Desarrollo de la entrevista ESNA: un instrumento para evaluar el sufrimiento en niños y adolescentes con enfermedades graves y necesidades paliativas

Toro-Pérez, Daniel; Camprodon‐Rosanas, Ester; Vilarrubí, Sergi Navarro; Clemente, Ignasi; Limonero, Joaquín T.

doi:10.5209/psic.85118

Cited by 4 publications

References 49 publications

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Evaluating quality of life in pediatric palliative care: a cross-sectional analysis of children’s and parents’ perspectives

Toro-Pérez,

Limonero,

Guillen

et al. 2023

Eur J Pediatr

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The patient’s perspective is an essential component of understanding the individual experience of suffering in children with palliative needs, but it is a perspective that is often overlooked. The aim of this study was to compare the perception of quality of life (QoL) of children with life-limiting and life-threatening conditions expressed by the children themselves and their parents. Through a cross-sectional study, the responses of 44 parent–child dyads were obtained and the analysis was performed with the statistics based on Student’s t distribution and non-parametric tests. Children value QoL more positively (mean = 6.95, SD = 1.85) than their parents (mean = 5.39, SD = 2.43). This difference exists even if we consider sociodemographic and disease variables. The presence of exacerbated symptoms is the situation in which both parents (mean = 3.70; SD = 1.95) and children (mean = 5.60; SD = 1.17) evaluate QoL more negatively.Conclusions: Children have a more optimistic view than their parents. When the child is the one who reports a lower QoL score than their parent, the child should be carefully monitored. The voice of the child and that of the family members can be collected to create a “family voice” and can be complementary. What is Known:• Children with life-limiting conditions experience multiple and changing symptoms that affect their QoL.• The child’s perspective is often overlooked. What is New:• Children value QoL more positively than their parents do, even if we control for sociodemographic variables and the disease itself.• When the child is the one who reports a lower QoL score than their parent, the child should be carefully monitored.

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