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Nursing Guidelines on Cardiac Surgery and Parents' Anxiety: Randomized Clinical Trial
Ilsa Beatriz Machado Xavier1, Virginia Borne Biscarra1, Ângela Bein Piccoli1
1Instituto de Cardiologia/Fundação Universitária de Cardiologia - IC/FUC, Porto Alegre, RS, Brazil.
Insights
Standardized nursing guidelines and routine institutional orientation did not significantly differ in reducing parental anxiety before pediatric cardiac surgery. Both approaches showed similar effects on parents' state and trait anxiety levels.
Area of Science:
- Pediatric Cardiac Surgery
- Parental Anxiety Management
- Nursing Interventions
Background:
- Parental preparation is crucial for children undergoing cardiac surgery.
- Anxiety in parents can impact the child's recovery and family well-being.
- Existing institutional orientations may not optimally address parental anxiety.
Purpose of the Study:
- To compare the efficacy of standardized nursing guidelines versus routine institutional orientation in alleviating parental anxiety.
- To assess the impact of different pre-operative guidance methods on parental anxiety levels.
Main Methods:
- A randomized clinical trial involving 44 parents of children undergoing cardiac surgery.
- Intervention group received standardized nursing guidelines; control group received routine institutional orientation.
- Anxiety was measured using the State-Trait Anxiety Inventory (STAI) pre-operatively and 48 hours post-surgery.
Main Results:
- No significant differences in baseline state or trait anxiety scores between the intervention and control groups.
- Both standardized nursing guidelines and routine orientation resulted in similar variations in anxiety scores post-surgery.
- The study found no statistically significant difference in anxiety reduction between the two approaches.
Conclusions:
- Standardized nursing guidelines and routine institutional orientation appear equally effective in managing parental anxiety.
- Further research may explore other interventions to enhance parental preparedness and reduce anxiety during pediatric cardiac surgery.
Objective:
The preparation of parents of children who should undergo cardiac surgery requires special treatment such as the explanations about the event. This study aims to compare the effects of standardized nursing guidelines with routine institutional orientation on the anxiety of parents of children undergoing cardiac surgery.
Methods:
Randomized clinical trial. The sample consisted of parents of children who underwent cardiac surgery from December 2010 to April 2011. Twenty-two parents were randomized to the intervention group (IG) and received the standard nursing guidelines and 22 participated in the control group (CG) and received the routine guidelines from the institution. Anxiety was assessed by the State-Trait Anxiety Inventory (STAI) applied in the preoperative period, between 12 and 20 hours before surgery and before receiving standard or institutional guidelines and 48 hours after surgery. The analysis of variance (ANOVA) for repeated measures was performed to evaluate the differences between the variations in STAI scores between the groups during the studied period. The level of significance was 0.05.
Results:
There were no significant differences in baseline anxiety scores between groups with regard to trait anxiety as well as state anxiety: STAI-trait (CG 42.6±4.9 vs. IG 41.4±6.0, P=0.48); STAI-state (CG 42.3±5.7 vs. IG 45.6±8.3, P=0.18). Likewise, the variation in score after 48 hours was similar between groups (STAI-trait P=0.77; STAI-state P=0.61).
Conclusion:
There were no significant differences in the parents' anxiety levels when comparing the two types of guidelines: the standard nursing and the institutional orientation.
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