Improvement of caregivers’ life quality after children with cleft lip cleft palate undergoing surgical correction : The Thai Red Cross project.

Authors

  • Usa Boonplian Affiliation Medical Services Relief and Community Health Bureau, Bangkok, Thailand
  • Pichit Siriwan Affiliation Office of Relief and Community Health Bureau, Bangkok, Thailand
  • Kornkiat Snidvongs Faculty of Medicine, Chulalongkorn University

Keywords:

Caregiver, cleft palate, cleft lip, quality of life, mobile surgical repair of cleft lip cleft palate and other deformities

Abstract

Background : Cleft lip and cleft palate (CL/P) are among the most common congenital malformations of the face. These facial deformities significantly impact the mother, children, society and economy of the country. Studies have shown that surgical correction can improve the patient’s appearance and functionality such as feeding and speech. However, there are limited information pertaining to the quality of life (QOL) of the caregivers after their children have received corrective surgery for cleft deformities and the use of mobile surgical units to reach the hard-to-reach population.

Objectives : To assess the quality of life (QOL) of the caregivers whose children received corrective surgery for CL/P offered through ‘The repair of cleft lip and cleft palate and other deformities project of the Thai Red Cross Society utilizing the mobile unit technique.

Methods : Forty-four caregivers of children who received corrective surgery for CL/P were recruited from 23 – 26 May 2016, and 27 - 30 June 2016. As for the children, post –operative examinations were administered on week 2. As for the caregivers, the WHOQOL-BREF-THAI Questionnaire was administered at day 0 and month 3 after to assess their QOL.

Results : A significant improvement was detected in all dimensions of the QOL: Overall quality of life and general health (80.9 gif.latex?\pm 8.3 pre-surgery; 98.5 gif.latex?\pm 7.5 post-surgery; P <0.001), physical health (P <0.001), psychology (P <0.001), social relationships (P <0.001), and the environment (P <0.001).

Conclusion : Surgical correction for CL/P in the children significantly improves the QOL of the caregivers but this is not enough to eradicate the cause of the condition. Additional techniques are needed in conjunction with the corrective surgery such as education and mobile healthcare units which, when used together, can reduce the prevalence and incidence of CL/P.

Downloads

Download data is not yet available.

References

Watkins SE, Meyer RE, Strauss RP, Aylsworth AS. Classification, epidemiology, and genetics of orofacial clefts. Clin Plast Surg 2014;41: 149-63. https://doi.org/10.1016/j.cps.2013.12.003

Weigl V, Rudolph M, Eysholdt U, Rosanowski F. Anxiety, depression, and quality of life in mothers of children with cleft lip/palate. Folia Phoniatr Logop 2005;57:20 - 7. https://doi.org/10.1159/000081958

Voraphani N, Siriwan P, Shotelersuk V. Pedigree analysis study of oral cleft patient in Thailand. Chula Ped J 2004; 4:21-5.

Pradubwong S, Pongpagatip S, Prathanee B, Thanawirattananit P, Ratanaanekchai T, Chowchuen B. The treatment of 4-5 year-old patients with cleft lip and cleft palate in Tawanchai Center: follow-up. J Med Assoc Thai 2012; 95 Suppl 11:S135-40.

Shotelersuk V, Ittiwut C, Siriwan P, Angspatt A. Maternal 677CT/1298AC genotype of the MTHFR gene as a risk factor for cleft lip. J Med Gent 2003;40:e64. https://doi.org/10.1136/jmg.40.5.e64

Shotelersuk V, Srichomthong C, Yoshiura K, Niikawa N. A novel mutation, 1234 del(C), of the IRF6 in a Thai family with Van der Woude syndrome. Int J Mol Med 2003;11:50 5-7.

https://doi.org/10.3892/ijmm.11.4.505

Shotelersuk V, Janklat S, Siriwan P, Tongkobpetch S. De novo missense mutation, S541Y, in the p63 gene underlying Rapp-Hodgkin ectodermal dysplasia syndrome. Clin Exp Dermatol 2005;30:282-5.

https://doi.org/10.1111/j.1365-2230.2005.01722.x

Tongkobpetch S, Siriwan P, Shotelersuk V. MSX1 mutations contribute to nonsyndromic cleft lip in a Thai population. J Hum Genet 2006; 51:671-6. https://doi.org/10.1007/s10038-006-0006-4

Leoyklang P, Siriwan P, Shotelersuk V. A mutation of the p63 gene in non-syndromic cleft lip. J Med Genet 2006;43:e28. https://doi.org/10.1136/jmg.2005.036442

Shotelersuk V, Siriwan P, Ausavarat S. A novel mutation in EFNB1, probably with a dominant negative effect, underlying craniofrontonasal syndrome. Cleft Palate Craniofac J 2006;43: 152-4.

https://doi.org/10.1597/05-014.1

Srichomthong C, Siriwan P, Shotelersuk V. Significant association between IRF6 820G- >A and non-syndromic cleft lip with or without cleft palate in the Thai population. J Med Genet 2005;42:e46.

https://doi.org/10.1136/jmg.2005.032235

Leoyklang P, Suphapeetiporn K, Siriwan P, Desudchit T, Chaowanapanja P, Gahl WA, et al. Heterozygous nonsense mutation SATB2 associated with cleft palate, osteoporosis, and cognitive defects. Hum Mutat 2007;28:732-8. https://doi.org/10.1002/humu.20515

World Health Organization. Guideline daily iron and folic acid supplementation in pregnant woman, Geneva: WHO;2012:4-5.

Wilcox AJ, Lie RT, Solvoll K, Taylor J, McConnaughey DR, Abyholm F, et al. Folic acid supplements and risk of facial clefts: national population based case-control study. BMJ 2007;334:464.

https://doi.org/10.1136/bmj.39079.618287.0B

Mutarai T, Ritthagol W, Hunsrisakhun J. Factors influencing early childhood caries of cleft lip and/or palate children aged 18 to 36 months in southern Thailand. Cleft Palate Craniofac J 2008;45:4 68-72.

https://doi.org/10.1597/07-017.1

Golding-Kusher KJ. Therapy Techniques for Cleft Palate Speech and Related Disorders. Department of Special Education and Individualized Service Speech Patology Program Khon Kaen University Union, New Jersey, 2001.

Gowda MR, Pai NB, Vella SC. A pilot study of mental health and quality-of-life of caregivers of children with cleft lip/palate in India. Indian J Psychiatry 2013;55:167-9.

https://doi.org/10.4103/0019-5545.111456

Blanco R, Colombo A, Suazo J. Maternal obesity is a risk factor for orofacial clefts: a metaanalysis. Br J Oral Maxillofac Surg 2015;53: 699-704. https://doi.org/10.1016/j.bjoms.2015.05.017

Dai L, Zhu J, Mao M, Li Y, Deng Y, Wang Y, et al. Time trends in oral clefts in Chinese newborns: data from the Chinese National Birth Defects Monitoring Network. Birth Defects Res A Clin Mol Teratol 2010;88:41-7. https://doi.org/10.1002/bdra.20607

Kazak AE. Families of chronically ill children: a systems and social ecological model of adaptation and challenge. J Consult Clin Psychol 1989;57:25 - 30. https://doi.org/10.1037/0022-006X.57.1.25

Prathanee B. Cleft Lip and Palate : speech and language problems. Khon Kaen: Department of Otolaryngology, Faculty of Medicine, Khon Kaen University;2002.

สุวัฒน์ มหัตนิรันดร์กุล, วิระวรรณ ตันติพิวัฒนสกุล, วนิดา พุ่มไพศาลชัย, กรองจิตต์ วงศ์สุวรรณ, ราณี พรมานะจิรังกุล. เปรียบเทียบแบบวัดคุณภาพชีวิตขององค์การอนามัยโลกทุก 100 ตัวชี้วัด และ 26 ตัวชี้วัด.วารสารสุขภาพจิตแห่งประเทศไทย 2541;5:4-15.

Downloads

Published

2023-08-24

How to Cite

1.
Boonplian U, Siriwan P, Snidvongs K. Improvement of caregivers’ life quality after children with cleft lip cleft palate undergoing surgical correction : The Thai Red Cross project. Chula Med J [Internet]. 2023 Aug. 24 [cited 2024 Nov. 22];61(5). Available from: https://he05.tci-thaijo.org/index.php/CMJ/article/view/474

Issue

Vol. 61 No. 5 (2017): Chulalongkorn Medical Journal

Section

Original Articles

License

Copyright (c) 2023 Chulalongkorn Medical Journal

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.