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Introduction
Congenital heart disease (CHD) is the most common major
congenital anomaly, representing a major global health problem.
The incidence is 8 -19 per 1000 birth.
1
Congenital heart defects
account for one third of babies with significant congenital anomalies
diagnosed prenatally or in infancy.
2
It has been shown that having
an accurate understanding of any chronic condition contributes to
improved satisfaction with medical care, less distress, less confusion,
better compliance with treatment and an improved emotional state.
3
Specifically for children with CHD, parents having a sound knowledge
of their child’s condition, treatment and prevention of complications
has been shown to promote better health related behaviour in their
child by bettering their understanding of the cardiac problem,
improving compliance with treatment and avoiding risky behaviour.
4
It is fundamental for patient engagement that they be health literate.
This is more than just being able to read and understand health
information it is about empowering them to exercise their autonomy.
Patients with low health literacy have been shown to have poorer
health status, are less likely to adhere to the treatment regimen and
self-care plans, higher rates of hospital admission, experience more
treatment and drug errors, and make less use of preventive services
and measures.
5
Recently there have been a massive improvement
in therapy for congenital heart disease , both surgically and catheter
based, despite this improvement several recent studies have shown
that understanding of illness by children, adolescents, and adults with
congenital heart disease remains far from ideal.
4
Methods
This is cross-sectional questionnaire based survey parents who
were accompanying their children to the outpatient clinic of Ahmed
Gasim Cardiac Centre were recruited over a three month period. We
excluded newly diagnosed children with congenital Heart Disease
from the study. Ethical approval for the study was taken from the
hospital ethical committee, Verbal and written consent were obtained
from the parents after they had the study described to them. A pretested
questionnaire including data of the patients such as age, gender,
and residence, it also includes the demographic data of the parents
including age, educational level, occupation, consanguinity, and
socioeconomic status. A revised history, general and cardiovascular
examination of the children was done to confirm the diagnosis and
the information provided by the parents. From the medical records,
some data was collected such as cardiac diagnosis, previous cardiac
operations or cardiac catheterizations.
J Pediatr Neonatal Care. 2018;8(6):262‒266. 262
©2018 Elshazali et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which
permits unrestricted use, distribution, and build upon your work non-commercially.
Parent’s knowledge about diagnosis and
management of their children with congenital heart
diseases in Khartoum, Sudan
Volume 8 Issue 6 - 2018
Osama Hafiz Elshazali,
1
Hafiz Osama Hafiz
El Shazali,
2
Eiman Mohamed Ahmed Yousif,
2
Hafiz El Shazali Osman
1
1
Department of Paediatrics, University of Khartoum, Sudan
2
Ahmed Gasim Children Hospital, Khartoum North, Sudan
Correspondence: Osama Hafiz Elshazali, Associate Professor,
Department of Paediatrics, University of Khartoum, Faculty
of Medicine, University of Khartoum, PO Box 102, Khartoum,
Sudan, Tel +249912325580, Email
Received: April 16, 2018 | Published: November 16, 2018
Abstract
Background: Congenital heart defects (CHD) are the most common type of birth
defects and remain the leading cause of death from congenital malformations.
Objectives: To assess the parent’s knowledge regarding diagnosis and management of
their children with CHD.
Methods: This is a prospective questionnaire based study, conducted in Ahmed Gasim
cardiac Centre, A tertiary care centre in Khartoum state, the study period was from 1st
June to 31st August of 2017.
Results: The total study population was 120 children with congenital heart disease
and their parents. Of these children, males were 65 (54.2%) and females were 55
(45.8%). The children’s age ranged from 2months to 16years. The study showed that
of these patients 76.7% had a cyanotic CHD with VSD being the commonest lesion
found in 45% of them, while 23.3% of them had cyanotic CHD and TOF represented
the most common lesion in 18.3% of them. For most of the parents the diagnosis of
their children heart problem was explained to them, 78.3% of them knew correctly
their children cardiac lesions, and 95.8% of them knew that it is congenital in origin,
unfortunately 63.3% of them did not know the name of their children drugs and only
9.2% of them knew the side effects of their children’s medications.
By using a knowledge score, 69 of these parents (57.5%) displayed good knowledge
Being an urban residents, younger in age and better educated all have a positive
contribution to the amount of knowledge
Conclusion: As CHD, being one of the commonest congenital problems affecting
children and their parents. The knowledge of the parents should be assessed
and measures should be implemented to improve the knowledge of the parents,
empowerment of the parents will improve the well being of children with CHD.
Journal of Pediatrics & Neonatal Care
Research Article
Open Access