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Cardiopulmonary resuscitation training decreases anxiety levels in parents of infants with congenital heart disease

Published online by Cambridge University Press:  27 February 2025

Desiree S. Machado Open the ORCID record for Desiree S. Machado [Opens in a new window] ,
Zasha Vazquez-Colon ,
Victoria Botelho ,
Cynthia Garvan ,
Dalia Lopez-Colon ,
Daniel Rodriguez ,
Leah Breault ,
Joseph Philip ,
Laurel Barwick  and
Jennifer Munoz Pareja
...Show all authors
Desiree S. Machado*
Affiliation:
Department of Pediatrics, Division of Cardiology, University of Miami, Miller School of Medicine, Holtz Children’s Hospital, Miami, FL, USA Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Florida, Shands Children’s Hospital, Gainesville, FL, USA
Zasha Vazquez-Colon
Affiliation:
Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Florida, Shands Children’s Hospital, Gainesville, FL, USA Congenital Heart Center, University of Florida, Gainesville, FL, USA
Victoria Botelho
Affiliation:
Department of Pediatrics, Division of Pediatric Critical Care Medicine, University of Florida, Shands Children’s Hospital, Gainesville, FL, USA
Cynthia Garvan
Affiliation:
Department of Anesthesia, Division of Internal Medicine, University of Florida, Gainesville, FL, USA
Dalia Lopez-Colon
Affiliation:
Congenital Heart Center, University of Florida, Gainesville, FL, USA
Daniel Rodriguez
Affiliation:
Department of Anesthesia, Division of Internal Medicine, University of Florida, Gainesville, FL, USA
Leah Breault
Affiliation:
Congenital Heart Center, University of Florida, Gainesville, FL, USA
Joseph Philip
Affiliation:
Congenital Heart Center, University of Florida, Gainesville, FL, USA
Laurel Barwick
Affiliation:
Congenital Heart Center, University of Florida, Gainesville, FL, USA
Jennifer Munoz Pareja
Affiliation:
Department of Pediatrics, Division of Cardiology, University of Miami, Miller School of Medicine, Holtz Children’s Hospital, Miami, FL, USA
Camila Melchior
Affiliation:
Department of Pediatrics, University of Miami, Miller School of Medicine, Holtz Children’s Hospital, Miami, FL, USA
Estela Azeka
Affiliation:
Instituto do Coracao, InCor, Sao Paulo Medical School, Sao Paulo, SP, Brazil
Erica Cascio
Affiliation:
Department of Psychology, University of Florida, Gainesville, FL, USA
*
Corresponding author: Desiree Stieven Machado; Email: [email protected]
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Abstract

Introduction:

Fear of cardiac arrest among parents of infants with heart disease can cause stress and anxiety. Literature is scarce on the effects of cardiopulmonary resuscitation training (CPRt) on anxiety and stress of parents. We analysed the impact of CPRt on anxiety, stress, and comfort levels on parents of infants with heart disease.

Methods:

Cardiopulmonary resuscitation (CPR) and choking relief manoeuvre (CRM) comfort level, Parental State-Trait Anxiety Inventory (STAI), and Parenting Stress Index (PSI) scores were prospectively collected pre-, immediately post-, and 3 months post-CPRt.

Results:

There were 97 participants: 80% (n = 78) mothers/grandmothers and 20% (n = 19) fathers. The mean (SD) age of participants was 28.7 (5.6) years old. There was a significant decrease in STAI across the three time points collected; STAI decreased by 12% from baseline to immediately post-CPRt and 19% from baseline to 3 months post-CPRt (p < .0001). There were no significant changes in PSI across the time points. Baseline to immediately post-teaching, we found that CPRt significantly increased comfort performing CPR, CRM, and comfort in knowing what to do (p=< .001, p=< .001, p=< .001, respectively). Comfort levels persisted elevated when comparing pre- to 3 months post-CPRt (p=< .001, p= .002, p= .001, respectively), maintaining at least a 177% average increase up to 3 months post-CPRt for all aspects.

Conclusion:

CPRt can aid in improving anxiety and comfort levels of parents of infants with heart disease around hospital discharge. Parental preparedness and reassurance to know what to do in emergency situations can be enhanced by a simple intervention such as CPRt.

Keywords

Cardiopulmonary resuscitationteachingchildrenparentalstressanxietyCHD
Type
Original Article
Information
Cardiology in the Young , First View , pp. 1 - 6
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Copyright
© The Author(s), 2025. Published by Cambridge University Press

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