Preoperative Educational Videos on Maternal Stress Whose Children Received Congenital Heart Disease Surgery: During COVID-19 Panic

Study Overview
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Brief Summary
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During COVID-19 panic, we examined if educational digital video disk can reduce maternal uncertainty, 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' uncertainty and anxiety more after education, and until the day of discharge. Compared to only routine education, adding digital video disk could decrease mothers' uncertainty and anxiety more on the discharge day if their child had surgical or post-surgical complications.

Detailed Description
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Aims and objectives: During COVID-19 panic, we examined if educational digital video disk can reduce maternal uncertainty, anxiety and depression if their children undergo congenital heart disease surgery and when surgical or post-surgical complications occur. Background: Mothers experience uncertainty, anxiety and depression if their children undergo conditions mentioned above. Such stress would be more during COVID-19 panic. Design: A randomized control-group pretest-posttest design. The CONSORT checklist is used. Methods: During COVID-19 panic, 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' uncertainty, 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 uncertainty, anxiety and depression at discharge day was evaluated.

Official Title
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Instructor School of Nursing, Chung Shan Medical University, Taichung, Taiwan

Conditions
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COVID-19, Educational Videos, Maternal, Uncertainty, Anxiety, Depression, Congenital Heart Disease, Children

Intervention / Treatment
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* Other: Preoperative educational videos plus routine education
* Other: Preoperative routine education


Participation Criteria
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Eligibility Criteria
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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

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

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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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>mothers receiving routine education plus digital video disk before surgery | Other: Preoperative educational videos plus routine education<br>* 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.<br>|
| Other: control group<br>mothers receiving routine education | Other: Preoperative routine education<br>* Mothers receiving routine education before their children receiving congenital heart disease surgery<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| The change of Mother's uncertainty | The number scores of mother's uncertainty between routine education and routine plus DVD education groups. Mishel's Parent Perceptions of Uncertainty Scale (PPUS) was used to evaluate the number scores of uncertainty. | day 1 (baseline, before education), day 1 (after education), day 5-7 (discharge day) | 
| 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. | 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. | day 1 (baseline, before education), day 1 (after education), day 5-7 (discharge day) |