INTRODUCTION: Chronic kidney disease (CKD) is rare in children, but it causes repercussions in several aspects of life, because the disease and treatment cause great changes in the daily lives of the child and his family, increasing the burden on caregivers. OBJECTIVE: To evaluate the burden of primary caregivers of children and adolescents who undergo renal replacement therapy (RRT). METHODS: Cross-sectional, observational study performed at the Pediatric Renal Unit of a school hospital in the Northeast. Forty-nine primary caregivers of pediatric patients with CKD in RRT followed up in our clinic participated in the study. We used validated instruments to assess burden, depression and anxiety. We ran some tests to analyze the findings of burden, depression and anxiety in the sample. RESULTS: Most of the caregivers are the mothers of these children (89.8%), aged between 36 and 45 years (46.9%), have Elementary School education only (55.1%) and reported feeling pain in the body (69.4%), but they did not have chronic disease. The majority of the children have been in RRT from 1 to 3 years (40.8%), aged from 9 to 11 years (30.6%), are male (55.1%), and under hemodialysis (38.8%). The caregivers had a moderate level of burden (2.10), a high prevalence of moderate to severe depression (18.4%) and anxiety (47%), and a strong correlation between burden, depression and anxiety. CONCLUSIONS: Caring for a child with CKD is an intense experience, with negative consequences, due to uncertainties about the future and the very care these children require. We need to do something to help these caregivers better manage care, as well as cope with their own feelings.
INTRODUCTION:Chronic kidney disease (CKD) is rare in children, but it causes repercussions in several aspects of life, because the disease and treatment cause great changes in the daily lives of the child and his family, increasing the burden on caregivers. OBJECTIVE: To evaluate the burden of primary caregivers of children and adolescents who undergo renal replacement therapy (RRT). METHODS: Cross-sectional, observational study performed at the Pediatric Renal Unit of a school hospital in the Northeast. Forty-nine primary caregivers of pediatric patients with CKD in RRT followed up in our clinic participated in the study. We used validated instruments to assess burden, depression and anxiety. We ran some tests to analyze the findings of burden, depression and anxiety in the sample. RESULTS: Most of the caregivers are the mothers of these children (89.8%), aged between 36 and 45 years (46.9%), have Elementary School education only (55.1%) and reported feeling pain in the body (69.4%), but they did not have chronic disease. The majority of the children have been in RRT from 1 to 3 years (40.8%), aged from 9 to 11 years (30.6%), are male (55.1%), and under hemodialysis (38.8%). The caregivers had a moderate level of burden (2.10), a high prevalence of moderate to severe depression (18.4%) and anxiety (47%), and a strong correlation between burden, depression and anxiety. CONCLUSIONS: Caring for a child with CKD is an intense experience, with negative consequences, due to uncertainties about the future and the very care these children require. We need to do something to help these caregivers better manage care, as well as cope with their own feelings.
Authors: John F Deeken; Kathryn L Taylor; Patricia Mangan; K Robin Yabroff; Jane M Ingham Journal: J Pain Symptom Manage Date: 2003-10 Impact factor: 3.612
Authors: W W Geense; B G I van Gaal; J L Knoll; E A M Cornelissen; T van Achterberg Journal: Child Care Health Dev Date: 2017-05-25 Impact factor: 2.508
Authors: Anna Medyńska; Danuta Zwolińska; Ryszard Grenda; Monika Miklaszewska; Maria Szczepańska; Agnieszka Urzykowska; Katarzyna Zachwieja; Katarzyna Kiliś-Pstrusińska Journal: Hemodial Int Date: 2017-01-23 Impact factor: 1.812
Authors: Meredith Medway; Allison Tong; Jonathan C Craig; Siah Kim; Fiona Mackie; Steven McTaggart; Amanda Walker; Germaine Wong Journal: Am J Kidney Dis Date: 2014-09-20 Impact factor: 8.860
Authors: Daniella Levy Erez; Melissa R Meyers; Swathi Raman; Melissa Thomas; Susan Furth; Christopher B Forrest; Michelle Denburg Journal: Front Pediatr Date: 2022-05-23 Impact factor: 3.569
Authors: Lourdes Díaz-Rodríguez; Keyla Vargas-Román; Juan Carlos Sanchez-Garcia; Raquel Rodríguez-Blanque; Guillermo Arturo Cañadas-De la Fuente; Emilia I De La Fuente-Solana Journal: Int J Environ Res Public Health Date: 2021-01-13 Impact factor: 3.390