Arya Bhawna, Glickstein Julie S, Levasseur Stéphanie M, Williams Ismeé A
Division of Cardiology, Department of Pediatrics, Morgan Stanley Children's Hospital, Columbia University College of Physicians and Surgeons, New York, NY 10032, USA.
Congenit Heart Dis. 2013 Jan-Feb;8(1):78-85. doi: 10.1111/j.1747-0803.2012.00706.x. Epub 2012 Aug 14.
To determine whether pediatric cardiologists and parents of older children with congenital heart disease (CHD) share similar expectations regarding the education and counseling that should be provided to parents of children with CHD in both the prenatal and neonatal period.
Consenting parents of older children with CHD (age >3 years) and cardiologists ranked the importance of education topics on a scale of 1 (unimportant) to 10 (very important). The rankings of parents and cardiologists were compared using Student's t-test.
We had 38 cardiologists and 41 parents complete the questionnaire. There was a statistically significant difference in rankings between cardiologist and parents of children with CHD (P<0.03). Parents consistently ranked topics as more important than cardiologists with a mean difference in rank score of 0.85 ±0.3. In the prenatal period, the most significant differences between parents and cardiologists were noted for information related to the child's quality of life. For neonatal counseling, the most significant differences were noted for information regarding follow-up care and the parent's ability to describe the child's CHD to medical personnel.
Parents of older children with CHD would prefer to receive more counseling and education in the prenatal and newborn period than cardiologists perceive is wanted.
确定儿科心脏病专家与患有先天性心脏病(CHD)的大龄儿童的父母对于在产前和新生儿期应为患有CHD儿童的父母提供的教育和咨询是否有相似的期望。
征得同意的患有CHD的大龄儿童(年龄>3岁)的父母和心脏病专家对教育主题的重要性进行1(不重要)至10(非常重要)的评分。使用学生t检验比较父母和心脏病专家的评分。
我们有38位心脏病专家和41位父母完成了问卷。患有CHD儿童的心脏病专家和父母之间的评分存在统计学显著差异(P<0.03)。父母一直将主题评为比心脏病专家更重要,排名分数的平均差异为0.85±0.3。在产前阶段,父母和心脏病专家之间在与孩子生活质量相关的信息方面存在最显著差异。对于新生儿咨询,在随访护理以及父母向医务人员描述孩子CHD的能力方面的信息存在最显著差异。
患有CHD的大龄儿童的父母比心脏病专家认为所需的更希望在产前和新生儿期接受更多的咨询和教育。