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Identifying and managing psychosocial problems in children on home invasive mechanical ventilation

Gizem Özcan1, Nazan Çobanoğlu1

  • 1Division of Pediatric Pulmonology, Department of Pediatrics, Faculty of Medicine, Ankara University, Ankara, Turkey.

Pediatric Pulmonology
|November 21, 2023
PubMed

Insights

Home invasive mechanical ventilation (HIMV) enables children with chronic respiratory failure to live at home. However, technology can restrict social lives, leading to psychosocial challenges. This review examines these issues to improve quality of life.

Area of Science:

  • Pediatrics
  • Pulmonology
  • Psychology

Background:

  • Home invasive mechanical ventilation (HIMV) facilitates hospital discharge for children with chronic respiratory failure.
  • Technological dependence for survival can impose social restrictions on these children.
  • Children on HIMV often manage multiple medical conditions, increasing psychosocial vulnerability.

Purpose of the Study:

  • To review the psychosocial problems experienced by children using HIMV.
  • To identify the impact of HIMV on the psychosocial well-being and quality of life of these children.
  • To highlight the need for further research into ideal quality of life assessment tools.

Main Methods:

  • Literature review focusing on psychosocial issues in children on HIMV.
  • Analysis of studies examining the social and psychological impact of medical technology.
  • Exploration of quality of life measurement as an objective assessment method.

Main Results:

  • Children on HIMV face inevitable psychosocial challenges due to their medical conditions and technological requirements.
  • Social restrictions are a significant consequence of the technology necessary for survival.
  • Quality of life measurement is the most objective method for assessing psychosocial status.

Conclusions:

  • Understanding the psychosocial impact of HIMV is crucial for enhancing children's quality of life.
  • Further research is needed to establish standardized and effective quality of life questionnaires for this population.
  • Addressing psychosocial needs is essential for the holistic care of children on HIMV.

Keywords:
childrenhome mechanical ventilationpsychosocialquality of life

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