Parental anxiety before invasive cardiac procedure in children with congenital heart disease: Contributing factors and consequences.
Adolescent
Adult
Anxiety
/ epidemiology
Cardiac Catheterization
Cardiac Surgical Procedures
Child
Child, Preschool
Cross-Sectional Studies
Female
France
/ epidemiology
Heart Defects, Congenital
/ diagnosis
Humans
Incidence
Infant
Infant, Newborn
Male
Parents
/ psychology
Prospective Studies
Risk Factors
Stress, Psychological
/ complications
Surveys and Questionnaires
anxiety
congenital heart disease
parents
visual analog scale
Journal
Congenital heart disease
ISSN: 1747-0803
Titre abrégé: Congenit Heart Dis
Pays: United States
ID NLM: 101256510
Informations de publication
Date de publication:
Sep 2019
Sep 2019
Historique:
received:
26
11
2018
revised:
13
02
2019
accepted:
11
04
2019
pubmed:
9
5
2019
medline:
25
2
2020
entrez:
9
5
2019
Statut:
ppublish
Résumé
Medical information provided to parents of a child with a congenital heart disease can induce major stress. Visual analog scales have been validated to assess anxiety in the adult population. The aim of this study was to analyze parental anxiety using a visual analog scale and to explore the influencing factors. This prospective cross-sectional study. Tertiary care regional referral center for congenital heart disease of Marseille-La Timone university hospital. Parents of children with a congenital heart disease, as defined by the ACC-CHD classification, referred for cardiac surgery or interventional cardiac catheterization, were offered to participate. The parental level of anxiety was assessed using a visual analog scale (0-10) before intervention and after complete information given by the cardiologist, the surgeon or the anesthetists. Seventy-three children [7 days-13 years], represented by 49 fathers and 71 mothers, were included in the study. A total of 42 children required cardiac surgery and 31 children underwent interventional cardiac catheterization. The mean score of maternal anxiety was significantly higher than the paternal anxiety (8.2 vs 6.3, P < .01). A high level of maternal anxiety (visual analog scale > 8) was associated with paternal anxiety (P = .02), the child's comorbidity (P = .03), the distance between home and referral center (P = .04), and the level of risk adjustment for congenital heart surgery (P = .01). In multivariate analysis, maternal anxiety was associated with paternal anxiety (OR = 4.9; 95% confidence interval [1.1-19.2]), and the level of risk adjustment for congenital heart surgery (OR = 11.4; 95% confidence interval [1.2-116.2]). No significant association was found between parental anxiety and prenatal diagnosis. This study highlighted several factors associated with the parental anxiety. Identifying the parents at risk of high stress can be useful to set up psychological support during hospitalization.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
778-784Informations de copyright
© 2019 Wiley Periodicals, Inc.
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