Children's Hospital, Department of Children and Adolescents, Helsinki University and Helsinki University Hospital, Finland.
Nursing Research Center, Helsinki University and Helsinki University Hospital, Finland.
Int J Qual Stud Health Well-being. 2022 Dec;17(1):2070968. doi: 10.1080/17482631.2022.2070968.
Congenital heart disease (CHD) is one of the most common congenital anomalies in children. Children with major CHD are at risk for developing endocarditis. Acute endocarditis may be life threatening and lead to heart failure. The purpose of this study was to explore parental perceptions and experiences of an early oral health promotion intervention (OHPI) targeting children with major CHD at risk for developing endocarditis later in life, and use this information to examine intervention feasibility.
Nine parents (three fathers and six mothers) participating in a one and a half year OHPI were purposefully selected for qualitative evaluation of intervention feasibility using semi-structured interviews. The interviews were analysed with an inductive content analysis method.
The analysis resulted in four main categories and 14 subcategories that describe parental perceptions and experiences of the OHPI. The four main categories were timing of first intervention contact, effortlessness of intervention process, individuality of support, and relevancy of support.
Parents of children with CHD perceived the OHPI as important and feasible to be implemented in daily life in children with systemic diseases overall. Further studies on timing of first contact and use of additional Web-based support are needed.
先天性心脏病(CHD)是儿童中最常见的先天性畸形之一。患有重大 CHD 的儿童有发生心内膜炎的风险。急性心内膜炎可能危及生命,并导致心力衰竭。本研究旨在探讨父母对针对有发生心内膜炎风险的重大 CHD 儿童的早期口腔健康促进干预(OHPI)的看法和经验,并利用这些信息检验干预的可行性。
9 名父母(3 名父亲和 6 名母亲)参与了为期一年半的 OHPI,他们通过半结构化访谈被有目的地选择用于定性评估干预的可行性。访谈采用归纳内容分析方法进行分析。
分析结果得出了四个主要类别和 14 个子类别,描述了父母对 OHPI 的看法和经验。四个主要类别是首次干预接触的时间、干预过程的轻松程度、支持的个性化和支持的相关性。
患有 CHD 的儿童的父母认为 OHPI 很重要,并且在患有系统性疾病的儿童的日常生活中实施是可行的。需要进一步研究首次接触的时间和使用额外的基于网络的支持。