• Quality of children’s life after surgical treatment of aortic coarctation

Quality of children’s life after surgical treatment of aortic coarctation

SOVREMENNAYA PEDIATRIYA.2018.5(93):42-44; doi 10.15574/SP.2018.93.42

Khapchenkova D. S., Senatorova A. S., Mokrуk I.Yu.
Kharkiv National Medical University, Ukraine
SI «Heart Institute MoH of Ukraine», Kyiv, Ukraine

The questionnaire study outcomes of children after surgical correction of aortic coarctation are presented in the article. Factors influencing the patients' quality of life after surgical treatment of congenital heart disease are identified.
Objective: to evaluate the quality of life in children after surgical treatment of aortic coarctation.
Materials and methods. In total 36 children aged from 6 to 15 years after surgical treatment of aortic coarctation were interviewed. The English version of the Pediatric Quality of Life Inventory™ 3.0 Cardiac Module (PedsQL Cardiac Module) was used to assess the quality of life.
Results. In 68.88% of cases children considered their life to be full, 27.77% (10 patients) incomplete, 8.33% (3 patients) found it difficult to answer. All patients noted the physical activity limitation by doctors and parents; 52.77% of respondents emphasized the communication problems and psychological difficulties; in 41.66% of cases, the children reported overprotection by their parents; in 33.33% of cases, there was an arterial hypertension; 27.77% of respondents reported about deterioration of the general sense of well-being, 25.00% of patients had learning difficulties due to congenital heart disease.
Conclusions. Despite the satisfactory surgical treatment outcomes, the patients noted a decrease in their quality of life due to various factors. The most significant were as follows: disturbance in well-being, physical activity limitation, constant control by parents, the need for medical treatment and regular visits to doctors.
Key words: children, aortic coarctation, quality of life.

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Article received: Mar 16, 2018. Accepted for publication: Jul 27, 2018.