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Author Spotlight: Simulating Pediatric Cardiac Surgery Using a Neonatal Piglet Model
Published on: May 26, 2023
[Parental stress in children undergoing congenital heart surgery]
Muriel Ramírez L1, Paola Pino A1, Daniel Springmuller P1
1Facultad de Medicina y Hospital Clínico, Pontificia Universidad Católica, Chile.
Insights
Parental stress is high for caregivers of children with congenital heart disease (CHD) undergoing cardiac surgery. Addressing patient, parent, and environmental factors, especially loss of parental role, can significantly reduce this stress.
Area of Science:
- Pediatric Cardiology
- Psychological Stress
- Caregiver Support
Context:
- Children with congenital heart disease (CHD) require cardiac surgery.
- Caregivers experience significant stress during hospitalization and intensive care unit (ICU) stays.
- Uncertainty regarding surgical outcomes exacerbates caregiver distress.
Purpose:
- To review and identify factors contributing to parental stress in children with CHD undergoing cardiac surgery.
- To highlight key stressors impacting caregivers during the perioperative period.
- To inform the development of targeted support interventions.
Summary:
- Parental stress factors are categorized into patient-related, parent-related, environmental, and clinical team-related aspects.
- The most significant stressors include the loss of the parental role, the child's physical appearance, and their behavior in the ICU.
- A pre-operative information program addressing these factors is crucial for stress reduction.
Impact:
- Provides a framework for understanding and mitigating parental stress in pediatric cardiac surgery.
- Emphasizes the need for comprehensive pre-operative information and support for caregivers.
- Aims to improve the overall care experience for families navigating pediatric cardiac surgery.
Abstract:
The caregivers of children with congenital heart disease undergoing cardiac surgery are under stress due to the uncertainty of the surgical outcome and the stressful experience of being admitted in an intensive care unit. The current review describes the factors associated with parental stress in patients with congenital heart disease undergoing cardiac surgery. These factors can be grouped into factors related to the patient, the parents, the environment and the clinical team. The loss of the parental role, the physical appearance and the child's behavior during their stay in the intensive care unit are identified as the most powerful sources of stress. An information program to be given to the caregivers before cardiac surgery should include all these factors as a central part of its contents, should significantly reduce the levels of parental stress and must be included in the process of admitting a patient for congenital heart surgery.
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