Influencing factors of the disease cognition level in main caregivers of children with congenital heart disease / 中华健康管理学杂志

ABSTRACT

Objective:To analyze the influencing factors of the disease cognition level in main caregivers of children with congenital heart disease (CHD).Methods:In this prospective study, the main caregivers of 150 children with CHD admitted to the Seventh People′s Hospital of Zhengzhou from January 2018 to January 2020 were selected as the research objects with convenient sampling method, and a self-designed questionnaire on awareness of CHD disease was used for face-to-face investigation. A total of 150 questionnaires were issued, and 150 valid questionnaires were reclaimed. According to the total score of the questionnaire (>45 or ≤45), the subjects were divided into high score group (90 cases) and low score group (60 cases). The general data of the main caregivers of children with CHD in the two groups were collected, the χ2 test and logistic regression were used to analyze the influencing factors of disease cognition level in those caregivers. Results:The disease cognition score of the main caregivers of children with CHD in the two groups was (58.69±7.33). The proportions of people with high school education or above, living in cities and towns and obtaining disease knowledge from hospitals in the high score group were all significantly higher than those in the low score group (66.7% vs 36.7%, 72.2% vs 55.0%, 92.2% vs 78.3%) (all P<0.05). Low education level (primary school, OR=1.394, 95% CI: 1.131-1.657; junior high school/technical secondary school, OR=1.406, 95% CI: 1.052-1.761), living in rural area ( OR=1.343, 95% CI: 1.214-1.472), obtaining disease knowledge from outside the hospital ( OR=1.328, 95% CI: 1.037-1.620) were all positively related to the decline of disease cognition scores of the main caregivers of CHD children (all P<0.05). Conclusion:The main caregivers of children with CHD have a moderate to high level of disease cognition, and the education level, residence and access to disease knowledge are the main influencing factors.