ArticleBMC pediatrics2026
Demand analysis of knowledge regarding cardiac rehabilitation among parents of children with congenital heart disease after surgery based on the Kano model.
Article in BMC pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectiveChildren with congenital heart disease (CHD) require long-term cardiac rehabilitation (CR) after surgery to improve cardiopulmonary function.This study aimed to use the Kano model to identify parent-perceived knowledge needs during children's cardiac rehabilitation after CHD surgery, with the goal of informing the design of more targeted home-centered CR education programs.
methodsUsing convenience sampling, 445 parents of post-operative CHD children who visited the Cardiac Rehabilitation Clinic at Shanghai Children's Medical Center from July 2023 to September 2024 were recruited. The knowledge needs of parents were assessed using the Knowledge section of the Children's Heart Disease Parents' CR Knowledge-Attitude-Practice Scale. The Kano model was applied to classify the attributes of knowledge needs.
resultsThe overall score of parents' CR knowledge was 69.14 ± 1.32. The highest scores were observed in the basic knowledge dimension, while the lowest scores were in the medication management dimension. Kano classification showed that three items in the infection prevention and basic knowledge dimensions were categorized as "one-dimensional" attributes. Eleven items in the exercise management, medication management, and psychological support dimensions were "must-be" attributes. Four items in the growth and development dimension were "indifferent" attributes.
conclusionThe CR knowledge level of parents of post-operative CHD children is moderate. Knowledge needs vary across dimensions. Healthcare providers should adjust education strategies based on attribute classification. Priority should be given to managing must-be needs, such as exercise, medication, and psychological support, while also enhancing education on one-dimensional needs like infection prevention.
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