Effect of planned information provision on anxiety of parents of children who underwent cardiac surgery

Amaç: Çocukları kalp ameliyatı olan ailelere planlı bilgilendirme oluşturulabilmesi için ailelerin anksiyete nedenlerinin belirlenmesi ve iki farklı bilgilendirmede ailelerin anksiyete düzeylerinin değerlendirilmesidir. Yöntem: Türkiye’de bir hastanenin pediatrik kardiovasküler servisinde yatan çocukların aileleri iki grup (1. grup=47 ve 2. grup=46) olacak şekilde bu tanımlayıcı araştırmada yer aldı. Çocuklarının evde bakımı konusunda ailelerin bir kısmına sadece rutin bilgilendirme sağlandı (1. grup), bir kısmına ise detaylı bilgilendirme sağlandı ve danışmanlık verildi (2. grup). 0-18 yaş aralığında olan ve kalp ameliyatı yapılan çocukların aileleri araştırmaya alındı (n=93). Tanımlayıcı veri formu ve durumluluk-süreklilik anksiyete ölçeği verileri toplamak için taburculuk öncesi kullanıldı. Bulgular: 1. grupta yer alan aileler 2. gruptaki ailelere göre çocuklarının evde bakımı konusunda en fazla anksiyeteyi enfeksiyon/ateş (%76.1), diyet ve beslenme (%41.3) ve ameliyat bölgesinin bakımı (%30.4) konularında belirtti. 2. grupta yer alan ailelerin durumluluk ve süreklilik anksiyete puanları anlamlı düzeyde 1. gruptaki ailelere göre düşük bulundu (durumluluk; 35.7±7.2’ye karşın 51.6±7.1; p

Planlı bilgilendirme sağlamanın kalp ameliyatı olan çocukların ailelerinin anksiyeteleri üzerine etkisi

Objective: To determine anxiety causes of parents of children who underwent cardiac surgery in order to develop a planned information provision and to evaluate anxiety level of parents with two different information provision. Methods: Parents of children administered to the pediatric cardiovascular clinic of a hospital in Turkey took part in two groups (group 1, 47; and group 2, 46) in the descriptive study. Parents were either provided with only routine information (group 1) or were provided with detailed information and given consultancy (group 2) regarding their child’s home-care following discharge. Parents of children aged between 0 and 18 years who underwent cardiac surgery were included in the study (n=93). A descriptive form and State-Trait Anxiety Inventory were used to obtain data prior to discharge. Results: Parents in group 1 reported greater anxiety about home-care of their children mostly concerning infections/fever (76.1%), diet and nutrition (41.3%), and care of the surgical incision (30.4%) compared to those in group 2. State and trait anxiety scores of the parents in group 2 were significantly lower than those in group 1 (state, 35.7±7.2 v 51.6±7.1; p

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  • 1. Ball JW, Bindler RC. Child health nursing: Partnering with children and families. New Jersey: Upper Saddle River, 2006.
  • 2. Hoffman J, Kaplan S. The incidence of congenital heart disease. Journal of the American College of Cardiology 2002;39:1890-1900.
  • 3. American Heart Association (AHA) [Online]. Congenital heart defects fact sheet. Available from: http://www.americanheart.org/presenter. jhtml?identifier= 3055913, (Accessed 2009 July 14).
  • 4. Pye S, Green A. Parent education after newborn congenital heart surgery. Advances in Neonatal Care 2003;3:147-156.
  • 5. Allen SW, Gauvreau K, Bloom BT, Kenkins K. Evidence based referral results in significantly reduced mortality after congenital heart surgery. Pediatrics 2006;112:24-28.
  • 6. Mörelius E, Lundh U, Nelson N. Parental stress in relation to the severity of congenital heart disease in the offspring. Pediatric Nursing 2002;28:28-32.
  • 7. Green A. Outcomes of congenital heart disease: A review. Pediatric Nursing 2004;30:280-284.
  • 8. Tak YR, McCubbin M. Family stress, perceived social support, and coping following the diagnosis of a child’s congenital heart disease. Journal of Advanced Nursing 2002;39:190-198.
  • 9. Lawoko S, Soares JJF. Satisfaction with care: A study of parents of children with congenital heart disease and parents of children with other disease. Scandinavian Journal of Caring Sciences 2004; 18:90-102.
  • 10. Chen CW, Li CY, Wang JK. Growth and development of children with congenital heart disease. Journal of Advanced Nursing 2004;47:260-269.
  • 11. Kain ZN, Caldwell-Andrews A, Mayes LC, Wang SM, Krivutza DM, LoDolce ME. Parental presence during induction of anesthesia: Physiological effects on parents. Anesthesiology 2003;98:58-64.
  • 12. Caldwell-Andrews A, Kain Z, Mayes L, Kerns R, Ng D. Motivation and maternal presence during induction of anesthesia. Anesthesiology 2005; 103:478-483.
  • 13. Majnemer A, Limperopoulos C, Shevell M, Rohlicek C, Rosenblatt B, Tchervenkov B. Health and well-being of children with congenital cardiac malformations, and their families, following open-heart surgery. Cardiology in the Young 2006;16:157-164.
  • 14. Li HCW, Lopez V, Lee, TLI. Psychoeducational preparation of children for surgery: The importance of parental involvement. Patient Education and Counseling 2006;65:34-41.
  • 15. DeMaso DR, Campis LK, Wypij D, Bertram S, Lipshitz M, Freed M. The impact of maternal perceptions and medical severity on the adjustment of children with congenital heart disease. Journal of Pediatric Psychology 1991;16:137-149. Effect of Planned Information Provision on Anxiety of Parents of Children Who Underwent Cardiac Surgery Hemşirelikte Araştırma Geliştirme Dergisi 2012 -1 19
  • 16. Wiegner S, Donders J. Predictors of parental distress after congenital disabilities. Journal of Developmental and Behavioral Pediatrics 2000;21:271- 277.
  • 17. Lawoko S, Soares JF. Psychosocial morbidity among parents of children with congenital heart disease: A prospective longitudinal study. Heart and Lung 2006;35:301-314.
  • 18. McGrath JM, Kolwaite A. Families and the chronicity of diagnosis with congenital heart defects. Newborn and Infant Nursing Reviews 2006; 6:175-177.
  • 19. Martz M, Broome ME, Mussatto KA, Morgan SW. A study of the effectiveness of a pain management education booklet for parents of children having cardiac surgery. Pain Management Nursing 2003;14:31-39.
  • 20. Spielberger CD, Gorsuch RL, Lushene RE. Manual for State and Anxiety Inventory. Consulting psychologists Palo Alto, CA; 1970.
  • 21. Öner N, LeCompte A. Süreksiz Durumluk/ Sürekli Kaygı Envanteri el kitabi. İstanbul: Boğaziçi Üniversitesi Yayınları, 1985.
  • 22. Bellew M, Atkinson KR, Dixon G, Yates A. The induction of a paediatric anesthesia information leaflet: An audit of its impact on parental anxiety and satisfaction. Paediatric Anaesthesia 2002;12:124-130.
  • 23. Stinson J, McKeever P. Mothers’ information needs related to caring for infants at home following cardiac surgery. Journal of Pediatric Nursing 1995; 10:48-57.
  • 24. Limperopoulos C, Mahnemer A, Shevell MI, Rohlicek C, Rosenblatt B, Tchervenkov C, Darwish HZ. Predictors of developmental disabilities after open heart surgery in young children with congenital heart defects. Journal of Pediatrics 2002; 141:51-58.
  • 25. Kasper JW, Nyamathi AM. Parents of children in the pediatric intensive care unit: What are their needs?. Heart Lung 1998;17:574-581.
  • 26. Schepp KG. Factors influencing coping effort of mothers of hospitalized children. Nursing Research 1991;40:42-46.