Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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Factors affecting the health-related quality of life of children with cerebral palsy in Indonesia: a cross-sectional study

  • Ade Febrina Lestari (Academic Hospital Universitas Gadjah Mada) ;
  • Mei Neni Sitaresmi (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada) ;
  • Retno Sutomo (Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada) ;
  • Firda Ridhayani (Master of Clinical Pharmacy, Faculty of Pharmacy, Universitas Gadjah Mada)
  • Received : 2023.05.17
  • Accepted : 2023.09.19
  • Published : 2024.01.31
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Abstract

Purpose: Children with cerebral palsy (CP) and their parents experience various problems that can affect their quality of life. This study examined factors affecting the quality of life of children with CP. Methods: A cross-sectional study was conducted in Yogyakarta, Indonesia, from January to August 2019. The participants were consecutively recruited children with CP aged 2 to 18 years and their parents. Ninety-eight children with CP and their parents, specifically their mothers, were recruited. Children's health-related quality of life (HRQoL) was measured using the Pediatrics Quality of Life Cerebral Palsy. Parental HRQoL and stress were measured using the WHOQOL-BREF and Parenting Stress Index (PSI). Results: Functional level V was the most common category for both Gross Motor Function Classification System (GMFCS) and Bimanual Fine Motor Function (BFMF) (35% and 28%, respectively). Children's mean HRQoL was medium (49.81±20.35). The mean total PSI score was high (94.93±17.02), and 64% of parents experienced severe stress. Bivariate analysis showed that GMFCS, BFMF, number of comorbidities, presence of pain, and parental stress were significantly correlated with the total score for children's HRQoL (p<.05). Multiple linear regression analysis (p<.05) demonstrated that more severe GMFCS and parental stress were associated with lower mean HRQoL scores in children. Conclusion: Factors including the level of GMFCS and parental stress affected the HRQoL of children with CP. Parental stress management should be included in the comprehensive management of these children.

Keywords

Acknowledgement

The authors would like to thank the WKCP for the contribution and the participating patients for their time and effort in this study.

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