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Impact on parents during hospitalisation for acute diarrhoea in young children
Way-Seah Lee1, Pei-Fan Chai, Zulkifli Ismail
1Department of Paediatrics, University of Malaya Medical Centre, 59100 Kuala Lumpur, Malaysia. leews@um.edu.my
Insights
Hospitalisation for acute diarrhoea (AD) in young children causes significant parental distress and financial burden. Parents experienced worry, exhaustion, and sleep loss, with costs averaging 16% of monthly income.
Area of Science:
- Pediatrics
- Public Health
- Child Health
Background:
- Acute diarrhoea (AD) is a common childhood illness requiring hospitalisation.
- Parental emotional well-being and daily functioning are often overlooked during child hospitalisation.
Purpose of the Study:
- To assess the emotional impact on parents of hospitalised young children with AD.
- To quantify the disruption to daily activities and financial costs incurred by parents.
Main Methods:
- Prospective study involving parents of children under two years with AD admitted to Malaysian urban hospitals.
- Data collected via interviews on emotional impact, daily disruption, and incurred costs.
Main Results:
- 85 parents recruited; high parental worry reported for diarrhoea (82%), vomiting (83%), and fever (78%).
- Parents experienced emotional distress (upset, helplessness, exhaustion) and sleep disruption.
- Median hospitalisation duration was four days, with a median extra cost of USD 252.86 (16% of monthly income).
Conclusions:
- Short-term hospitalisation for AD in young children imposes a substantial emotional burden on parents.
- Significant financial strain is placed on families due to child hospitalisation for acute diarrhoea.
Introduction:
This study aimed to determine the emotional impact on parents of young children who require hospitalisation for acute diarrhoea (AD), and the disruption of daily activities experienced and costs incurred by them.
Methods:
A prospective study was conducted on children below two years of age with AD admitted to two urban hospitals in Malaysia. Parents were interviewed on the emotional impact and disruption of daily activities experienced by them, as well as the extra costs incurred as a result of the hospitalisation of their child.
Results:
The parents of 85 children (median age 13 months; boys n = 58, 68%; girls n = 27, 32%) were recruited for the study. The proportions of parents who reported that they were very worried about the symptoms of diarrhoea, vomiting and fever in their child were 82%, 83% and 78%, respectively. Parents also reported being upset, helpless, mentally and physically exhausted, and having experienced loss of sleep and disruption of daily routine during the hospitalisation of their child (median four days). The median extra cost (including out-of-pocket cost and loss of income) incurred by parents as a result of the hospitalisation was USD 252.86, which constituted 16% of the combined monthly family income.
Conclusion:
Although short, AD-related hospitalisation in young children has considerable emotional impact and creates significant distress, in addition to causing significant financial burden for parents.
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