Liu Shu-Juan, Chang Yan-Zin, Hwu Lien-Jen, Ku Min-Sho
Institute of Medicine, Chung Shan Medical University, Taichung 40201, Taiwan.
Department of Nursing, Chung Shan Medical University, Taichung 40201, Taiwan.
Healthcare (Basel). 2023 May 11;11(10):1395. doi: 10.3390/healthcare11101395.
During the COVID-19 pandemic, people voluntarily reduced their necessary healthcare. We examined whether supplying educational digital versatile discs (DVDs) before admission can reduce parental rejection of pediatric cardiac catheterization for congenital heart disease (CHD). Parents of 70 children with CHD selected for cardiac catheterization were randomly allocated to the DVD (received pre-admission DVDs in the outpatient department; 70 parents of 35 children) or non-DVD groups (did not receive the DVDs; 70 parents of 35 children). The parents could reject the admission of their children within 7 days. Cardiac catheterization was rejected by 14 (20.0%) and 26 (37.1%) parents in the DVD and non-DVD groups, respectively ( = 0.025). Parent Perceptions of Uncertainty Scale scores were lower in the DVD (128.3 ± 8.9 points) than in the non-DVD group (134.1 ± 7.3 points; < 0.001). Decreased uncertainty due to pre-admission DVD watching could have contributed to the increased parental willingness for cardiac catheterization. The effects of pre-admission educational DVDs were more significant among parents with a lower education, rural residence, with only one child, female child, or younger child. Offering educational DVDs to parents of children selected for cardiac catheterization for CHD may decrease the parental rejection rate of the treatment.
在新冠疫情期间,人们自愿减少了必要的医疗保健。我们研究了入院前提供教育性数字多功能光盘(DVD)是否能减少先天性心脏病(CHD)患儿家长对小儿心脏导管插入术的拒绝。70名被选定进行心脏导管插入术的先天性心脏病患儿的家长被随机分配到DVD组(在门诊部入院前收到DVD;35名患儿的70名家长)或非DVD组(未收到DVD;35名患儿的70名家长)。家长可在7天内拒绝其子女入院。DVD组和非DVD组分别有14名(20.0%)和26名(37.1%)家长拒绝心脏导管插入术(P = 0.025)。DVD组家长的不确定性感知量表得分(128.3±8.9分)低于非DVD组(134.1±7.3分;P<0.001)。入院前观看DVD导致的不确定性降低可能有助于提高家长对心脏导管插入术的接受意愿。入院前教育DVD的效果在受教育程度较低、居住在农村、只有一个孩子、是女孩或年龄较小的孩子的家长中更为显著。向被选定进行先天性心脏病心脏导管插入术的患儿家长提供教育DVD可能会降低家长对该治疗的拒绝率。