Preoperative Educational Videos Reduce Maternal Anxiety Whose Children Received Congenital Heart Disease Surgery

Chung Shan Medical University Hospital120 enrolled

Overview

To examine if educational digital video disk can reduce maternal anxiety and depression if their children undergo congenital heart disease surgery and when surgical or post-surgical complications occur. Compared to only routine education, adding digital video disk could decrease mothers' anxiety more after education, and until the day of discharge. Compared to only routine education, adding digital video disk could decrease mothers' anxiety more on the discharge day if their child had surgical or post-surgical complications.

Aims and objectives: To examine if educational digital video disk can reduce maternal anxiety and depression if their children undergo congenital heart disease surgery and when surgical or post-surgical complications occur. Background: Mothers experience anxiety and depression if their children undergo conditions mentioned above. Design: A randomized control-group pretest-posttest design. The CONSORT checklist is used. Methods: In a teaching hospital, 120 mothers whose children underwent first elective surgery for congenital heart disease were randomly divided into group 1: 60 mothers receiving routine education plus digital video disk before surgery; and group 2: 60 mothers receiving routine education. Between groups, mothers' anxiety and depression levels were compared (1) before education, (2) after education (before surgery) and (3) on the discharge day. Among mothers whose children had surgical or post-surgical complications, the effect of watching the digital video disk on anxiety and depression at discharge day was evaluated.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

OTHER

Masking

DOUBLE

Enrollment

120

Conditions

Interventions

Preoperative educational videos plus routine educationOTHER

Mothers receiving routine education plus digital video disk before their children receiving congenital heart disease surgery. The content was the same as the routine education but was presented audio-visually, and the video was easy to understand by the general public.

Preoperative routine educationOTHER

Mothers receiving routine education before their children receiving congenital heart disease surgery

Eligibility

Sex: FEMALEMin age: 23 YearsMax age: 48 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Mothers, whose children underwent first elective cardiac surgery for congenital heart disease * Mothers should have been the primary caregivers * Mothers able to communicate effectively, either orally or in writing Exclusion Criteria: * Mothers of children with genetic disorders * Mothers of children with non-cardiac congenital anomalies * Mothers of children with diseases such as cerebral palsy, epilepsy, psychiatric diseases, and \* \* Mothers of children with chronic lung diseases

Outcomes

Primary Outcomes

The change of Mother's anxiety

The number scores of mother's anxiety between "routine education" and "routine plus DVD education" groups. Beck Anxiety Inventory (BAI) was used to evaluate the number scores of anxiety.

Time frame: day 1 (baseline, before education), day 1 (after education), day 5-7 (discharge day)

The change of Mother's depression

The number scores of mother's depression between "routine education" and "routine plus DVD education" groups. Beck Depression Inventory (BDI) was used to evaluate the number scores of depression.