Skip to main content
Top
Gepubliceerd in: Tijdschrift voor Kindergeneeskunde 3/2003

01-08-2003 | Artikelen

Ouder worden met een aangeboren hartafwijking: hoe is de kwaliteit van leven

Auteurs: M. Kamphuis, S. P. Verloove-Vanhorick, H. W. Vliegen, J. Ottenkamp

Gepubliceerd in: Tijdschrift voor Kindergeneeskunde | Uitgave 3/2003

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Samenvatting

In deze studie worden volwassenen met een milde of complexe aangeboren hartafwijking (17 tot 32 jaar) beschreven. Hun gezondheidsgerelateerde kwaliteit van leven (gemeten met de taaqol) en subjectieve gezondheidstoestand (gemeten met de sf-36) werden vergeleken met die van de algemene populatie. Tevens werd de relatie tussen deze uitkomstmaten en objectieve gezondheidstoestand bepaald. Deze gegevens kunnen gebruikt worden om ouders van patiënten beter voor te lichten.
De gezondheidsgerelateerde kwaliteit van leven en subjectieve gezondheidstoestand van de groep volwassenen met een mild defect (n = 80) verschilden niet van die van de algemene populatie. Echter, de gezondheidsgerelateerde kwaliteit van leven van de patiënten met een complexe afwijking (n = 76) was significant slechter dan die in de algemene populatie voor de domeinen grove motoriek en vitaliteit (p < 0,01). Deze patiënten hadden tevens een significant slechtere subjectieve gezondheidstoestand dan de algemene populatie voor de domeinen fysiek functioneren, fysieke rolfunctie, vitaliteit en algemene gezondheidsperceptie (p < 0,01). Correlaties tussen de gezondheidsgerela-teerde kwaliteit van leven en subjectieve gezondheidstoestand enerzijds en de objectieve gezondheidstoestand anderzijds waren laag.
Concluderend hebben volwassenen met een milde aangeboren hartafwijking een generieke kwaliteit van leven vergelijkbaar met de algemene bevolking. Speciale aandacht is echter nodig voor de gezondheidsgerelateerde kwaliteit van leven (en dan vooral de beleving van de fysieke aspecten) van de patiënten met een complexe afwijking. De relatie tussen kwaliteit van leven en de objectieve gezondheidstoestand is laag. Daarom is het bij evaluaties van kwaliteit van leven van belang specifieke kwaliteit-van-levenvragenlijsten (zoals de taaqol) te gebruiken.
Literatuur
go back to reference Ottenkamp, J. Kindercardiologie volwassen. Oratie. 1997. Ottenkamp, J. Kindercardiologie volwassen. Oratie. 1997.
go back to reference Fekkes M, Kamphuis RP, Ottenkamp J, et al. Health-related quality of life in young adults with minor congenital heart disease. Psychol Health 2001;16:239-51.CrossRef Fekkes M, Kamphuis RP, Ottenkamp J, et al. Health-related quality of life in young adults with minor congenital heart disease. Psychol Health 2001;16:239-51.CrossRef
go back to reference Tynan MJ, Becker AE, Macartney FJ, et al. Nomenclature and classification of congenital heart disease. Br Heart J 1979;41:544-53.CrossRefPubMed Tynan MJ, Becker AE, Macartney FJ, et al. Nomenclature and classification of congenital heart disease. Br Heart J 1979;41:544-53.CrossRefPubMed
go back to reference Leventhal H, Colman S. Quality of life: a process view. Psychol Health 1997;12:753-67.CrossRef Leventhal H, Colman S. Quality of life: a process view. Psychol Health 1997;12:753-67.CrossRef
go back to reference Vogels T, Verrips GH, Verloove-Vanhorick SP, et al. Measuring health-related quality of life in children: the development of the TACQOL parent form. Qual Life Res 1998;7:457-65.CrossRefPubMed Vogels T, Verrips GH, Verloove-Vanhorick SP, et al. Measuring health-related quality of life in children: the development of the TACQOL parent form. Qual Life Res 1998;7:457-65.CrossRefPubMed
go back to reference Bruil J, Fekkes M, Vogels T, Verrips E. The validity and reliability of the TAAQOL: a health-related quality of life instrument comprising health-status weighted by the impact of health problems on well being [abstract]. Qual Life Res 2001; 10:257. Bruil J, Fekkes M, Vogels T, Verrips E. The validity and reliability of the TAAQOL: a health-related quality of life instrument comprising health-status weighted by the impact of health problems on well being [abstract]. Qual Life Res 2001; 10:257.
go back to reference Aaronson NK, Muller M, Cohen PDA, et al. Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol 1998;51:1055-68.CrossRefPubMed Aaronson NK, Muller M, Cohen PDA, et al. Translation, validation, and norming of the Dutch language version of the SF-36 Health Survey in community and chronic disease populations. J Clin Epidemiol 1998;51:1055-68.CrossRefPubMed
go back to reference Criteria Committee of the New York Heart Association I. Nomenclature and criteria for diagnoses of diseases of the heart and blood vessels, 5th ed. New York: New York Heart Association, 1953. p. 81. Criteria Committee of the New York Heart Association I. Nomenclature and criteria for diagnoses of diseases of the heart and blood vessels, 5th ed. New York: New York Heart Association, 1953. p. 81.
go back to reference Warnes CA, Somerville J. Tricuspid atresia in adolescents and adults: current state and late complications. Br Heart J 1986; 56:535-43.CrossRefPubMed Warnes CA, Somerville J. Tricuspid atresia in adolescents and adults: current state and late complications. Br Heart J 1986; 56:535-43.CrossRefPubMed
go back to reference Hotelling H. Relations between two sets of variates. Biometrika 1936;28:321-77. Hotelling H. Relations between two sets of variates. Biometrika 1936;28:321-77.
go back to reference Møyen-Laane K, Meberg A, Otterstad JE, et al. Quality of life in children with congenital heart defects. Acta Paediatr 1997;86:975-80.CrossRefPubMed Møyen-Laane K, Meberg A, Otterstad JE, et al. Quality of life in children with congenital heart defects. Acta Paediatr 1997;86:975-80.CrossRefPubMed
go back to reference Møyen-Laane K, Meberg A, Otterstad JE, et al. Does an early neonatal diagnosis of a later spontaneously closed ventricular septal defect impair quality of life? Scand Cardiovasc J 1997; 31:213-6.CrossRef Møyen-Laane K, Meberg A, Otterstad JE, et al. Does an early neonatal diagnosis of a later spontaneously closed ventricular septal defect impair quality of life? Scand Cardiovasc J 1997; 31:213-6.CrossRef
go back to reference Bjørnstad PG, Spurkland I, Lindberg H. The impact of severe congenital heart disease on physical and psychosocial functioning in adolescents. Cardiol Young 1995;5:56-62. Bjørnstad PG, Spurkland I, Lindberg H. The impact of severe congenital heart disease on physical and psychosocial functioning in adolescents. Cardiol Young 1995;5:56-62.
go back to reference Casey FA, Sykes DH, Craig BG, et al. Behavioral adjustment of children with surgically palliated complex congenital heart disease. J Pediatr Psychol 1996;21:335-52.CrossRefPubMed Casey FA, Sykes DH, Craig BG, et al. Behavioral adjustment of children with surgically palliated complex congenital heart disease. J Pediatr Psychol 1996;21:335-52.CrossRefPubMed
go back to reference Mahle WT, Clancy RR, Moss EM, et al. Neurodevelopmental outcome and lifestyle assessment in school-aged and adolescent children with hypoplastic left heart syndrome. Pediatrics 2000;105:1082-9.CrossRefPubMed Mahle WT, Clancy RR, Moss EM, et al. Neurodevelopmental outcome and lifestyle assessment in school-aged and adolescent children with hypoplastic left heart syndrome. Pediatrics 2000;105:1082-9.CrossRefPubMed
go back to reference Utens EM, Verhulst FC, Duivenvoorden HJ, et al. Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease. Eur Heart J 1998;19:801-7.CrossRefPubMed Utens EM, Verhulst FC, Duivenvoorden HJ, et al. Prediction of behavioural and emotional problems in children and adolescents with operated congenital heart disease. Eur Heart J 1998;19:801-7.CrossRefPubMed
go back to reference Doorn C van, Yates R, Tunstill A, Elliott M. Quality of life in children following mitral valve replacement. Heart 2000;84: 643-7.CrossRefPubMed Doorn C van, Yates R, Tunstill A, Elliott M. Quality of life in children following mitral valve replacement. Heart 2000;84: 643-7.CrossRefPubMed
go back to reference Horner T, Liberthson R, Jellinek MS. Psychosocial profile of adults with complex congenital heart disease. Mayo Clin Proc 2000;75:31-6.CrossRefPubMed Horner T, Liberthson R, Jellinek MS. Psychosocial profile of adults with complex congenital heart disease. Mayo Clin Proc 2000;75:31-6.CrossRefPubMed
go back to reference Saliba Z, Butera G, Bonnet D, et al. Quality of life and perceived health status in surviving adults with univentricular heart. Heart 2001;86:69-73.CrossRefPubMed Saliba Z, Butera G, Bonnet D, et al. Quality of life and perceived health status in surviving adults with univentricular heart. Heart 2001;86:69-73.CrossRefPubMed
go back to reference Ternestedt BM, Wall K, Oddsson H, et al. Quality of life 20 and 30 years after surgery in patients operated on for tetralogy of Fallot and for atrial septal defect. Pediatr Cardiol 2001; 22:128-32.CrossRefPubMed Ternestedt BM, Wall K, Oddsson H, et al. Quality of life 20 and 30 years after surgery in patients operated on for tetralogy of Fallot and for atrial septal defect. Pediatr Cardiol 2001; 22:128-32.CrossRefPubMed
go back to reference Swan L, Hillis WS. Exercise prescription in adults with congenital heart disease: a long way to go. Heart 2000;83:685-7.CrossRefPubMed Swan L, Hillis WS. Exercise prescription in adults with congenital heart disease: a long way to go. Heart 2000;83:685-7.CrossRefPubMed
go back to reference Gutgesell HP, Gessner IH, Vetter VL, et al. Recreational and occupational recommendations for young patients with heart disease. A Statement for physicians by the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation 1986;74:1195A-8A.PubMed Gutgesell HP, Gessner IH, Vetter VL, et al. Recreational and occupational recommendations for young patients with heart disease. A Statement for physicians by the Committee on Congenital Cardiac Defects of the Council on Cardiovascular Disease in the Young, American Heart Association. Circulation 1986;74:1195A-8A.PubMed
go back to reference Liberthson RR. Arrhythmias in the athlete with congenital heart disease: guidelines for participation. Ann Rev Med 1999; 50:441-52.CrossRefPubMed Liberthson RR. Arrhythmias in the athlete with congenital heart disease: guidelines for participation. Ann Rev Med 1999; 50:441-52.CrossRefPubMed
go back to reference Willenheimer R, Erhardt L, Cline C, et al. Exercise training in heart failure improves quality of life and exercise capacity. Eur Heart J 1998;19:774-81.CrossRefPubMed Willenheimer R, Erhardt L, Cline C, et al. Exercise training in heart failure improves quality of life and exercise capacity. Eur Heart J 1998;19:774-81.CrossRefPubMed
go back to reference Fredriksen PM, Kahrs N, Blaasvaer S, et al. Effect of physical training in children and adolescents with congenital heart disease. Cardiol Young 2000;10:107-14.PubMed Fredriksen PM, Kahrs N, Blaasvaer S, et al. Effect of physical training in children and adolescents with congenital heart disease. Cardiol Young 2000;10:107-14.PubMed
go back to reference Driscoll DJ. Exercise rehabilitation programs for children with congenital heart disease: a note of caution. Pediatr Exercise Sci 1990;2:191-6. Driscoll DJ. Exercise rehabilitation programs for children with congenital heart disease: a note of caution. Pediatr Exercise Sci 1990;2:191-6.
go back to reference Brandhagen DJ, Feldt RH, Williams DE. Long-term psychologic implications of congenital heart disease: a 25-year follow-up. Mayo Clin Proc 1991;66:474-9.PubMed Brandhagen DJ, Feldt RH, Williams DE. Long-term psychologic implications of congenital heart disease: a 25-year follow-up. Mayo Clin Proc 1991;66:474-9.PubMed
go back to reference Hommeyer JS, Holmbeck GN, Wills KE, Coers S. Condition severity and psychosocial functioning in pre-adolescents with spina bifida: disentangling proximal functional status and distal adjustment outcomes. J Pediatr Psychol 1999;24:499-509.CrossRefPubMed Hommeyer JS, Holmbeck GN, Wills KE, Coers S. Condition severity and psychosocial functioning in pre-adolescents with spina bifida: disentangling proximal functional status and distal adjustment outcomes. J Pediatr Psychol 1999;24:499-509.CrossRefPubMed
Metagegevens
Titel
Ouder worden met een aangeboren hartafwijking: hoe is de kwaliteit van leven
Auteurs
M. Kamphuis
S. P. Verloove-Vanhorick
H. W. Vliegen
J. Ottenkamp
Publicatiedatum
01-08-2003
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Tijdschrift voor Kindergeneeskunde / Uitgave 3/2003
Print ISSN: 0376-7442
Elektronisch ISSN: 1875-6840
DOI
https://doi.org/10.1007/BF03061451

Andere artikelen Uitgave 3/2003

Tijdschrift voor Kindergeneeskunde 3/2003 Naar de uitgave