Predictors of parental quality of life after child open heart surgery: a 6-month prospective study

J Pediatr. 2011 Jan;158(1):37-43. doi: 10.1016/j.jpeds.2010.06.037. Epub 2010 Aug 5.

Abstract

Objective: To prospectively assess parental health-related quality of life (HRQoL) and its predictors after child open heart surgery.

Study design: Mothers (n = 135) and fathers (n = 97) of 138 children were assessed at discharge from hospital and 6 months after open heart surgery of their child. Parental HRQoL was compared with population norms. Medical, demographic, and psychosocial predictors of HRQoL were examined.

Results: In both parents, several domains of HRQoL were decreased at their child's hospital discharge with mothers showing lower HRQoL than fathers. Mental domains were more affected than physical domains. At 6 months, parental HRQoL was within or above population norms. At discharge, symptoms of post-traumatic stress and at 6 months a high impact of the child's disease on family life were associated with low mental HRQoL in both parents. In mothers, lower socioeconomic status and foreign nationality were also associated with a higher risk for low mental HRQoL at discharge.

Conclusions: Parents' mental HRQoL is low in the immediate period after their child's open heart surgery but normalizes after 6 months. However, parents in whom the child's disease has a high impact on their family life are at increased risk for persistent low mental HRQoL.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Cardiac Surgical Procedures*
  • Child
  • Child, Preschool
  • Female
  • Forecasting
  • Humans
  • Infant
  • Male
  • Parents*
  • Prospective Studies
  • Quality of Life*
  • Surveys and Questionnaires
  • Time Factors