Effect of the Combination of the Family-Centred Care Model and Video Education on the Postoperative Recovery of Paediatric Urological Surgery Patients.

Abstract

Background/purpose: Addressing perioperative anxiety, pain and restlessness and promoting family involvement through the family-centred care (FCC) model and video education may lead to improved postoperative outcomes. This study aimed to evaluate the effect of combining the FCC model with video education on the postoperative recovery of paediatric patients who underwent urological surgery.

Methods: This prospective randomised controlled study enrolled 200 paediatric patients who were undergoing general anaesthesia and recovery in the post-anaesthesia care unit at The First Affiliated Hospital of Sun Yat-sen University from January to April 2024. They were randomly assigned to Group A (routine care), Group B (routine care + video education), Group C (routine care + FCC model) and Group D (routine care + video education + FCC model), with 50 cases in each group. Various indicators, including recovery trajectory, agitation and pain scores, psychological states and treatment compliance, were assessed and compared amongst the groups.

Results: In the analysis of recovery trajectories, no significant differences were found amongst the groups in terms of time to resume breathing and extubation duration (p > 0.05). However, a notable distinction was observed in the recovery time of anaesthesia across the groups (p < 0.001). Compared with Groups B and C, Group D exhibited significant improvement in agitation and pain scores (p < 0.05). In addition, Group D had significantly lower anxiety level and higher treatment compliance than Groups B and C (p < 0.05).

Conclusions: The combined approach of the FCC model and video education may improve postoperative recovery outcomes in paediatric patients who underwent urological surgery. Hence, this approach is worth promoting and applying in clinical practice.