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Assessment of Dependence in Activities of Daily Living Among Older Patients in an Acute Care Unit
Published on: September 30, 2020
[Self-reported quality of life of pediatric patients discharged from the Intensive Care Unit]
Adriana Marcela Monroy Garzón1, David Andrade Fonseca2, Diana Alejandra Ruiz Rodríguez3
1Facultad de Enfermería, Universidad El Bosque. Bogotá. Colombia.
Insights
Hospitalization in the Pediatric Intensive Care Unit (PICU) impacts children's quality of life. Girls reported lower physical activity scores, and respiratory issues were common PICU admissions.
Area of Science:
- Pediatric critical care medicine
- Quality of life research
- Child health outcomes
Background:
- Pediatric Intensive Care Unit (PICU) hospitalization significantly impacts pediatric patients' quality of life post-discharge.
- Factors influencing this include diagnoses, invasive procedures, and family separation.
- Assessing quality of life is crucial for understanding post-PICU recovery.
Purpose of the Study:
- To measure the quality of life of children discharged from the PICU.
- Utilize the Kidscreen 27 self-reporting instrument for comprehensive assessment.
- Identify specific dimensions of quality of life affected by PICU stay.
Main Methods:
- Quantitative, analytical observational study design.
- Inclusion of children hospitalized in the PICU for over 48 hours and now at home.
- Application of the Kidscreen 27 instrument to 47 children aged 8-18 years.
- Mann-Whitney U statistical test for correlation analysis.
Main Results:
- Statistically significant gender differences in quality of life (P=0.002), with girls scoring lower in physical activity.
- Respiratory pathologies were the leading cause for PICU admission (27.6%).
- High prevalence of invasive procedures, with 89.9% undergoing catheter and probe insertion.
Conclusions:
- Multidisciplinary interventions are essential for post-PICU care.
- A holistic approach is needed to enhance children's quality of life after PICU discharge.
- Interventions should aim to minimize sequelae and facilitate societal reintegration.
Objective:
The experience of hospitalization in the Pediatric Intensive Care Unit (PICU) affects several dimensions of the quality of life of the pediatric patient at discharge. These effects may be related to factors such as diagnoses, invasive procedures and disruption of their family ties. The objective was to measure the quality of life of children discharged from the PICU area, using the Kidscreen self-reporting instrument 27.
Methods:
A quantitative approach of the analytical observational type was carried out, the population was made up of children who were hospitalized in the PICU for more than forty-eight hours and who are in their home environment. The Kidscreen 27 instrument was applied, which evaluated five dimensions of quality of life to forty-seven children between eight and eighteen years old. The correlation analysis used was the Mann-Whitney U statistical test.
Results:
The results showed statistical significant differences in quality of life between genders with a P value=0.002, with lower scores in physical activity in girls. Furthermore, respiratory pathologies were the main cause of admission to the PICU with 27.6%, highlighting the importance of family and social support. Finally, 89.9% of children underwent catheter and probe insertion procedures.
Conclusions:
Multidisciplinary interventions and the need for a holistic approach in post-ICU care are required, with the aim of improving the quality of life of children and being able to reduce sequelae during their re-entry into society.
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