The effect of education on anxiety and self-efficacy in mothers of 1-3-year-old children under cochlear implant surgery, 2018: a randomized controlled clinical trial

Resumen

Introduction: Child’s surgery makes parents’ anxiety andconcern. Therefore, the present study was conducted toevaluate anxiety and self-efficacy of the mothers of thechildren undergoing cochlear implant surgery.Methods: This randomized trial was performed on 70mothers of children who had undergone cochlear implantsurgery in Khalili Hospital in Shiraz from December 2017to March 2018. The samples were randomly assigned tointervention (35) and control (35) groups. Four trainingsessions were held for the intervention group. The datawere gathered by Spielberger and Sherer’s questionnairesand analyzed through SPSS version 21, using Chi-squaretest, Fisher’s exact, Independent t- test and repeated measurements(p <0.05).Results: Before the intervention, the mean score of hiddenand apparent anxiety and self-efficacy in the interventiongroup were 46.48±7.93, 47.40±8.73 and 61.40±9.86 .Inthe control group, it was 46.25±8.89, 46.77±9.63 and59.42±10.42 and no differences were seen between twogroups variables (p <0.05). Immediately after the interventionthe results showed a significant decrease in variables(P <0.001). Two months later variables in the interventiongroup were 25.42±3.22, 26.80±3.70 and 82.14±2.41(P <0.001). In the control group, they were 46.60±8.79,47.25±9.87 and 58.68±9.95 (P<0.001). Moreover, a significantdifference was shown between the two groups inthe mean of apparent (F=277.40, P <0.001) and hiddenanxiety (F=285.96, P <0.001) and also in the mean of selfefficacyof the mothers (F=170.17, P <0.001) during thethree study periods.Conclusion: Educational interventions in the mothers ofthe children undergoing cochlear implant surgery were effectivein reducing the amount of anxiety and increasingtheir self-efficacy.Trial Registration Number: IRCT201708072432N5.