Department of Pediatric Cardiology, University Hospital Center of São João (CHUSJ), Porto, Portugal.
Department of Gynecology-Obstetrics and Pediatrics, Faculty of Medicine of Porto University (FMUP), Porto, Portugal.
Child Care Health Dev. 2024 Jan;50(1):e13199. doi: 10.1111/cch.13199. Epub 2023 Nov 15.
To develop, implement and assess the results of psychoeducation to improve the QoL of parents with CHD newborns.
Participants were parents of inpatient newborns with the diagnosis of non-syndromic CHD. We conducted a parallel RCT with an allocation ratio of 1:1 (intervention vs. control), considering the newborns, using mixed methods research. The intervention group received psychoeducation (Parental Psychoeducation in CHD [PPeCHD]) and the usual routines, and the control group received just the regular practices. The allocation concealment was assured. PI was involved in enrolling participants, developing and implementing the intervention, data collection and data analysis. We followed the Consolidated Standards of Reporting Trials (CONSORT) guidelines.
Parents of eight newborns were allocated to the intervention group (n = 15 parents) and eight to the control group (n = 13 parents). It was performed as an intention-to-treat (ITT) analysis. In M2 (4 weeks), the intervention group presented better QoL levels in the physical, psychological, and environmental domains of World Health Organization Quality of Life instrument (WHOQOL-Bref). In M3 (16 weeks), scores in physical and psychological domains maintained a statistically significant difference between the groups.
The PPeCHD, the psychoeducational intervention we developed, positively impacted parental QoL. These results support the initial hypothesis. This study is a fundamental milestone in this research field, adding new essential information to the literature.
制定、实施并评估心理教育,以提高患有先天性心脏病新生儿的父母生活质量。
参与者为患有非综合征型先天性心脏病的住院新生儿的父母。我们采用混合方法研究,以 1:1 的比例(干预组与对照组)对新生儿进行平行 RCT。干预组接受心理教育(先天性心脏病患儿家长心理教育[PPeCHD])和常规治疗,对照组仅接受常规治疗。采用分配隐藏确保随机。PI 参与了招募参与者、制定和实施干预措施、数据收集和数据分析。我们遵循了《CONSORT 报告标准》(CONSORT)指南。
8 名新生儿的父母被分配到干预组(n=15 名父母),8 名被分配到对照组(n=13 名父母)。这是一项意向治疗(ITT)分析。在 M2(4 周)时,干预组在世界卫生组织生活质量量表(WHOQOL-Bref)的身体、心理和环境领域的生活质量水平更高。在 M3(16 周)时,两组在身体和心理领域的评分仍存在统计学差异。
我们开发的心理教育干预措施 PPeCHD 对父母的生活质量产生了积极影响。这些结果支持了最初的假设。这项研究是该研究领域的一个重要里程碑,为文献提供了新的重要信息。