Karsenty Clément, Hadeed Khaled, Djeddai Camelia, Lateyron Julie, Guitarte Aitor, Vincent Remi, DeBarros Nathalie, Combes Nicolas, Briot Jerome, Dulac Yves, Yrondi Antoine, Acar Philippe
Department of Paediatric Cardiology, University Hospital, Toulouse, France.
Institut Des Maladies Métaboliques Et Cardiovasculaires (Institute of Metabolic and Cardiovascular Diseases), University of Toulouse, INSERM U1048, I2MC, 1, Avenue Jean Poulhès-BP84225, Toulouse, France.
Front Pediatr. 2023 Jan 9;10:947340. doi: 10.3389/fped.2022.947340. eCollection 2022.
Paediatric interventional catheterisation has consistently improved in recent decades, with often highly successful outcomes. However, progress is still required in terms of the information delivered to parents and how parental anxiety is managed.
To investigate the impact of cardiac printed models on improving parental understanding and alleviating anxiety before interventional catheterisation.
The parents of children undergoing interventional cardiac catheterisation were prospectively enrolled in the study. A questionnaire highlighting knowledge and understanding of the condition and cardiac catheterisation per se was scored on a scale of 1-30. The State-Trait Anxiety Inventory (STAI), which generates current anxiety scores, was also used before and after the pre-catheterisation meeting. The "printing group" received an explanation of catheterisation using the device and a three-dimensional (3D) model, while the "control group" received an explanation using only the device and a manual drawing.
In total, 76 parents of 50 children were randomly assigned to a "control group" ( = 38) or "printing group" ( = 38). The groups were comparable at baseline. The level of understanding and knowledge improved after the "control group" and "printing group" meetings (+5.5±0.8 and +10.2±0.8; < 0.0001 and < 0.0001, respectively). A greater improvement was documented in the "printing group" compared to the "control group" ( < 0.0001). The STAI score also improved after the explanation was given to both groups (-1.8±0.6 and -5.6±1.0; < 0.0001 and < 0.0001). The greatest improvement was noted in the "printing group" ( = 0.0025). Most of the parents (35/38 from the "printing group") found the models to be extremely useful.
3D-printed models improve parental knowledge and understanding of paediatric cardiac catheterisation, thereby reducing anxiety levels.
近几十年来，儿科介入导管插入术持续改进，通常取得非常成功的结果。然而，在向家长传达的信息以及如何应对家长焦虑方面仍需取得进展。
研究心脏打印模型对提高家长对介入导管插入术的理解并缓解焦虑的影响。
前瞻性纳入接受心脏介入导管插入术患儿的家长进行研究。一份突出对病情和导管插入术本身的知识与理解的问卷按1 - 30分进行评分。在导管插入术前会议前后还使用了产生当前焦虑评分的状态 - 特质焦虑量表（STAI）。“打印组”使用设备和三维（3D）模型接受导管插入术解释，而“对照组”仅使用设备和手绘图纸接受解释。
总共将50名儿童的76名家长随机分配到“对照组”（n = 38）或“打印组”（n = 38）。两组在基线时具有可比性。“对照组”和“打印组”会议后理解和知识水平均有所提高（分别为+5.5±0.8和+10.2±0.8；P < 0.0001和P < 0.0001）。与“对照组”相比，“打印组”的改善更大（P < 0.0001）。两组解释后STAI评分也有所改善（分别为-1.8±0.6和-5.6±1.0；P < 0.0001和P < 0.0001）。“打印组”的改善最为明显（P = 0.0025）。大多数家长（“打印组”中的35/38）认为模型非常有用。
3D打印模型提高了家长对儿科心脏导管插入术的知识和理解，从而降低了焦虑水平。
