Parent education discharge instruction program for care of children at home after cardiac surgery in Southern India

Cardiol Young. 2016 Aug;26(6):1213-20. doi: 10.1017/S1047951115002462. Epub 2015 Nov 17.

Abstract

Introduction In many developing countries, children with CHD are now receiving surgical repair or palliation for their complex medical condition. Consequently, parents require more in-depth discharge education programmes to enable them to recognise complications and manage their children's care after hospital discharge. This investigation evaluated the effectiveness of a structured nurse-led parent discharge teaching programme on nurse, parent, and child outcomes in India. Materials and methods A quasi-experimental investigation compared nurse and parent home care knowledge before and at two time points after the parent education discharge instruction program's implementation. Child surgical-site infections and hospital costs were compared for 6 months before and after the discharge programme's implementation.

Results: Both nurses (n=63) and parents (n=68) participated in this study. Records of 195 children who had undergone cardiac surgery were reviewed. Nurses had a high-level baseline home care knowledge that increased immediately after the discharge programme's implementation (T1=24.4±2.89; T2=27.4±1.55; p0.05) after the programme's implementation.

Conclusion: Nurse, parent, and child outcomes were improved after implementation of the structured nurse-led parent discharge programme for parents in India. Structured nurse-led parent discharge programmes may help prepare parents to provide better home care for their children after cardiac surgery. Further investigation of causality and influencing factors is warranted.

Keywords: Parent education; cardiac surgery; discharge.

MeSH terms

  • Adolescent
  • Cardiac Surgical Procedures*
  • Child
  • Child, Preschool
  • Female
  • Heart Defects, Congenital / nursing*
  • Heart Defects, Congenital / surgery*
  • Home Care Services / standards*
  • Humans
  • India
  • Infant
  • Infant, Newborn
  • Male
  • Nurses
  • Parents / education*
  • Patient Discharge
  • Surgical Wound Infection / epidemiology*