Effect of Implementation of Continuous Care Model on Mothers’ Anxiety of the Children Discharged from the Pediatric Surgical Unit

Forogh Okhovat, Zahra Abdeyazdan, Mahboobeh Namnabati


Introduction: Child’s hospitalization for surgery is a source of anxiety for the child and the family that persists for a long time after discharge. Therefore, it is necessary to provide appropriate solutions in this regard. This study aimed to investigate the effect of implementation of continuous care model on anxiety in mothers of children discharged from pediatric units of educational hospitals of Isfahan University of Medical Sciences in 2016.

 Materials and Methods: In this quasi‑experimental study, 64 mothers of children hospitalized in surgical units were categorized in two groups (experimental and control). The intervention was a continuous care model including orientation, sensitization, follow up, and evaluation stages. We used Spielberg’s Anxiety Questionnaire to assess mothers’ anxiety before, 1 week, and 1 month after the intervention. Data were analyzed using descriptive statistics, (t‑test and analysis of variance) using the Statistical Package for the Social Sciences version 16.
Results: The results of the study showed that the mean anxiety scores of the experimental group were 58.9, 36, and 31.4, respectively, before, 1 week, and 1 month after the intervention (P < 0.001). These scores were 57.5, 55.8, and 49.7, respectively, for the control group. t‑test results showed that the mean anxiety scores of the experimental group were significantly less than that of the control group at 1 week and 1 month after the intervention.

Conclusions: Based on the results, use of the continuous care model led to a decrease in mothers’ anxiety during their children’s discharge from the pediatric surgery units. Therefore, we suggest the implementation of this model in pediatric units.


Anxiety; continuous care; Iran, mothers; patient discharge; pediatric; surgical

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de Ridder D, Geenen R, Kuijer R, van Middendorp H. Psychological adjustment to chronic disease. Lancet 2008;372:246‑55.

Gooding JS, Cooper LG, Blaine AI, Frank LS, Howse JL, Berns SD. Family support and family centered care in the neonatal intensive care unit: Origins, advances, impact. Semin Perinatol 2011;35:20‑8.

Kwan MK, Chiu CK, Gan CC, Chan CY. Can Intraoperative Text Messages (Short Message Services (SMS) Reduce Parental Anxiety of Children Undergoing Posterior Spinal Fusion Surgery for Adolescent Idiopathic Scoliosis (AIS)? Spine 2016:18.246‑62.

Browne NT, Flanigan LM, McComiskey CA, Pieper P. Nursing care of the pediatric surgical patient. 3rd ed. Burlington: Jones and Bartllet Learning; 2013. p. 177‑8.

Hockenberry MJ, Wilson D. Wong’s nursing care of infants and children. 9th ed. St. Louis: Mosby Elsevier; 2015. p. 33.

Chui WY, Chan SW. Stress and copying of Hong Cong Chinese family members during a critical illness. J Clin Nurs 2007;16:372‑81.

Ballantyne M, Benzies KM, Trute B. Depressive symptoms among immigrant and Canadian born mothers of preterm infants at neonatal intensive care discharge: A cross sectional study. BMC Pregnancy Childbirth 2013;13:S11.

Al-Akour A, Nemeh A, Gharaibeh M and Ranyah AK Al-Sallal. Perception of Jordanian mothers to nursing support during their children hospitalization. J Clin Nurs 2013;22:233‑9.

Berry G, Ziniel S, Freeman L, Kaplan W, Antonelli R, Gay J, et al. Hospital readmission and parent perceptions of their child’s hospital discharge. Intr J Qual Heal Care 2013;25:573‑81.

Tully PJ, Baker RA, Knight JL. Anxiety and depression as risk factors for mortality after coronary artery bypass surgery. J Psychosom Res 2008;64:285‑290.

Shields L, Hunter J, Hall J. Parents and staff’s perceptions of parental needs during a child’s admission to hospital J Child Health Care 2008;3:9‑33.

Chambers, MA, Jones, S. Surgical nursing of children. 1th ed. London: Butterworth Hein mann; 2007.

Behar M, Horenstein LS, Guin P, Gamble K, Hurlock G, Leclear E, et al. Improving patient care through patient family education programs. Hosp Top 2005;83:21‑7.

Votroubek W, Tabacco A. Pediatric home care for nurses. 3th ed.. London: Jones and Bartlett; 2010; p. 49.

Nesari M, Zakerimoghadam M, Rajab A, Bassampour S, Faghihzadeh S. Effect of telephone fallows up on adherence to a diabetes therapeutic regimen. J Nurs Sci 2010;7:121‑8.

Clark RA, Inglis SC, McAlister FA, Cleland JG, Stewart S. Telemonitoring or structured telephone support programmes for patients with chronic heart failure: Systematic review and metaanalysis. Bmj 2007;334:942.

Ahmadi F, Rahimi A, Ghalyaf M. Effect of fallow‑ up care model stress and anxiety and depression hemodialysis patients. J Shahid Beheshti Univ Med Sci 2006;30:353‑9.

Aein F, Alhani F, Mohammadi E, Kazemnejad A. Parental participation and mismanagement: A qualitative study of child care in Iran. Nurs and Health Sci 2009;11:221‑7.

Kasmann BP, Docherty SL, Rice HE, Donald E, Bailey DE, Schweitzer M. Telephone Follow‑ up for pediatric Ambulatory Surgery: Parent and provider satisfaction. J Pediatr Nurs 2012;27:715‑24.

Lin SC, Cheng SJ, Shih SC, Chang WL, Chu CH, Tjung JJ. The past, present, and future of discharge planning in Taiwan. Inter J Geront 2013;7:65-9.

Chiang LC, Chen WC, Dai YT, Ho YL. The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study. Inter J Nurs Stud 2012;49:1230-42.

Mistiaen P, Pott E. Telephone Follow up Initiated by a hospital‑based health professional, for postdischarge problem in patients discharged from hospital to home. Cochrane database syst Rev 2006;18:451.

Sneed ND, Finch N, Michel Y. The effect of psychosocial nursing intervention on mood state of patient with implantable cardioverter defibrillators and their caregivers. J Preg Cardiovasc Nurs 2003;12:4‑14.

Sayin Y, Acsoy G. The nurse’s role in providing information to surgical patients and family members in turkey: A descriptive study. AORN J 2012;95:772‑8.


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