Objective By applying family-centered care to child with congenital heart disease (CHD) during their peri-operative period, so as to promote CHD patients’ and their family’s recovery after surgery.
Method 52 CHD patients undergoing surgery were selected as control group. 51 patients were selected as intervention group. Family-centered care model was carried out among the intervention group, including full implementation to provide information and psychological support, parental involvement in peri-operative care, family to family support platform developing.
The incidence of postoperative complications, the average days of hospitalization, State Anxiety Inventory (SAI), Face Legs Activity Cry Consolability (FLACC), Measure of Processes of Care (MPOC-56) and Client Satisfaction Questionnaire (CSQ-8) were used to evaluate.
Result The FLACC scale of the intervention group was significantly lower than the control group from the second to sixth day after surgery (P<0.05); the median day of intervention group children’s pain changing from sever to moderate was 0.4 day earlier than the control group patients(P<0.05); and the pain level changing from sever or moderate to mild was 1 day earlier than the control group patients(P<0.01). The SAI scores in 4 stages were significantly lower in intervention group than in control group(P<0.05). The total score and 5 dimensions’ scores of MPOC-56 were significantly higher in intervention group than in control group (P<0.01); the total score of CSQ-8 was also significantly higher in intervention group than in control group (P<0.01).
Conclusion “Family centered care” could provide excellent health care to the CHD patients and their family during peri-operative period.