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Psychosocial effects on caregivers for children on chronic peritoneal dialysis

T-C Tsai1, S-I Liu, J-D Tsai

  • 1Department of Pediatrics, Mackay Memorial Hospital, Taipei, Taiwan. tsaitc2003@yahoo.com.tw

Kidney International
|September 21, 2006
PubMed

Insights

Caring for children on chronic peritoneal dialysis (CPD) in Taiwan significantly impacts caregivers' mental health and quality of life (QOL). This study highlights the need for psychosocial support for these families.

Area of Science:

  • Nephrology
  • Psychology
  • Public Health

Background:

  • Pediatric chronic peritoneal dialysis (CPD) is a critical treatment for renal failure.
  • Caregiver well-being is essential for successful pediatric chronic disease management.
  • Limited research exists on the psychosocial burden of caring for children on CPD in Taiwan.

Purpose of the Study:

  • To investigate the psychosocial effects on caregivers of children undergoing chronic peritoneal dialysis (CPD) in Taiwan.
  • To compare the prevalence of probable depression and quality of life (QOL) between caregivers of children on CPD and control groups.

Main Methods:

  • A case-control study involving 32 caretakers of children on CPD and 64 controls.
  • Utilized the Taiwanese Depression Questionnaire and WHOQOL BRIEF-Taiwan Version.
  • Collected demographic and socioeconomic data from participating families.

Main Results:

  • Caregivers of children on CPD exhibited a significantly higher prevalence of probable depression (28%) compared to controls (5%).
  • The study group reported significantly lower Quality of Life (QOL) scores across four domains.
  • A majority of families (66%) had low annual incomes (< US$15,000), and 16% were single-parent households.

Conclusions:

  • Caregivers of children on CPD in Taiwan face significant adverse psychosocial effects.
  • Psychosocial well-being and QOL are compromised in this population.
  • Targeted psychosocial support interventions are crucial for caregivers of children on CPD.

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