Comparative Analysis: Implementation of a Pre-operative Educational Intervention to Decrease Anxiety Among Parents of Children With Congenital Heart Disease

Simeone, Silvio; Pucciarelli, Gianluca; Perrone, Marco Alfonso; Rea, Teresa; Gargiulo, Gianpaolo; Dell’Angelo, Grazia; Guillari, Assunta; Castaldo, Giuseppe; Palma, Gaetano; Vosa, Carlo

doi:10.1016/j.pedn.2017.01.008

Cited by 29 publications

(39 citation statements)

References 47 publications

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“…It is therefore critical to tailor interventions to adolescents’ developmental needs and to provide the required generic and individualised need-based support to parents 59. Therefore, paediatricians and paediatric cardiologists should focus on perception-specific (parent vs patient) education to decrease parental anxiety and stress levels 60. At the same time, these specialists should address concerns raised by the patients themselves.…”

Section: Discussionmentioning

confidence: 99%

Health-related quality of life in congenital heart disease surgery in children and young adults: a systematic review and meta-analysis

et al. 2018

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Section: Discussionmentioning

confidence: 99%

Health-related quality of life in congenital heart disease surgery in children and young adults: a systematic review and meta-analysis

et al. 2018

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“…Based on experiences with pediatric cardiac surgery cases, Simeone et al [30] have speculated that parent education prior to surgery on what to expect during and after surgery of their child can contribute to reduction in anxiety and enhancement in parent's satisfaction and required knowledge. The families also emphasize on their need to talk to the doctor on daily basis.…”

Section: Discussionmentioning

confidence: 99%

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Alnajjar¹,

Elarousy²

2017

Clin Med Invest

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Family-centered care (FCC) approach acknowledges that the family has the greatest influence over an infant's / child's health and well-being. Assessing the FMs' needs is an important component to apply and improve family-centered care, and it is essential for pediatric nurses in the intensive care units to identify and understand these needs. Meeting the needs of family having neonate or child in intensive care is part of implementing the philosophy of family-centered care.Aim of the study is to explore nurses', doctors' and parents' perceptions on family needs in pediatric critical care units at King Khaled Hospital in Jeddah.Methodology: Exploratory and descriptive design was used. doctors, nurses and parents from Pediatric Critical Care Units at King Khalid Hospital, Jeddah participated in the study using non-probability convenient sampling technique. Critical Care Family Needs Inventory (CCFNI) a tool developed by Jane Leske was used for assessing nurses', doctors', and parents' perceptions on family needs. The original English version was translated into Arabic by qualified English to Arabic translator. Validity was tested by Arabic faculty staff members and subjected to a pilot test to test for its validity within this context Reliability of the CCFNI was 0.97 by. Gundo. Ethical consideration was ensured by getting IRB approval and all participants signed the informed consent.

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“…33 Moreover, Simeone et al showed that a presurgical educational support from a specialist nurse contributed to reduce parental anxiety. 34 Agostini et al showed a reduction of maternal anxiety after the intervention of clowns the hour before an anesthesia. 35 Recent advances in new technology may play an important role in following CHD patients and their families in the period around the interventions.…”

Section: Discussionmentioning

confidence: 99%

“…Indeed, In their study, Landier et al showed that the combination of oral information with written support before surgery diminished the level of parental anxiety when compared to simple oral information . Moreover, Simeone et al showed that a presurgical educational support from a specialist nurse contributed to reduce parental anxiety . Agostini et al showed a reduction of maternal anxiety after the intervention of clowns the hour before an anesthesia .…”

Section: Discussionmentioning

confidence: 99%

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

Werner

Louali

Fouilloux

et al. 2019

Congenital Heart Disease

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Objective Medical information provided to parents of a child with a congenital heart disease can induce major stress. Visual analog scales have been validated to assess anxiety in the adult population. The aim of this study was to analyze parental anxiety using a visual analog scale and to explore the influencing factors. Design This prospective cross‐sectional study. Setting Tertiary care regional referral center for congenital heart disease of Marseille—La Timone university hospital. Patients Parents of children with a congenital heart disease, as defined by the ACC‐CHD classification, referred for cardiac surgery or interventional cardiac catheterization, were offered to participate. Intervention and outcome measure The parental level of anxiety was assessed using a visual analog scale (0‐10) before intervention and after complete information given by the cardiologist, the surgeon or the anesthetists. Results Seventy‐three children [7 days‐13 years], represented by 49 fathers and 71 mothers, were included in the study. A total of 42 children required cardiac surgery and 31 children underwent interventional cardiac catheterization. The mean score of maternal anxiety was significantly higher than the paternal anxiety (8.2 vs 6.3, P < .01). A high level of maternal anxiety (visual analog scale > 8) was associated with paternal anxiety (P = .02), the child's comorbidity (P = .03), the distance between home and referral center (P = .04), and the level of risk adjustment for congenital heart surgery (P = .01). In multivariate analysis, maternal anxiety was associated with paternal anxiety (OR = 4.9; 95% confidence interval [1.1‐19.2]), and the level of risk adjustment for congenital heart surgery (OR = 11.4; 95% confidence interval [1.2‐116.2]). No significant association was found between parental anxiety and prenatal diagnosis. Conclusion This study highlighted several factors associated with the parental anxiety. Identifying the parents at risk of high stress can be useful to set up psychological support during hospitalization.

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Comparative Analysis: Implementation of a Pre-operative Educational Intervention to Decrease Anxiety Among Parents of Children With Congenital Heart Disease

Cited by 29 publications

References 47 publications

Health-related quality of life in congenital heart disease surgery in children and young adults: a systematic review and meta-analysis

Health-related quality of life in congenital heart disease surgery in children and young adults: a systematic review and meta-analysis

Exploring family needs in neonatal and pediatric intensive care units at King Khaled Hospital- Jeddah

Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences

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