In the assessment of the quality of life of mothers of children with MMC living in the city Daporinad or in the country, we found no statistically significant differences
based on the sex of children (data are not shown). Mothers of boys with MMC living in the country reported significantly higher quality of life scores compared with mothers living in the city in the psychological domain (Table V). In the assessment of the quality of life of mothers of girls with MMC based on place of residence, we obtained statistically significant results in the physical health domain. Mothers of girls from the countryside D1 – 23.3, mothers of girls from the city D1 – 21.3. Details are shown in Table VI. The questions analyzed separately show that mothers of healthy children significantly (p = 0.02) better assess individual overall perception of quality of life (82.4 ± 9.6) compared with mothers of children with MMC (74.4 ± 11.5). The question regarding individual general perception of own health was also better (not significant) assessed by mothers of healthy children (78 ± 11.6) compared with mothers of children with MMC (74 ± 14.1). No significant correlations between the ambulatory function of patients with MMC and quality of life of mothers PLX4032 chemical structure on the WHOQOL-BREF scale were found ( Table VII). Our study indicates that mothers of children with MMC have a reduced
perception of quality of life in all the analyzed domains compared with mothers of healthy children. No gender differences were found in reports of the WHOQOL-BREF. Mothers of children with MMC living in the city reported lower quality of life compared with mothers living in the country. These results are comparable with findings of other studies [7], [11], [20] and [21] Our findings are particularly important for clinicians involved in the management of children with MMC. When a child is
born with a disability, in addition to rapid adaptation, the family has Thiamet G to cope with stress, sadness, disappointment and challenges, which can lead to a serious crisis and even disrupt family life. Parents should analyze the child’s development, use regular comprehensive rehabilitation, maintain contact with a number of specialists and numerous social institutions or services. They are often faced with important decisions to be made for the benefit of the disabled child and economic decisions that affect the family. A child born with a disability is always a tragedy for guardians, but early specialist intervention and adequate financial support helps in adjusting and in positive commitment in the care and development of the child, even if the child is different and requires special treatment [20], [21] and [22]. In this study, we found that most children had orthopedic problems (64%), problems with concentration (34%) and learning (28%).