Impact of Systematic Nursing Guidance on the Psychological Effects of Parents of Children With Cardiac Catheterization.

Study Overview
=================
Brief Summary
-----------------
To examine if adding educational digital video disk to routine education can reduce parental uncertainty and anxiety more if their children undergo congenital heart disease catheterization and when catheterization or post- catheterization complications occur. We want to know, compared to only routine education, if adding digital video disk could decrease parental uncertainty or anxiety more or not.

Detailed Description
-----------------
Aims and objectives: To examine if adding educational digital video disk to routine education can reduce parental uncertainty and anxiety more if their children undergo congenital heart disease catheterization and when catheterization or post- catheterization complications occur. Background: Parents experience uncertainty and anxiety when their children undergo conditions mentioned above. Design: A randomized control-group pretest-posttest design. Methods: In a teaching hospital, 50 fathers and 50 mothers whose children (n=50) underwent first elective catheterization for congenital heart disease were randomly divided into group 1: 25 fathers and 25 mothers receiving routine education plus digital video disk before catheterization; and group 2: 25 fathers and 25 mothers receiving routine education before catheterization. Between groups, parental uncertainty and anxiety levels were compared (1) before education, (2) after education (before catheterization) and (3) on the discharge day (after catheterization). Among mothers whose children had catheterization or post- catheterization complications, the effect of watching the digital video disk on uncertainty and anxiety at discharge day was evaluated.

Official Title
-----------------
Chung Shan Medical University Hospital

Conditions
-----------------
Educational Videos, Catheterization, Congenital Heart Disease in Children, Parental Uncertainty, Parental Anxiety

Intervention / Treatment
-----------------
* Other: routine education plus digital video disk
* Other: routine education


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

Ages Eligible for Study
-----------------
Minimum Age: 20 Years
Maximum Age: 48 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
No

Study Plan
=================
How is the study designed?
-----------------

Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: study group<br>parents receiving routine education plus digital video disk before catheterization:pre-catheterization educational videos plus routine education | Other: routine education plus digital video disk<br>* Parents receiving routine education plus digital video disk before their children receiving congenital heart disease catheterization. The DVD content was the same as the routine education but was presented audio-visually, and the video was easy to understand by the general public.<br>|
| Other: control group<br>parents receiving routine education: pre-catheterization routine education | Other: routine education<br>* Parents receiving routine education before their children receiving congenital heart disease catheterization<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change of parental uncertainty | The scores of parental uncertainty between routine education and routine plus DVD education groups. parent's perception uncertainty in illness score was used to evaluate the number scores of anxiety. | day 1 (baseline, before education), day 1 (after education), day 2-5 (discharge day) | 
| The change of parental anxiety 1 | The number scores of parental anxiety between routine education and routine plus DVD education groups. State Anxiety Inventory was used to evaluate the number scores of anxiety. | day 1 (baseline, before education), day 1 (after education), day 2-5 (discharge day) | 
| The change of parental anxiety 2 | The number scores of parental anxiety between routine education and routine plus DVD education groups. Beck Anxiety Inventory was used to evaluate the number scores of anxiety. | day 1 (baseline, before education), day 1 (after education), day 2-5 (discharge day) |