Parental Self-efficacy and Health-related Outcomes Among Children with Hirschsprung Disease : A Cross-sectional Study

Copyright © 2020 Elsevier Inc. All rights reserved..

PURPOSE: Little attention has been put to parental self-efficacy (PSE) on the home care management and its impact on the health-related outcome in children with Hirschsprung disease (HD) after surgery. The purpose of this study was to investigate the association between PSE and post-operative outcome and quality of life (QoL) in children with HD.

DESIGN AND METHODS: This study adopted a cross-sectional study design. Children diagnosed with HD who had surgery during 2015 and 2018, and their parents were included. Parental self-efficacy, children's post-operative fecal continence and QoL were evaluated with validated questionnaires; post-operative readmission and adverse events were extracted from electronic medical record system.

RESULTS: Of the eligible families, 69.6% (96/138) responded to the follow-up. The median children's age at surgery and current age were 16 (interquartile range: 10-32) and 45 (interquartile range: 39.7-57) months, respectively. The mean PSE score is 8.78 points, with the lowest score in the bowel habit training dimension (7.88 ± 2.28), followed by getting social support dimension (8.07 ± 2.64). Multivariable linear regression showed that PSE was associated with fecal continence (β = 0.043, 95% CI 0.013-0.072), pediatric QoL total score (β = 0.210, 95% CI 0.011-0.409) and social score (β = 0.273, 95% CI 0.022-0.525). No associations were observed between PSE and weight z-score, height z-score, readmission or adverse events.

CONCLUSIONS: PSE is correlated with fecal continence and QoL of children with HD.

PRACTICE IMPLICATIONS: PSE should be considered when designing a parental education program, with the focus on bowel habit training and getting social support.

Medienart:

E-Artikel

Erscheinungsjahr:

2020

Erschienen:

2020

Enthalten in:

Zur Gesamtaufnahme - volume:53

Enthalten in:

Journal of pediatric nursing - 53(2020) vom: 08. Juli, Seite e164-e170

Sprache:

Englisch

Beteiligte Personen:

Dai, Ying [VerfasserIn]
Zheng, Haiqing [VerfasserIn]
Liang, Huiying [VerfasserIn]
Li, Ruiqiong [VerfasserIn]
Lan, Menglong [VerfasserIn]
Zeng, Jixiao [VerfasserIn]

Links:

Volltext

Themen:

Health-related outcome
Hirschsprung disease
Journal Article
Parental self-efficacy
Quality of life

Anmerkungen:

Date Completed 27.04.2021

Date Revised 27.04.2021

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1016/j.pedn.2020.03.015

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM309855292