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What do parents know about the malformations afflicting the hearts of their children?
Massimo Chessa1, Gabriella De Rosa, Manuela Pardeo
1Paediatric Cardiology Department & GUCH Unit, Istituto Policlinico San Donato, 20097 San Donato Milanese, Milan, Italy. massichessa@yahoo.it
Insights
Parents of children with heart defects demonstrate good knowledge of their child's condition but lack understanding regarding medication, endocarditis, and sports participation. This knowledge gap requires attention in clinical practice.
Area of Science:
- Pediatric Cardiology
- Parental Education
- Chronic Illness Management
Background:
- Parents traditionally educate children with chronic illnesses about their condition.
- This relies on parental understanding and age-appropriate communication.
- Assessing parental knowledge is crucial for effective child health management.
Purpose of the Study:
- To evaluate parental knowledge of congenital heart defects in their children.
- To identify specific areas of knowledge deficit among parents.
- To inform clinical practice and improve patient outcomes.
Main Methods:
- A modified Leuven questionnaire was distributed to 350 families.
- 148 families completed and returned the questionnaire.
- Data analysis focused on parental understanding of cardiac malformations, treatments, and related conditions.
Main Results:
- Parents generally understood the name and anatomy of their child's cardiac defect.
- Knowledge gaps were identified regarding medication regimens, side effects, and drug interactions.
- Understanding of endocarditis, recurrence risk, and sports eligibility was limited in a significant proportion of parents.
Conclusions:
- While parents possess basic knowledge of cardiac defects, specific areas require improved education.
- Deficits in understanding medication, endocarditis, and lifestyle implications can impact child health.
- Clinical practice should address these knowledge gaps to enhance care for children with heart conditions.
Abstract:
Traditionally, medical professionals have entrusted the parents of children with chronic illness with the task of imparting knowledge about the illness to the children. This practice assumes that parents understand the illness, and that they pass on their knowledge in a manner appropriate for the individual child. The aim of our study was to assess the knowledge that parents of children with a cardiac defect have about the malformation in the heart of their child. We sent a modified version of the Leuven questionnaire to 350 families. The questionnaire was filled in and sent back to our centre by 148 families. Parents showed a good knowledge of the name and anatomical characteristics of the cardiac disease suffered by their child. Parents with a child taking drugs were not very knowledgeable about the regime, side effects, and interaction with other drugs or food. Only one-quarter of the parents knew the definition of endocarditis, although almost two-fifths were aware that unexplained fever for more than 5 days was the most typical symptom. Less than half of the parents knew that endocarditis could recur. About two-fifths of parents knew the real possibility of their child being involved in competitive sports; but almost half of parents were unable to answer this question. The poor knowledge about particular aspects of the disease, treatment, and preventive measures revealed by our parents may have major consequences. The results of our study are relevant to general daily clinical practice.
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