Department of Dietetics/SLT, 7425University Hospital Southampton NHS Foundation Trust, NIHR Biomedical Research Centre Southampton, Faculty of Health and Well Being Winchester University, Winchester, UK.
School of Health Sciences, 7423University of Southampton, Southampton, UK.
World J Pediatr Congenit Heart Surg. 2021 Jul;12(4):500-507. doi: 10.1177/21501351211007102.
The purpose was to explore the experience, information and support needs, and decision-making of parents of children with congenital heart disease (CHD), as well as the children/young people themselves, during the COVID-19 crisis.
A survey study of parents of children with CHD, children and young people, capturing experiences, decision-making, information, and support needs during the COVID-19 crisis was conducted. The survey launched for one month (April 9, 2020) during the first infection wave in the United Kingdom and subsequent restriction of free movement under lockdown rules from March 23, 2020, until May 31, 2020.
One hundred eighty-four parents and 36 children/young people completed the survey. Parents were more likely to worry about the virus (86.4%) than children/young people (69.4%), while (89%) parents were more vigilant for symptoms of the virus versus children/young people (69.4%). A thematic analysis of the qualitative comments covered 34 subthemes, forming eight overarching themes: Virus-(1) risk of infection; (2)information, guidance, and advice; (3) change in health care provision; and (4) fears and anxieties, and lockdown and isolation-(5) psychological and social impact, (6) keeping safe under lockdown, (7) provisions and dependence on others, and (8) employment and income.
There was widespread concern over the virus especially among parents. Parents and children/young people, however, were frustrated with the lack of specific and pediatric-focused information and guidance, expressing disappointment with the adult-centric information available. Parents also felt alone, especially with their concerns around the implications of cardiac service suspension and the implication for their child's health. In order to better support children and their families, resources need to be developed to address families' and children/young people's concerns for their health during this pandemic.
本研究旨在探讨 COVID-19 危机期间,先天性心脏病(CHD)患儿的父母以及患儿/青少年自身的经历、信息和支持需求,以及决策情况。
对 CHD 患儿的父母、患儿和青少年进行了一项关于在 COVID-19 危机期间的经历、决策、信息和支持需求的调查研究。该调查于 2020 年 4 月 9 日(英国第一波感染期间)发起,并于 2020 年 3 月 23 日(封锁规则下自由流动受限)至 2020 年 5 月 31 日期间进行。
184 名家长和 36 名儿童/青少年完成了调查。父母比儿童/青少年更担心病毒(86.4%对 69.4%),而(89%)父母比儿童/青少年更警惕病毒症状(69.4%)。对定性评论的主题分析涵盖了 34 个子主题,形成了 8 个总体主题:病毒-(1)感染风险;(2)信息、指导和建议;(3)医疗保健提供的变化;以及(4)恐惧和焦虑,封锁和隔离-(5)心理和社会影响,(6)在封锁下保持安全,(7)供应和依赖他人,以及(8)就业和收入。
父母普遍对病毒感到担忧,特别是父母。然而,父母和儿童/青少年对缺乏具体的、以儿科为重点的信息和指导感到不满,对现有的以成人为主导的信息感到失望。父母也感到孤独,尤其是对心脏服务暂停及其对孩子健康影响的担忧。为了更好地支持儿童及其家庭,需要开发资源来解决家庭和儿童/青少年在这场大流行期间对自身健康的担忧。