Health Literacy and Care Behaviors of Parents in Preventing Respiratory Infection in Children with Congenital Heart Disease Prior to Cardiac Surgery

Authors

  • Khanuengnit Wicha Faculty of Nursing, Chiang Rai College
  • Usanee Jintrawet Faculty of Nursing, Chiang Mai University
  • Suthisa Lamchang Faculty of Nursing, Chiang Mai University

Keywords:

Health literacy, Care behaviors of parents, Preventing respiratory infection, Children with congenital heart disease

Abstract

Parental correct care behaviors allow children with congenital heart disease to be healthy and undergo cardiac surgery as medically planned. The purpose of this descriptive correlational research was to study relationships between health literacy and care behaviors of parents in preventing respiratory infection in their children prior to cardiac surgery. The sample included 85 parents of children aged 1-6 years old diagnosed with cyanotic congenital heart disease who have not undergone cardiac surgery. These participants were drawn from the outpatient cardiac clinic in 3 tertiary-level hospitals in northern Thailand from June to November 2018. The research instruments included the health literacy and the parental care behaviors to prevent respiratory infection in children questionnaires. The reliability of the questionnaires, using the Cronbach’s alpha coefficient, showed values of .89 and .84, respectively. Data were analyzed using descriptive statistics and Pearson’s product moment correlation.

The results revealed that:

  1. Participants had a high level of health literacy, mean 44.12, SD = 8.48.
  2. Participants provided care behaviors to prevent respiratory infection in their children at a high level, mean 79.54, SD = 10.80.
  3. Health literacy was positively moderately statistically correlated to care behaviors of parents in preventing respiratory infection in children prior to cardiac surgery (r = .390, p < .01)

The findings in this study provide preliminary data about health literacy and care behaviors of parents in preventing respiratory infection in children with congenital heart disease prior to cardiac surgery. The information may serve as a guide for health personnel to promote effective care among parents in preventing respiratory infection in children with congenital heart disease prior to cardiac surgery.

References

Asumpinzub, U. (1997). The relationship between perception of disease, selected factors and
maternal behaviors in caring for children with congenital heart disease.
Retrieved from http://www.thaithesis.org/detail.php?id=42324 (in Thai)

Atanavanich, S. (Ed.). (2009). Congenital heart diseases. Bangkok: Idea instant printing. (in Thai)

Arya, B., Glickstien, J. S., Levasseur, S. M., & Williams, I. A. (2013). Parent of children with
congenital heart disease prefer more information than cardiology provide. Congenital
heart disease, 8(1), 78-85. doi: 10.1111/j.1747-0803.2012.00706

American Heart Association. (2015). Understand your risk for congenital heart defects.
Retrieved from http://www.heart.org/HEARTORG/Conditions/Congenital Heart Defects /Understand Your Risk for Congenital Heart Defects/Understand-Your-Risk-for-Congenital-Heart Defects_UCM_001219_Article.jsp; on 15.03.15

Bureau of Policy and Strategy & Office of the Permanent Secretary for Public Health. (2011). Sick
summary report AD. 2011. (in Thai) Retrieved from http://www.bps.moph.go.th/

Bhat, N. K., Dhar, M., Kumar, R., Patel, A., Rawat, A., & Kalra, B. P. (2013). Prevalence and
Pattern of Congenital Heart Disease in Uttarakhand India. Indian Journal of Pediatrics,
80(4), 281-285. doi: 10.1007/s12098-012-0738-4

Bridges, S. M., Parthasarathy, D. S., Wong, H.M., Yiu, C. K. Y., Au, T. K., & McGrath, C. P. J.
(2014). The relationship between caregiver functional oral health literacy and child oral
health status. Patient Education and Counseling, 94(3), 411-416. doi: 10.1016/j.pec.
2013.10.018.

Burns, N., & Grove, S. K. (2009). The practice of nursing research: Appraisal, synthesis, and
generation of evidence (6thed.). St. Louis: Saunders Elsevier.

Cabalka, A. K. (2004). Physiologic risk factors for respiratory viral infections and Immunopro-
phylaxis for respiratory syncytial virus in young children with congenital heart disease.
The Pediatric Infectious Disease Journal, 23(1), S41-S45. doi: 10.1097/01. inf.000108220.
94201.1a

GaZit, A. Z., Huddleston, C. B., Checchia, D. A., Fehr, J., & Pezzella, A. T. (2010). Care of the
pediatric cardiac surgery patient. Current Problem Surgery, 47, 185-250. doi: 10.1067
/j.cpsurg.2009.11.0066

Green, A. (2004). Outcomes of congenital heart disease: A review. Journal of Pediatric Nursing,
30(4), 280-284.

Healy, F., Hanna, B. D., & Zinman, R. (2012). Pulmonary complication of congenital heart
disease. Pediatric Respiratory Reviews, 13(1), 10-15. doi:10.1016/j.prrv.2011.01.007

Kang, J. H. (2014). Effectiveness and safety of seasonal influenza vaccination in children with
underlying respiratory diseases and allergy. Korean Journal Pediatric, 57(4), 164-170.
doi: 10.3345/kjp.2014.57.4.164

Lertsapcharoen, P., & Benjacholmas, W. (Eds.). (2011). Congenital heart Disease. Bangkok:
Sukhumvitprinting. (in Thai)

Linde, D., Konings, E. M., Slager, M. A., Witsenburg, M., Helbling, W. A., Takkenberg, J. M., &
Hesselink, W. R. (2011). Birth prevalence of congenital heart disease worldwide: A
systematic review and meta-analysis. Journal of the American College of cardiology,
58(21), 2241-2247. doi: 10.1016/j.jacc.2011.08.025

Nonaka, I., & Konno, N. (1998). The concept of “ba”: Building a foundation for knowledge
creation. California Management Review, 40, 40-54. doi:10.2307/41165942

Nutbeam, D. (2000). Health literacy as a public health goal: A challenge for contemporary
health education and communication strategies into the 21st century. Health Promotion International, 15(3), 259-267. doi: 10.1093/heapro/15.3.259

Orem, D. E. (2001). Nursing concepts of practice (6thed.). St. Louis: Mosby.

Polit, D. F., & Beck, C. T. (2006). The content validity index: Are you sure you know what's
being reported? Critique and recommendations. Research in Nursing & Health, 29,
489-497. doi: 10.1002/nur.20147

Polit, D. F. (2010). Statistic and analysis for nursing research (2nded.). United States of
America: Pearson Education.

Pulgaron, E. R., Sanders, L. M., Patin˜o-Fernandez, A. M., Wile, D., Sanchez, J., Rothman, R. L.,
& Delamater, A. M. (2014). Glycemic control in young children with diabetes: The role of
parental health literacy. Patient Education and Counseling, 94, 67-70. doi: 10.1016/j. pec.
2013.09.002

Phromreungrit, K. (2015). Caregiving and Related Factors among Caregivers of Children with
Congenital Heart Disease. Nursing Journal, 42, 35-45. (in Thai)

Punpukdee, P. (2015). Behaviors of caregivers in children with congenital heart disease.
(in Thai) Retrieved from http://www.nuir.lib.nu.ac.th/dspace/bitstream/123456789/701/1
/Fulltext.pdf

Rodica, T. (2013). Nutritional Approach of Pediatric Patients Diagnosed with Congenital Heart
Disease. Acta Medica Marisiensis, 59(2), 121-125. doi: 10.2478/amma-2013-0029

Sanders, L. M., Shaw, J. S., Guez, G., Baur, C., & Rudd, R. (2009). Health literacy and child
health promotion: Implications for research, clinical care, and public policy. American
Academy of Pediatrics, 124(3), S306-S314. doi: 10.1542/peds.2009-1162G

Sleath, B. L., Jackson, E., Thomas, K. C., Galloway, J., Dumain, L., Thorpe, J., Rollins, A., &
Morrissey, J. (2006). Literacy and perceived barriers to medication taking among
homeless mothers and their children. American Journal of Health-System Pharmacy,
63(4), doi: 10.2146/ajhp050070

Shone, L. P., Conn, K. M., Sanders, L., & Halterman, J. S. (2009). The role of parent health
literacy among urban children with persistent asthma. Patient Education and Counseling, 75(3), 368-375. doi: 10.1016/j.pec.2009.01.004

Soiphet, S. (2014). Care behaviors of parents and related factors to prevent respiratory
infection in children with congenital heart disease. Nursing Journal, 46, 102-113. (in Thai)

Yeh, S. J., Chen, H. C., Lu, C., Wang, J., Huang, L., Huang, S., … Wu, M. (2013). Prevalence,
mortality, and the disease burden of pediatric congenital heart disease in Taiwan.
Pediatric and neonatology, 54(15), 113-118. doi: org/10.1016/j/pedneo.2012.11.010

Zachariah, P., & Simoes, E. A. (2008). Respiratory syncytial virus infection and congenital
heart disease. Southern African Journal of Epidemiology and Infection, 23(2), 17-19.

Downloads

Published

2021-06-11

How to Cite

Wicha , K., Jintrawet , U., & Lamchang , S. (2021). Health Literacy and Care Behaviors of Parents in Preventing Respiratory Infection in Children with Congenital Heart Disease Prior to Cardiac Surgery. Nursing Journal CMU, 48(2), 193–205. Retrieved from https://he02.tci-thaijo.org/index.php/cmunursing/article/view/251807

Issue

Section

Research Article