Pediatrics
doi: 10.25005/2074-0581-2025-27-1-211-218
THE QUALITY OF LIFE OF PARENTS OF CHILDREN WITH BRONCHIAL ASTHMA
Ryazan State Medical University named after Academician I.P. Pavlov, Ryazan, Russian Federation
Objective: To assess the quality of life (QoL) of parents of children suffering from bronchial asthma (BA), as well as the correlation between parental QoL and the severity of BA and the type of basic therapy.
Methods: A cross-sectional, single-center cohort study was conducted to assess the QoL of parents/caregivers using the validated Russian version of the PACQLQ (Pediatric Asthma Caregiver’s Quality of Life Questionnaire). Medical records (Form 112/u) of 115 children with BA were analyzed.
Results: Parents of children aged 7 to 17 years (mean age – 12.6±2.7 years) with BA were surveyed. No correlation was found between the total questionnaire score and the disease duration. A correlation was observed between parental QoL and the age of children with BA (r=0.23). The highest score was found among parents of children with mild BA who were not receiving basic therapy (p=0.028). Among parents of children with moderate BA, the total score did not depend on the type of basic therapy (p>0.05).
Conclusion: The survey results showed that parental QoL depends on the severity of BA in children and is most impaired in cases of moderate severity. The PACQLQ questionnaire is advisable for monitoring asthma control in children.
Keywords: Bronchial asthma, children, quality of life, PACQLQ, parents.
References
- Bronkhial'naya astma: federal'nye klinicheskie rekomendatsii po diagnostike i lecheniyu [Bronchial asthma: Federal clinical guidelines for diagnosis and treatment]. 2021. 118 p. https://www.pediatr-russia.ru/information/klin-rek/ deystvuyushchie-klinicheskie-rekomendatsii/%D0%9A%D0%A0359.pdf
- Rodríguez-Martínez CE, Sossa-Briceño MP, Nino G. Validation of the Spanish version of the Pediatric Asthma Caregiver Quality of Life Questionnaire (PACQLQ) in a population of Hispanic children. J Asthma. 2015;52(7):749-54. https://doi.or g/10.3109/02770903.2014.1002565
- Stelmach I, Podlecka D, Smejda K, Majak P, Jerzyńska J, Stelmach R, et al. Pediatric Asthma Caregiver’s Quality of Life Questionnaire is a useful tool for monitoring asthma in children. Quality of Life Research. 2012;21:1639-42. https://doi. org/10.1007/s11136-011-0070-x
- Costa DD, Pitrez PM, Barroso NF, Roncada C. Asthma control in the quality of life levels of asthmatic patients’ caregivers: A systematic review with metaanalysis and meta-regression. Jornal de Pediatria. 2019;95:401-9. https://doi. org/10.1016/j.jped.2018.10.010
- Belykh NA, Piznyur IV. Sovremennye predstavleniya o roli vitamina D v patogeneze bronhial'noy astmy u detey [Modern ideas about the role of vitamin D in the pathogenesis of bronchial asthma in children]. Nauka molodykh. 2020;8:617-28. https://doi.org/10.23888/HMJ202084617-628
- Kan K, Fierstein J, Boon K, Kanaley M, Zavos P, Volerman A, et al. Parental quality of life and self-efficacy in pediatric asthma. Journal of Asthma. 2021;58:742-9. https://doi.org/10.1080/02770903.2020.1731825
- Bartlett SJ, Krishnan JA, Riekert KA, Butz AM, Malveaux FJ, Rand CS. Maternal depressive symptoms and adherence to therapy in inner-city children with asthma Pediatrics. 2004;113:229-37. https://doi.org/10.1542/peds.113.2.229
- Cano-Garcinuño A, Bercedo-Sanz A, Mora-Gandarillas I, Callén-Blecua MT, Castillo-Laita JA, Forns-Serrallonga D, et al. Association between quality of life in parents and components of asthma control in children. J Asthma. 2014;51:1089- 95. https://doi.org/10.3109/02770903.2014.943372
- Pedraza AM, Rodríguez-Martínez CE, Acuña R. Initial validation of a scale to measure the burden for parents/caregivers of children with asthma and factors associated with this burden in a population of asthmatic children. Biomedica. 2013;33:361-9. https://doi.org/10.7705/biomedica.v33i3.813
- ean BB, Calimlim BC, Sacco P, Aguilar D, Maykut R, Tinkelman D. Uncontrolled asthma: Assessing quality of life and productivity of children and their caregivers using a cross-sectional Internet-based survey. Health Qual Life Outcomes. 2010;8:96. https://doi.org/10.1186/1477-7525-8-96
- uniper EF, Guyatt GH, Feeny DH, Ferrie PJ, Griffith LE, Townsend M. Measuring quality of life in the parents of children with asthma. Quality of Life Research. 1996;5:27-34. https://doi.org/10.1007/bf00435966
- Reichenberg K, Broberg AG. The Paediatric Asthma Caregiver’s Quality of Life Questionnaire in Swedish parents. Acta Paediatr. 2001;90:45-50. https://doi. org/10.1080/080352501750064860
- Zandieh F, Moin M, Movahedi M. Assessment of quality of life in Iranian asthmatic children, young adults and their caregivers. Iran J Allergy Asthma Immunol. 2006;5:79-83. https://doi.org/10.1097/01.WOX.0000301808.05373.fc
- Vidal A, Duffau G, Ubilla C. Calidad de vida en el niño asmático y su cuidador. Rev Chil Enf Respir. 2007;23:160-6. https://doi.org/10.4067/S0717- 73482007000300002
- Riera A, Ocasio A, Goncalves P, Krumeich L, Katz KH, Trevino S, et al. Findings from a community-based asthma education fair for Latino caregivers. J Asthma. 2015;52:71-80. https://doi.org/10.3109/02770903.2014.944982
- Global Strategy for Asthma Management and Prevention. Updated 2022. https://postgrado.medicina.usac.edu.gt/sites/default/files/documentos/gina- main-report-2022-final-22-05-03-wms.pdf
- Ibrahim NK, Alhainiah M, Khayat M, Abulaban O, Almaghrabi S, Felmban O. Quality of life of asthmatic children and their caregivers. Pak J Med Sci. 2019;35:521-6. https://doi.org/10.12669/pjms.35.2.686
- Williams S, Sehgal M, Falter K, Dennis R, Jones D, Boudreaux J, et al. Effect of asthma on the quality of life among children and their caregivers in the Atlanta Empowerment Zone. J Urban Health. 2000;77:268-79. https://doi.org/10.1007/ BF02390538
- Sztafińska A, Jerzyńska J, Stelmach W, Woicka-Kolejwa K, Stelmach I. Quality of life in asthmatic children and their caregivers after two-year treatment with omalizumab, a real-life study. Postepy Dermatol Alergol. 2017;34:439-47. https://doi.org/10.5114/ada.2017.71109
- Nikolskiy MA. Vzaimosvyaz' kachestva zhizni detey s bronkhial'noy astmoy s meditsinskimi i nemeditsinskimi faktorami [Relationship between quality of life of children with bronchial asthma and medical and non-medical factors]. Voprosy psikhicheskogo zdorov'ya detey i podrostkov. 2005;5(2):94-6.
- Farnik M, Brożek G, Pierzchała W, Zejda J E, Skrzypek M, Walczak Ł. Development, evaluation and validation of a new instrument for measurement quality of life in the parents of children with chronic disease. Health and Quality of Life Outcomes. 2010;8:151. https://doi.org/10.1186/1477-7525-8-151
Authors' information:
Belykh Natalya Anatolyevna,
Doctor of Medical Sciences, Associate Professor, Head of the Department of Faculty and Polyclinic Pediatrics with the Course of Pediatric of Faculty of Postgraduate Education, Ryazan State Medical University named after Academician I.P. Pavlov
Researcher ID: L-2177-2018
ORCID ID: 0000-0002-5533-0205
SPIN: 2199-6358
E-mail: nbelyh68@mail.ru
Piznyur Inna Vladimirovna,
Assistant of Department of Faculty and Polyclinic Pediatrics with the Course of Pediatric of Faculty of Postgraduate Education, Ryazan State Medical University named after Academician I.P. Pavlov
Researcher ID: AAO-8423-2020
ORCID ID: 0000-0002-9267-439X
SPIN: 6676-5560
E-mail: innaabramova@yandex.ru
Chernenko Aleksey Pavlovich,
5th year Student, Faculty of Pediatrics, Ryazan State Medical University named after Academician I.P. Pavlov
Researcher ID: JFJ-4912-2023
ORCID ID: 0009-0005-0257-5435
SPIN: 2706-0498
E-mail: chernenko.899@yandex.ru
Anikeeva Natalia Aleksandrovna,
Candidate of Medical Sciences, Associate Professor of the Department of Faculty and Polyclinic Pediatrics with the Course of Pediatric of Faculty of Postgraduate Education, Ryazan State Medical University named after Academician I.P. Pavlov
Researcher ID: R-3494-2018
ORCID ID: 0000-0003-1103-2019
SPIN: 5495-1140
E-mail: natasha782@inbox.ru
Deeva Yulia Vitalievna,
Assistant of Department of Faculty and Polyclinic Pediatrics with the Course of Pediatric of Faculty of Postgraduate Education, Ryazan State Medical University named after Academician I.P. Pavlov
Researcher ID: ACT-0159-2022
ORCID ID: 0000-0003-0975-1137
SPIN: 3818-7656
E-mail: yudeeva80@mail.ru
Information about support in the form of grants, equipment, medications
The authors did not receive financial support from manufacturers of medicines and medical equipment
Conflicts of interest: No conflict
Address for correspondence:
Piznyur Inna Vladimirovna
Assistant of Department of Faculty and Polyclinic Pediatrics with the Course of Pediatric of Faculty of Postgraduate Education, Ryazan State Medical University named after Academician I.P. Pavlov
390026, Russian Federation, Ryazan, Vysokovoltnaya str., 9
Tel.: +7 (920) 6356099
E-mail: innaabramova@yandex.ru
This work is licensed under a Creative Commons Attribution 4.0 International License.
Materials on the topic:
- DEVELOPMENT OF APPROACHES TO TREATMENT OF CHILDREN WITH RARE AUTOIMMUNE DISEASES: A PHILOSOPHICAL PERSPECTIVE REVIEW
- MICROVASCULAR BED CHARACTERISTICS IN A CHILD WITH SEVERE UNCONTROLLED BRONCHIAL ASTHMA: A CASE REPORT AND LITERATURE REVIEW
- ANTIOXIDANT STATUS AND LIPID PEROXIDATION IN HEREDITARY HEMOLYTIC ANEMIA IN CHILDREN
- ACUTE RHEUMATIC FEVER IN CHILDREN
- MORBIDITY AMONG CHILDREN AGED 1 TO 14 YEARS IN THE REGIONS OF THE REPUBLIC OF TAJIKISTAN WITH HIGH BACKGROUND IONIZING RADIATION
- PROGRESSIVE FAMILIAL INTRAHEPATIC CHOLESTASIS IN CHILDREN
- CASE REPORT: FAMILIAL WISKOTT-ALDRICH SYNDROME
- EXTERNAL RESPIRATION AND BLOOD GAS COMPOSITION IN CHILDREN WITH HEREDITARY HEMOLYTIC ANEMIA
- IMPACT OF THE COVID-19 PANDEMIC ON VITAMIN D LEVELS IN CHILDREN OF RYAZAN
- EPIDEMIOLOGICAL ASPECTS OF CONTEMPORARY PHYSICAL DEVELOPMENT IN CHILDREN