EVALUATION OF QUALITY OF LIFE OF PARENTS AND CAREGIVERS OF ASTHMATIC CHILDREN

Roncada, Cristian; Soldera, Karina; Andrade, Julia; Bischoff, Luísa Carolina; Bugança, Bianca Martininghi; Cardoso, Thiago de Araujo; Pitrez, Paulo Márcio

doi:10.1590/1984-0462/;2018;36;4;00012

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ORIGINAL ARTICLE • Rev. paul. pediatr. 36 (04) • Oct-Dec 2018 • https://doi.org/10.1590/1984-0462/;2018;36;4;00012 linkcopy

EVALUATION OF QUALITY OF LIFE OF PARENTS AND CAREGIVERS OF ASTHMATIC CHILDREN

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective: To evaluate and compare the levels of quality of life of parents/caregivers of children with and without diagnosis of asthma.

Methods: Parents of children with asthma (asthma group) undergoing outpatient care and parents of children without asthma or asthma in remission (control group) were selected from public schools. They answered a questionnaire about quality of life (The World Health Organization Quality of Life- WHOQOL-BREF), previously validated for the study population. Domains (physical, psychological, social relations, environment and total score) were compared between groups, as well as the levels of correlation of self-perceived quality of life and satisfaction with health.

Results: 101 parents/caregivers were included in the sample, that is, 50 (49.5%) parents of asthmatic children and 51 (50.5%) in the control group. Most parents included in the sample were females (n=89; 88.1%), with mean age of 33.5±10.4 years. When assessing quality of life, the overall score of domains was considered satisfactory, both in general evaluation (68.6±13.4) and in each group (asthma: 62.8±10.7; control: 74.3±13.4; p-value<0.001). Comparison of asthma and control groups showed significant differences in total score and in scores of all domains (p<0.001).

Conclusions: Parents/caregiversof children with asthma have a lower quality of life compared to parents/caregivers of healthy children.

Keywords: Asthma; Quality of life; Child; Caregiver

	Asthma	Control	p-value*	Total
	M±SD	M±SD	p-value*	M±SD
Perception of QoL	70.5±12.0	75.5±19.0	0.119	73.0±16.1
Satisfaction with health	62.5±20.4	74.0±22.3	0.008*	68.3±22.0
Physical domain	61.6±17.8	75.0±14.8	<0.001*	68.4±17.6
Psychological domain	62.6±14.9	75.6±14.5	<0.001*	69.1±16.0
Social relations	64.9±15.9	77.1±16.6	<0.001*	71.1±17.3
Environment	53.9±14.3	68.8±14.3	<0.001*	61.4±16.0
Total score	62.8±10.7	74.3±13.4	<0.001*	68.6±13.4

Domains	Asthma group				Control group
	Perception of QoL		Satisfaction with health status		Perception of QoL		Satisfaction with health status
	r²	p-value	r²	p-value	r²	p-value	r²	p-value
Physical	0.37	0.008*	0.18	0.214	0.48	<0.001*	0.44	0.001*
Psychological	0.47	0.001*	0.25	0.083	0.76	<0.001*	0.52	<0.001*
Social relations	0.41	0.003*	0.17	0.228	0.55	<0.001*	0.47	0.001*
Environment	0.49	<0.001*	0.18	0.215	0.75	<0.001*	0.50	<0.001*
Total score	0.72	<0.001*	0.57	<0.001*	0.84	<0.001*	0.75	<0.001*

	Control group		Asthma group (persistent)			p-value*
	Healthy (n=34)	In remission (n=17)	Mild (n=18)	Moderate (n=20)	Severe (n=12)
	M±SD	M±SD	M±SD	M±SD	M±SD
Perception of QoL	77.2±19.8	72.1±17.4	68.1±11.5	70.0±13.1	75.0±10.7	0.230
Satisfaction with health	75.0±22.2	72.1±23.1	59.7±19.4	62.5±23.6	66.7±16.3	0.064
Physical domain	75.6±15.1^†	73.7±14.6^†	64.9±16.2	57.5±22.0^‡	63.7±10.4	0.006*
Psychological domain	75.6±13.4^†	75.5±16.8^†	64.3±16.1	59.6±15.9^‡	64.9±11.4	0.002*
Social relations	79.4±13.6^‡	72.5±21.0	61.8±14.7^†	66.2±14.7^†	67.4±19.9	0.002*
Environment	70.3±13.6^‡	65.8±15.5^†	51.7±14.5^†	52.8±15.5^†	59.1±11.0	<0.001*
Total score	75.5±12.3^‡	71.9±15.5	61.8±11.5^†	61.6±11.9^†	66.1±10.9	0.001*

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[TFN4] QoL: quality of life M: mean; SD: standard deviation; *p<0.05.