Health Literacy and Caring for Children with Congenital Heart Disease after Cardiac Surgery of Caregivers
Keywords:
Children with Congenital Heart Disease After Cardiac Surgery, Caring for Children, Caregivers, Health LiteracyAbstract
The health literacy of caregivers is an important factor in ensuring appropriate care for children with congenital heart disease after cardiac surgery. This correlational descriptive research aimed to investigate health literacy and caring know-how among caregivers of children with congenital heart disease after cardiac surgery, and the relationships between health literacy and quality of care among caregivers of children with congenital heart disease after cardiac surgery. Samples were 85 primary caregivers of 1 – 6 year-old children from the Pediatric Heart Disease Clinics of Outpatient Departments in five tertiary hospitals who had followed up within three months of an operation, namely VSD closure, ASD closure, and AVSD surgical repair types of cardiac surgery. Data were collected from June 2020 to April 2021. Instruments for data collection consisted of: 1) the demographic data of caregivers and children with congenital heart disease record form, 2) the caregivers’ caring for children with congenital heart disease after cardiac surgery questionnaire, and 3) the caregivers’ health literacy assessment form regarding caring for children with congenital heart disease after cardiac surgery. The caregivers’ caring scale and the caregivers’ health literacy scale were developed by the researcher, based on literature review. The content validity index (CVI) of both instruments were .99 and .88, while reliability were at the .81 and .87 levels, respectively. Data were analyzed using descriptive statistics and Spearman’s rank correlation coefficient. The study results showed as follows.
1. The caregivers of children with congenital heart disease after cardiac surgery had a high level of health literacy in regard to taking care of children with congenital heart disease after cardiac surgery (M=103.25, SD=15.31).
2. The caregivers of children with congenital heart disease after cardiac surgery had a high level of overall caring for children with congenital heart disease after cardiac surgery (M=125.22, SD=14.32).
3. Health literacy was moderately positively correlated with caring for children with congenital heart disease after cardiac surgery among caregivers at a .05 level of significance (r=.678, p<.001).
The results of this study provide basic information for nurses to plan for promoting health literacy among caregivers of children with congenital heart disease after cardiac surgery when they return home in order to provide appropriate care for children.
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