Quality of Life Among Children Who Had Undergone Ventriculoperitoneal Shunt Surgery

Priyanka Prakash1, Manju Dhandapani1, Sandhya Ghai1

  • 1National Institute of Nursing Education (NINE), Chandigarh, India.

Insights

Children undergoing ventriculoperitoneal (VP) shunting for hydrocephalus experience health problems and reduced quality of life (QOL). Multiple surgeries significantly impact QOL, highlighting the need for targeted interventions.

Area of Science:

  • Neurosurgery
  • Pediatric Neurology
  • Quality of Life Research

Background:

  • Ventriculoperitoneal (VP) shunting is a primary neurosurgical intervention for hydrocephalus.
  • Despite technological advancements, VP shunt surgery carries inherent morbidity risks.
  • Understanding patient-reported outcomes is crucial for improving care.

Purpose of the Study:

  • To identify health-related problems in pediatric patients with VP shunts.
  • To assess the quality of life (QOL) in children requiring VP shunts.
  • To explore factors influencing QOL in this population.

Main Methods:

  • A cross-sectional exploratory study design was employed.
  • 31 pediatric patients with VP shunts were recruited via consecutive sampling.
  • The Hydrocephalus Outcome Questionnaire assessed QOL, with scores ranging from 0 to 1.

Main Results:

  • The average age of participants was 11.51 ± 4.26 years.
  • Headache and generalized pain were the most reported issues (42%).
  • The mean QOL score was 0.67 ± 0.21, with the cognitive domain most affected. Multiple surgeries significantly correlated with lower QOL (P=0.02).

Conclusions:

  • Pediatric VP shunt patients face diverse health challenges and diminished QOL.
  • The cognitive domain is particularly impacted, and repeated surgeries worsen QOL.
  • Holistic management and targeted interventions are vital for enhancing QOL in children with VP shunts.
Abstract

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