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.

Related Concept Videos

Teratogenicity01:07

Teratogenicity

The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
Genomic Imprinting and Inheritance02:30

Genomic Imprinting and Inheritance

Diploid organisms inherit genetic material through chromosomes from both parents. Copies of the same gene are known as alleles. In most cases, both alleles are simultaneously expressed and allow various cellular processes to function optimally. If one of the alleles is missing or mutated, the expression of the other allele can compensate; however, this is not true for all genes.
The expression of some genes depends on which parent passed the gene to the offspring, through a phenomenon known as...
Meiosis vs. Mitosis02:57

Meiosis vs. Mitosis

Cell division is necessary for growth and reproduction in organisms. Mitosis aids cell growth and development by dividing somatic cells. In contrast, meiosis causes the division of germ cells and plays an essential role in sexual reproduction. Due to their unique functional requirements, mitosis and meiosis differ from each other in multiple aspects.
Before the start of mitosis and meiosis I, the cell synthesizes DNA, resulting in two homologous copies of each chromosome. DNA synthesis is...
Sex-linked Disorders01:43

Sex-linked Disorders

Like autosomes, sex chromosomes contain a variety of genes necessary for normal body function. When a mutation in one of these genes results in biological deficits, the disorder is considered sex-linked.
Pedigree Analysis01:35

Pedigree Analysis

Overview
Nondisjunction01:21

Nondisjunction

Nondisjunction is the failure of homologous chromosomes or sister chromatids to separate correctly and move to the opposite poles of the cells. This produces daughter cells with abnormal chromosome numbers.  Nondisjunction is common during anaphase I or anaphase II of meiosis.  Mutations in synaptonemal complex proteins that attach homologous chromosomes increase the chances of nondisjunction in anaphase I of meiosis I. In contrast, mutations in topoisomerases and condensins that hold sister...