Objective: Children with gastroesophageal reflux disease (GERD) have significant co-morbidity. This study aimed to evaluate the health-related quality of life (HRQoL) in these children and adolescents by self and parent questionnaires. In addition, we also investigated the impact of gastroesophageal reflux symptoms on HRQoL.
Material and Methods: The study included 93 patients with GERD and 59 age and sex-matched healthy controls. We asked the children and their parents to complete the validated Turkish version of KINDer Lebensqualitätsfragebogen-Children Quality of Life Questionnaire (self-report and parent report, respectively) for assessing HRQoL. The patients have additionally completed a gastroesophageal reflux symptom questionnaire.
Results: The patients and their parents scored significantly lower on the general health perception (p=0.004) than the healthy controls. Especially physical well-being and emotional well-being subscales were negatively affected (p=0.000, and p=0.002, respectively). The most common symptoms in the patients were epigastric pain (70.9%), abdominal distention (64.5%), halitosis (58%), and regurgitation (50.6%). Epigastric pain significantly negatively affected the total HRQoL score in the patients (p= 0.003). The patients with GERD scored significantly higher than their parents in physical well-being (p=0.000) and family (p=0.000) subscale scores.
The patients with GERD evaluated their quality of life more negatively in self-esteem (p=0.000) and school domains (p=0.001) than did their parents.
Conclusion: GERD has a significant negative impact on HRQoL in children. The most affected domains are physical well-being and emotional well-being. Epigastric pain is associated with worse HRQoL scores.
Amaç: Gastroözofageal reflü hastalığı (GÖRH) olan çocukluklarda önemli komorbidite vardır. Bu çalışmada, hasta çocuk ve ergenlerin sağlıkla ilgili yaşam kalitesini (SYK) hastanın kendisi ve ebeveynlerin doldurduğu anketlerle değerlendirmeyi amaçladık. Ek olarak, gastroözofageal reflü semptomlarının SYK üzerindeki etkisi de araştırıldı.
Gereç ve Yöntemler: Çalışmaya 93 hasta ve 59 yaş ve cinsiyet uyumlu sağlıklı kontrol dahil edildi. Yüzyüze görüşmeyle çocuklardan ve ebeveynlerinden çocuğun SYK’ni değerlendirmek için Türkçe geçerli ve güvenilir versiyonu olan KINDer Lebensqualitätsfragebogen-Çocuk Yaşam Kalitesi Anketi’ni doldurmaları istendi. Hastalar ayrıca bir gastroözofageal reflü semptom anketi de doldurdular.
Bulgular: Hastaların ve ebeveynlerinin SYK puanı sağlıklı kontrollere göre anlamlı olarak daha düşük bulundu (p=0.004). Özellikle bedensel iyilik ve duygusal iyilik alt ölçekleri olumsuz etkilenmişti (sırasıyla p=0.000 ve p=0.002). Hastalarda en sık görülen semptomlar epigastrik ağrı (%70.9), karında şişkinlik (%64.5), ağız kokusu (%58) ve regurjitasyon (%50.6)’di. Epigastrik ağrı hastalarda toplam SYK’ni anlamlı olarak olumsuz etkiledi (p= 0.003).
Hastalarla ebeveynlerinin doldurduğu anketler karşılaştırıldığında hasta çocukların bedensel iyilik (p=0.000) ve aile (p=0.000) alt ölçek puanları ebeveynlerine göre anlamlı derecede yüksekti. GÖRH olan hastalar, öz saygı (p=0.000) ve okul alanlarındaki yaşam kalitesini (p=0.001) ebeveynlerine göre daha olumsuz olarak değerlendirdi.
Sonuç: GÖRH, çocuklarda SYK üzerinde önemli bir olumsuz etkiye sahiptir. En çok etkilenen alanlar bedensel iyilik ve duygusal iyilik halidir. Epigastrik ağrı, daha kötü SYK skorları ile ilişkilidir.
Primary Language | English |
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Subjects | Internal Diseases |
Journal Section | ORIGINAL ARTICLES |
Authors | |
Publication Date | May 30, 2022 |
Submission Date | December 23, 2021 |
Published in Issue | Year 2022 Volume: 16 Issue: 3 |
The publication language of Turkish Journal of Pediatric Disease is English.
Manuscripts submitted to the Turkish Journal of Pediatric Disease will go through a double-blind peer-review process. Each submission will be reviewed by at least two external, independent peer reviewers who are experts in the field, in order to ensure an unbiased evaluation process. The editorial board will invite an external and independent editor to manage the evaluation processes of manuscripts submitted by editors or by the editorial board members of the journal. The Editor in Chief is the final authority in the decision-making process for all submissions. Articles accepted for publication in the Turkish Journal of Pediatrics are put in the order of publication, with at least 6 original articles in each issue, taking into account the acceptance dates. If the articles sent to the reviewers for evaluation are assessed as a senior for publication by the reviewers, the section editor and the editor considering all aspects (originality, high scientific quality and citation potential), it receives publication priority in addition to the articles assigned for the next issue.
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