[Peritoneal dialysis in children: an acceptable solution for patients but a challenge for their families]

Andreas Höher1, Kathrin Sacherer, Klaus Arbeiter

  • 1Universitätsklinik für Kinder- und Jugendheilkunde, Allgemeines Krankenhaus Wien, Wien, Austria. andreas.hoeher@utanet.at

Insights

Children on peritoneal dialysis and their families report high levels of happiness and close relationships. These positive family dynamics challenge perceptions of the treatment

Area of Science:

  • Pediatric Nephrology
  • Psychosocial Health
  • Family Studies

Context:

  • Investigating the psychosocial well-being of children undergoing peritoneal dialysis (PD).
  • Assessing the mood and family dynamics of children with chronic kidney disease on PD.
  • Examining the long-term impact of PD treatment on family relationships.

Purpose:

  • To retrospectively evaluate the mood of children receiving peritoneal dialysis.
  • To assess the mood and family functioning of families with children on PD.
  • To compare the perceived happiness and harmony of families affected by childhood kidney disease with families of healthy children.

Summary:

  • Structured questionnaires were used to gather retrospective data on mood and family dynamics.
  • Families undergoing or having completed PD treatment reported equal or greater happiness, harmony, and openness compared to families with healthy children.
  • The majority of families experienced exceptionally close and positive intimate relationships.

Impact:

  • Findings challenge subjective staff evaluations regarding the emotional burden of PD treatment.
  • Results contradict objective measures of financial, emotional, and time investments by affected families.
  • Highlights the resilience and positive adaptation of families managing pediatric chronic kidney disease.

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