Development of the ICF-CY Set for Cardiac Rehabilitation After Pediatric Congenital Heart Surgery

Analysis of Prescription Compliance and Influencing Factors in Cardiac Rehabilitation after Surgery in Children with Congenital Heart Disease Based on Generalized Trust Theory

AIMS

To understand the compliance, influencing factors, and action path of family cardiac rehabilitation exercise prescriptions for children after congenital heart disease surgery.

METHODS AND RESULTS

A random sampling method was used to select 200 pediatric patients and their parents from a pediatric hospital in Shanghai. Among them, 57 cases (28.5%) of children's families followed the cardiac rehabilitation exercise prescription. Path analysis showed that peak oxygen uptake exerted a negative impact on the compliance of family cardiac-rehabilitation prescriptions for patients after congenital heart disease surgery through doctor-patient trust, with a standardized path coefficient of -0.246 (P = 0.001). Disease-related knowledge exerted a positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after congenital heart surgery through doctor-patient trust, with a standardized path coefficient of 0.353 (P < 0.001). The dimension of friend support in social support had a direct positive effect on the compliance of family cardiac-rehabilitation prescriptions for children after cardiac surgery, with a standardized path coefficient of 0.641 (P = 0.006).

CONCLUSION

The compliance of cardiac rehabilitation exercise prescription in children with congenital heart disease is not good and is affected by many factors, and there is a complex path relationship between various factors; the kilogram oxygen consumption of the child, the disease-related knowledge of the caregiver, and social support all play important roles in the compliance of the child's family's health prescription.

REGISTRATION

SCMCIRB-K2021002-1.

Agreement Between Single Raters and Team Rating When Applying the International Classification of Functioning, Disability and Health's Rehabilitation Set

OBJECTIVE

To quantify the agreement between functional assessments by a single rater and a team using the Chinese version of the International Classification of Functioning, Disability and Health Rehabilitation Set in a clinical situation.

DESIGN

Inter-rater, multi-centre agreement study.

SUBJECTS

A total of 193 adult inpatients admitted to 5 rehabilitation centres at 5 hospitals in China Methods: The Chinese version of the International Classification of Functioning, Disability and Health Rehabilitation Set was used by either a single rater or a team to assess 193 patients at 5 Chinese hospitals. Percentage of agreement and quadratic-weighted kappa coefficients were computed. Evaluation times were compared with paired t-tests.

RESULTS

The mean team and individual evaluation times were not significantly different. The percentage of agreement ranged from 46.1% to 94.2% depending on the item, and the quadratic-weighted kappas ranged from 0.43 to 0.92. Eight categories (26.6%) showed a weighted kappa exceeding 0.4, 11 others (36.7%) exceeded 0.6, and another 11 (36.7%) produced kappas of more than 0.8.

CONCLUSION

Either a single rater or a team of raters can produce valid and consistent ratings when using the Chinese version of the International Classification of Functioning, Disability and Health Rehabilitation Set to assess patients in a rehabilitation department. The team rating approach is suitable for clinical application.

Development of a knowledge, attitude, and practice scale for cardiac rehabilitation for parents of children with heart disease

PURPOSE

We aimed to (i) develop a Cardiac Rehabilitation Knowledge, Attitude, and Practice Scale for parents of children with heart disease and (ii) test its reliability and validity.

METHODS

Based on the theory of knowledge, attitude, and practice, an item pool was constructed through literature review, and 200 parents of children with heart disease were surveyed to test the reliability and validity of the scale.

RESULTS

The finalized Knowledge, Attitude, and Practice Scale contains three parts, i.e., knowledge, attitude, and practice, with a total of 34 items. The Cronbach alpha coefficient of the total scale was 0.731, the split-half reliability was 0.730, the content validity was 0.956, and the content validity of each item was 0.917-1.

CONCLUSION

The Knowledge, Attitude, and Practice Scale of Cardiac Rehabilitation for Parents of Children with Heart Disease has good reliability and validity, and it can be used as a tool to evaluate the knowledge, attitudes, and practices of parents of children with heart disease participating in cardiac rehabilitation.

PRACTICE IMPLICATIONS

The development of the Cardiac Rehabilitation Knowledge, Attitude, and Practice Scale for parents of children with heart disease is of great significance for carrying out targeted education programs in the future to improve the compliance of children with heart disease with cardiac rehabilitation programs.