Yuan, Y, Pan, B, Liang, X, et al. 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
Sun, K-P, Xu, N, Huang, S-T, Chen, L-W, Cao, H, Chen, Q. Comparison of short-term quality of life between percutaneous device closure and surgical repair via median sternotomy for atrial septal defect in adult patients. J Invest Surg 2021; 34: 12231230.CrossRefGoogle ScholarPubMed
Zhu, J, Zhang, Y, Bao, C, et al. Individualized strategy of minimally invasive cardiac surgery in congenital cardiac septal defects. J Cardiothorac Surg 2022; 17: 5.CrossRefGoogle ScholarPubMed
Kale, SB, Ramalingam, S. Minimally invasive cardiac surgery without peripheral cannulation: a single centre experience. Heart Lung Circ 2019; 28: 17281734.CrossRefGoogle ScholarPubMed
Vida, VL, Zanotto, L, Zanotto, L, et al. Minimally invasive surgery for atrial septal defects: a 20-year experience at a single centre. Cardiovasc Thorac Surg 2019; 28: 961967.CrossRefGoogle ScholarPubMed
Norozi, K, Gravenhorst, V, Hobbiebrunken, E, Wessel, A. Normality of cardiopulmonary capacity in children operated on to correct congenital heart defects. Arch Pediatr Adolesc Med 2005; 159: 10631068.CrossRefGoogle Scholar
Torowicz, D, et al. Infant temperament and parental stress in 3 month old infant following surgery for complex congenital heart disease. J Dev Behav Pediatr 2010; 31: 17.CrossRefGoogle Scholar
Lisanti, AJ, Allen, LR, Kelly, L, Medoff-Cooper, B. Maternal stress and anxiety in the pediatric cardiac intensive care unit. Am J Crit Care 2017; 26: 118125.CrossRefGoogle ScholarPubMed
Colville, GA, Gracey, D. Mothers’ recollections of the pediatric intensive care unit: associations with psychopathology and views on follow up. Intensive Crit Care Nurs 2006; 22: 4955.CrossRefGoogle ScholarPubMed
Lisanti, AJ, et al. Developmental care rounds: an interdisciplinary approach to support developmentally appropriate care of infants born with complex congenital heart disease. Clin Perinatol 2016; 43: 147156.CrossRefGoogle ScholarPubMed
Yoshimura, N, Yamaguchi, M, Oshima, Y, Oka, S, Ootaki, Y, Yoshida, M. Repair of atrial septal defect through a right posterolateral thoracotomy: a cosmetic approach for female patients. Ann Thorac Surg 2001; 72: 21032105.CrossRefGoogle ScholarPubMed
Casselman, FP. Thoracoscopic ASD closure is a reliable supplement for percutaneous treatment. Heart 2005; 91: 791794.CrossRefGoogle ScholarPubMed
Kaya, M. Patient perception, satisfaction and cosmetic results of surgical atrial septal defect closure: minithoracotomy versus sternotomy. Turk J Thorac Cardiovasc Surg 2015; 23: 18.Google Scholar
Christian Schreiber, MD. Minimally invasive midaxillary muscle sparing thoracotomy for atrial septal defect closure in prepubescent patients. Ann Thorac Surg 2001; 72: 21032105.Google Scholar