A multidimensional family-integrated comfort care model improves outcomes in children undergoing cardiac catheterization for congenital heart disease: A randomized controlled trial.

OBJECTIVE

To evaluate the effects of the family-integrated comfort care model on children's comfort, parental anxiety, and nursing satisfaction during the peri-procedural period of CHD cardiac catheterization, providing empirical evidence for clinical nursing.

STUDY

DESIGN

A total of 98 children with CHD and their parents undergoing cardiac catheterization at a tertiary children's hospital from October 2022 to October 2023 were enrolled. Participants were randomly divided into an intervention group and a control group (49 cases each) using a random number table. The control group received routine care, while the intervention group received an additional 4-day family-integrated comfort care model. The General Comfort Questionnaire (GCQ), Self-rating Anxiety Scale (SAS), and a self-designed nursing satisfaction scale were used to evaluate children's comfort, parental anxiety, and nursing satisfaction. Data were analyzed using SPSS 27.0.

RESULTS

Pre-intervention, there were no significant differences in children's comfort or parental anxiety between the groups (P > 0.05). After 4 days of intervention, the intervention group exhibited significantly higher comfort scores (P < 0.05) and lower parental anxiety scores (P < 0.05) compared to the control group. Nursing satisfaction showed no statistical difference (P > 0.05), but the intervention group had slightly higher satisfaction.

CONCLUSION

The family-integrated comfort care model improves comfort during cardiac catheterization in children with CHD, alleviates parental anxiety, and is associated with high nursing satisfaction, demonstrating high clinical applicability and promotional value.