Financial Burden, Depression and Coping Strategies among Parents of Children Admitted to Paediatric Intensive Care Unit (PICU)
Journal Title: Journal of Clinical and Diagnostic Research - Year 2018, Vol 12, Issue 12
Abstract
ABSTRACT Introduction: In India, direct out of pocket expenditure on healthcare is about 70%. Taking care of an ill child is one of the most emotionally draining and difficult tasks a parent can face. Pursuing social support, positive reappraisals are most used strategies by parents to cope. There are few studies catering to these aspects among parents whose child is admitted in PICU in Indian population. Aim: The study aimed to assess financial burden and depression amongst parents of a child admitted in PICU and their variance with social support and household coping strategies. Materials and Methods: A cross-sectional survey was conducted on parents of 150 parents of patients admitted to PICU at rural tertiary care teaching hospital. Patient Health Questionnaire (PHQ-9) was used to measure depression. Socio-demographic and clinical profile, financial burden and social support were measured using semi-structured questionnaires. Descriptive statistics were used to depict the sociodemographic and clinical profile of the study population and Analysis of Variance (ANOVA) was used to assess associations. Results: Mean age of the fathers was 31.22 years (range 23-50) and of mothers was 30.39 years (range 22-42). Mean family income was 6186.3 rupees per month and median was 5000 rupees. Only 6% families had below poverty line status and majority (96.7%) had no health insurance. Median (IQR) duration of PICU stay was four days (IQR: 2, 6) and of hospital stay was six days (IQR: 3.75, 10). The median (IQR) medical and non-medical cost in INR incurred were 20,000 (IQR: 13725, 50375), 1,200 (IQR: 600, 2525) respectively. Borrowing money from friends/relatives (58%) was most frequently used household coping strategy. Using PHQ-9, 11(7.5%) parents screened positive for mild depression. Conclusion: Unplanned admission, lack of insurance cover and significant direct medical cost as inferred from the high income to cost ratio, indirect cost incurred by staying away from work push parents into financial and psychological distress.
Authors and Affiliations
Kushal Shah, Jagdish R Varma, Maithily V Patel, Krutika R Tandon, Ajay G Phatak, Somashekhar M Nimbalkar
Keywords
Related Articles
- EP ID EP526381
- DOI 10.7860/JCDR/2018/32011.12324
- Views 54
- Downloads 0
Diabetic Dyslipidemia: Current Concepts in Pathophysiology and Management
ABSTRACT Diabetes Mellitus (DM) has assumed pandemic proportions worldwide. The increase in prevalence of this non-communicable disease has been quite alarming. South East Asia is home to approximately 71.4 million of th...
Expression of Extracellular Matrix Metalloproteinase Inducer (CD147) in Astrocytomas: A Histopathological and Immunohistochemical Study
ABSTRACT Introduction: Extracellular Matrix Metalloproteinase Inducer (EMMPRIN), also known as CD147, is a member of the adhesion molecules which play important roles in cellular function both in physiological and pathol...
Treatment of Insomnia by Pranic Healing
ABSTRACT Insomnia is a sleep disorder where people have trouble sleeping. This case pertains to a working, married female, aged 27 years with insomnia, complaining of irritability, low energy, daytime sleepiness and depr...
Prevalence of Metabolic Syndrome among Psychiatric Inpatients: A Hospital Based Study from Kashmir
Introduction: Over the last fifty years there has been dramatic change in the human environment, behaviours and way-of-life. These changes have resulted in escalating rates of metabolic syndrome not only in general popul...
Autoimmune Haemolytic Anaemia: An Unusual Manifestation of Kawasaki Disease
Abstract Intravenous Immunoglobulin (IVIg) can cause Autoimmune Haemolytic Anaemia (AIHA) in some patients. There are many reports of AIHA developing in children with Kawasaki Disease (KD) after they were treated with IV...