A comparative study of quality of life of families with children born with cleft lip and/or palate before and after surgical treatment
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Objectives: The aim of this study was to compare the quality of life (QoL) of parents/caregivers of children with cleft lip and/or palate before and after surgical repair of an orofacial cleft.Materials and Methods: Families of subjects who required either primary or secondary orofacial cleft repair who satisfied the inclusion criteria were recruited. A preoperative and postoperative health-related QoL questionnaire, the ‘Impact on Family Scale’ (IOFS), was applied in order to detect the subjectively perceived QoL in the affected family before and after surgical intervention. The mean pre- and postoperative total scores were compared using paired t-test. Pre- and postoperative mean scores were also compared across the 5 domains of the IOFS. Results: The proportion of families whose QoL was affected before surgery was 95.7%. The domains with the greatest impact preoperatively were the financial domain and social domains. Families having children with bilateral cleft lip showed QoL effects mostly in the social domain and ‘impact on sibling’ domain. Postoperatively, the mean total QoL score was significantly lower than the mean preoperative QoL score, indicating significant improvement in QoL (P<0.001). The mean postoperative QoL score was also significantly lower than the mean preoperative QoL score in all domains. Only 3.2% of the families reported affectation of their QoL after surgery. The domains of mastery (61.3%) with a mean of 7.4±1.8 and finance (45.1%) with a mean score of 7.2±1.6 were those showing the greatest postoperative impact. The proportion of families whose QoL was affected by orofacial cleft was markedly different after treatment (95.7% preoperative and 3.2% postoperative). Conclusion: Caring for children with orofacial clefts significantly reduces the QoL of parents/caregivers in all domains. However, surgical interven-tion significantly improves the QoL of the parents/caregivers of these children.
Abstract
Objectives: The aim of this study was to compare the quality of life (QoL) of parents/caregivers of children with cleft lip and/or palate before and after surgical repair of an orofacial cleft.Materials and Methods: Families of subjects who required either primary or secondary orofacial cleft repair who satisfied the inclusion criteria were recruited. A preoperative and postoperative health-related QoL questionnaire, the ‘Impact on Family Scale’ (IOFS), was applied in order to detect the subjectively perceived QoL in the affected family before and after surgical intervention. The mean pre- and postoperative total scores were compared using paired t-test. Pre- and postoperative mean scores were also compared across the 5 domains of the IOFS. Results: The proportion of families whose QoL was affected before surgery was 95.7%. The domains with the greatest impact preoperatively were the financial domain and social domains. Families having children with bilateral cleft lip showed QoL effects mostly in the social domain and ‘impact on sibling’ domain. Postoperatively, the mean total QoL score was significantly lower than the mean preoperative QoL score, indicating significant improvement in QoL (P<0.001). The mean postoperative QoL score was also significantly lower than the mean preoperative QoL score in all domains. Only 3.2% of the families reported affectation of their QoL after surgery. The domains of mastery (61.3%) with a mean of 7.4±1.8 and finance (45.1%) with a mean score of 7.2±1.6 were those showing the greatest postoperative impact. The proportion of families whose QoL was affected by orofacial cleft was markedly different after treatment (95.7% preoperative and 3.2% postoperative). Conclusion: Caring for children with orofacial clefts significantly reduces the QoL of parents/caregivers in all domains. However, surgical interven-tion significantly improves the QoL of the parents/caregivers of these children.
참고문헌 (39)
- "Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference"[URL]
- Castro RA, "Child-OIDP index in Brazil: cross-cultural adaptation and validation", Health Qual Life Outcomes, 6, pp.68~ (2008)
- Manchanda K, "Oral health-related quality of life- a changing revolution in dental practice", J Cranio Max Dis, 3, pp.124~132 (2014)
- Taillefer MC, "Health-related quality of life models: systematic review of the literature", Soc Indic Res, 64, pp.293~323 (2003)
- Manyama M, "An assessment of orofacial clefts in Tanzania", BMC Oral Health, 11, pp.5~ (2011)
- Dixon MJ, "Cleft lip and palate:understanding genetic and environmental influences", Nat Rev Genet, 12, pp.167~178 (2011)
- Wehby GL, "Folic acid and orofacial clefts: a review of the evidence", Oral Dis, 16, pp.11~19 (2010)
- Goodacre T, "Cleft lip and palate: current management", Paediatr Child Health, 6, pp.283~292 (2008)
- Hodgkinson PD, "Management of children with cleft lip and palate:a review describing the application of multidisciplinary team working in this condition based upon the experiences of a regional cleft lip and palate center in the United Kingdom", Fetal Matern Med Rev, 16, pp.1~27 (2005)
- Farronato G, "How various surgical protocols of the unilateral cleft lip and palate influence the facial growth and possible orthodontic problems? Which is the best timing of lip, palate and alveolus repair? Literature review", Stomatologija, 16, pp.53~60 (2014)
- Kramer FJ, "Quality of life in school-age children with orofacial clefts and their families", J Craniofac Surg, 20, pp.2061~2066 (2009)
- Oginni FO, "Knowledge and cultural beliefs about the etiology and management of orofacial clefts in Nigeria's major ethnic groups", Cleft Palate Craniofac J, 47, pp.327~334 (2010)
- Akinmoladun VI, "Bilateral transverse facial cleft as an isolated deformity: case report", Ann Afr Med, 6, pp.39~40 (2007)
- Kernahan DA, "The striped Y--a symbolic classification for cleft lip and palate", Plast Reconstr Surg, 47, pp.469~470 (1971)
- Lawal FB, "How valid are the psychometric properties of the oral health impact profile-14 measure in adult dental patients in Ibadan, Nigeria?", Ethiop J Health Sci, 24, pp.235~242 (2014)
- Astrøm AN, "Oral Impacts on Daily Performance in Norwegian adults: validity, reliability and prevalence estimates", Eur J Oral Sci, 113, pp.289~296 (2005)
- Donkor P, "A prospective survey of patients with cleft lip and palate in Kumasi", West Afr J Med, 26, pp.14~16 (2007)
- Abdurrazaq TO, "Surgical outcome and complications following cleft lip and palate repair in a teaching hospital in Nigeria", Afr J Paediatr Surg, 10, pp.345~357 (2013)
- Onah II, "Cleft lip and palate repair: the experience from two West African sub-regional centres", J Plast Reconstr Aesthet Surg, 61, pp.879~882 (2008)
- in Benin City, Nigeria, "Cent Afr J Med", 2004, 65~69
- Conway JC, "Ten-year experience of more than 35,000 orofacial clefts in Africa", BMC Ped, 15, pp.8~ (2015)
- Bill J, "Treatment of patients with cleft lip, alveolus and palate--a short outline of history and current interdisciplinary treatment approaches", J Craniomaxillofac Surg, 34(Suppl 2), pp.17~21 (2006)
- Murray L, "The effect of cleft lip and palate, and the timing of lip repair on mother-infant interactions and infant development", J Child Psychol Psychiatry, 49, pp.115~123 (2008)
- Vella SLC, "A systematic review of the quality of life of carers of children with cleft lip and", or palate, 2012, pp.2, 91~96
- Kramer FJ, "An analysis of quality of life in 130 families having small children with cleft lip", palate using the impact on family scale, 2007, pp.36, 1146~1152
- Shkoukani MA, "Cleft lip: a comprehensive review", Front Pediatr, 1, pp.53~ (2013)
- Hopper RA, "Cleft palate repair and velopharyngeal dysfunction", Plast Reconstr Surg, 133, pp.852e~864e (2014)
- Weigl V, "Anxiety, depression, and quality of life in mothers of children with cleft lip", palate, 2005, pp.57, 20~27
- Wehby GL, "The impact of orofacial clefts on quality of life and healthcare use and costs", Oral Dis, 16, pp.3~10 (2010)
- Adeyemo WL, "Oral health-related quality of life following non-surgical (routine) tooth extraction: a pilot study", Contemp Clin Dent, 3, pp.427~432 (2012)
- Hunt O, "The psychosocial effects of cleft lip and palate: a systematic review", Eur J Orthod, 27, pp.274~285 (2005)
- Kramer FJ, "Quality of life and family functioning in children with nonsyndromic orofacial clefts at preschool ages", J Craniofac Surg, 19, pp.580~587 (2008)
- Akinmoladun VI, "Team approach concept in management of oro-facial clefts: a survey of Nigerian practitioners", Head Face Med, 5, pp.11~ (2009)
- Fletcher AJ, "Psychological impact of repair surgery in cleft lip and palate", Int J Clinl Pediatr, 1, pp.93~96 (2012)
- Hasanzadeh N, "Coping strategies and psychological distress among mothers of patients with nonsyndromic cleft lip and palate and the family impact of this disorder", J Craniofac Surg, 25, pp.441~445 (2014)
- Chuacharoen R, "Felt needs of parents who have a 0- to 3-month-old child with a cleft lip and palate", Cleft Palate Craniofac J, 46, pp.252~257 (2009)
- Cassell CH, "Health care expenditures among Medicaid enrolled children with and without orofacial clefts in North Carolina, 1995-2002", Birth Defects Res A Clin Mol Teratol, 82, pp.785~794 (2008)
- Morris HL, "Some economic aspects of cleft lip and palate treatment in the United States in 1974", Cleft Palate J, 15, pp.167~175 (1978)
- Baker SR, "Coping strategies and social support in the family impact of cleft lip and palate and parents'adjustment and psychological distress", Cleft Palate Craniofac J, 46, pp.229~236 (2009)