Health-Related Quality of Life and Associated Factors among Children with Rheumatic Heart Disease Attending Cardiac Outpatients at Selected Public Hospitals In Addis Ababa, Ethiopia, 2024
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Date
2024-06-13
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Addis Ababa University
Abstract
Background: Rheumatic heart disease has a great negative impact on the health-related quality of life (HRQOL) of children by limiting their physical activity, cognitive and emotional, social, and academic functioning. Children with RHD have significantly varying HRQOLs in different parts of the world. However, there was no study done on HRQOL of children with RHD in the study.
Objectives: To assess health-related quality of life and associated factors among children with rheumatic heart disease attending cardiac outpatients at selected public hospitals in Addis Ababa, Ethiopia, 2024.
Method: An institution-based cross-sectional study, on a sample of 174 participants, and the data were collected by an interviewer-administered structured questionnaire from February 19 to March 19, 2024. SPSS version 26 was used for statistical analysis and Epi Data version 4.4 was used to enter, clean, and code the data. Multivariate ordinal logistic regression analysis was performed. Statistical significance was declared with P-values of less than 0.05.Pie- chart and frequency tables were used to display the results.
Results: The study found that 58.6% of the population was female, and the mean age of the study population was 13.39 ± 2.960 SD years. Among study participant, 88 (50.6%) of them had high HRQOL, 43 (24.7%) of them had poor HRQOL and 43 (24.7%) of them had poor HRQOL. Children in lower grades, with co-morbidity, and of parent having poor knowledge were more likely to have poor HRQOL than children at higher school, have no co morbidity, and of parent having good knowledge respectively. Regular medication, involvement in the mitral valve, and a small number of medications was less likely had poor HRQOL with a p-value less than .05.
Conclusion: in this study, the HRQOL among children with RHD had varying proportions for the poor, moderate and high HRQOL. The study showed that attending cardiac outpatients Children with lower education and co-morbidity had poor performance in all components of HRQOLinparticularly physical components.
Recommendation: Public awareness creation may contribute significantly to improving pediatric HRQOL, and striving for awareness creation using different methods is crucial.
Keyword: Health Related Quality of Life, Children, Rheumatic Heart Disease
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Keywords
Health Related Quality of Life Children Rheumatic Heart Disease