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An empowerment health education program for children undergoing surgery for congenital heart diseases
Zhihong Ni1, Yannfen Chao2, Xiaoling Xue3
1Children's Hospital of Soochow University, Suzhou, China.
Insights
Empowerment health education significantly improved parents' knowledge and caregiving skills for children post-congenital heart disease (CHD) surgery. This led to better child recovery, including improved heart function and oxygen levels.
Area of Science:
- Pediatric Cardiology
- Health Education
- Parental Support
Background:
- Congenital heart disease (CHD) surgery poses significant risks, necessitating robust postoperative care.
- Children often experience challenges post-surgery, including unhealed wounds, incomplete recovery, and pain.
- Empowerment education models can enhance parents' self-management skills for pediatric care.
Purpose of the Study:
- To evaluate the effectiveness of an empowerment health education program.
- To improve caregiving knowledge, behaviors, and self-efficacy in parents of children after CHD corrective surgery.
- To assess the impact on pediatric patient outcomes, including cardiac function and oxygenation.
Main Methods:
- Prospective clinical trial comparing an empowerment education group (n=44) with a standard education control group (n=42).
- Data collected included left ventricular ejection fraction (LVEF), peripheral oxygen saturation (SpO2), NYHA classification, and parental outcomes.
- Assessments were conducted pre-surgery and at one and three months post-surgery.
Main Results:
- The intervention group demonstrated significantly higher caregiving knowledge, caring behaviors, and self-efficacy at one and three months post-surgery.
- By three months post-surgery, the intervention group showed significantly improved LVEF and SpO2 compared to the control group.
- Empowerment education positively impacted both parental confidence and pediatric patient recovery metrics.
Conclusions:
- Empowerment-based health education is effective in enhancing parental capacity for caring for children post-CHD surgery.
- This educational approach contributes to improved child recovery, evidenced by better physiological parameters.
- Implementing empowerment health education programs is recommended for optimizing postoperative care in pediatric CHD.
Abstract:
Since the surgery for congenital heart disease (CHD) is considered highly risky, appropriate postoperative care is crucial. After the surgery, children are often discharged with unhealed wounds, incomplete recovery, and continuing pain. Health education programs based on empowerment education model can assist clients to develop skills in self-management. This study aimed to evaluate the effectiveness of an empowerment health education program for improving caregiving knowledge, caring behaviors, and self-efficacy of parents caring for children after corrective surgery for CHD. This prospective clinical trial enrolled pediatric patients undergoing surgical correction for CHD. Patients were divided into two groups: the control group (n = 42), which received the standard education program, and the intervention group (n = 44), which participated in the empowerment theory-based education program. We collected data on left ventricular ejection fraction (LVEF); peripheral oxygen saturation (SpO2); New York Heart Association classification of the patients; and the parents' caregiving knowledge, caring behaviors, and self-efficacy before surgery and one month and three months after surgery. At one month and three months after surgery, the intervention group scored higher than the control group in caregiving knowledge, caring behavior, and self-efficacy. By the third month after surgery, the intervention group had significantly higher values of LVEF and SpO2 than the control group.
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