THE EFFECT OF TECHNOLOGY-ASSISTED PREOPERATIVE EDUCATION ON POSTOPERATIVE COPING AND MATERNAL SATISFACTION IN ADOLESCENTS UNDERGOING EMERGENCY APPENDECTOMY: A NON-RANDOMIZED CONTROLLED STUDY

Abstract

Objective: To evaluate the effect of technology-assisted preoperative education on postoperative coping levels in adolescents undergoing emergency appendectomy and on maternal satisfaction. Methods: This non-randomized controlled study was conducted between July 2024 and June 2025 in the Pediatric Surgery Service of a university-affiliated hospital in the Marmara Region of Türkiye. The study included adolescents aged 10–18 years diagnosed with acute appendicitis and their mothers. Of the 52 patients assessed for eligibility, 40 adolescent–mother pairs completed the study (20 in the experimental group and 20 in the control group). Data were collected using the Personal Information Form, the KIDCOPE-T, and the PedsQL™ Healthcare Parent Satisfaction Scale. The experimental group received a technology-based, video-assisted preoperative education program in addition to routine care, whereas the control group received routine care only. Data were analyzed using SPSS and the nonparametric F1-LD-F1 model in RStudio. Results: No statistically significant differences were found between the groups in terms of baseline sociodemographic characteristics (p > 0.05). Pretest and posttest KIDCOPE-T total and subdimension scores did not differ significantly between the groups (p > 0.05). Repeated-measures analysis showed no significant group effect, time effect, or group × time interaction on coping scores (p > 0.05). Likewise, no statistically significant differences were found between the groups regarding total or subdimension scores of the PedsQL™ Healthcare Parent Satisfaction Scale (p > 0.05). Conclusion: Technology-assisted preoperative education did not have a statistically significant effect on postoperative coping levels in adolescents undergoing emergency appendectomy or on maternal satisfaction. Further studies with larger samples and different intervention timing are recommended.

Keywords

• emergency appendectomy
• preoperative education
• adolescent
• coping
• maternal satisfaction

Supporting Institution

Kocaeli University Faculty of Medicine Hospital

Project Number

none

Ethical Statement

Prior to the initiation of the study, permission to use the video-assisted preoperative education material was obtained. Ethical approval was granted by the Non-Interventional Clinical Research Ethics Committee of Kocaeli University Faculty of Medicine (Decision No: KÜ GOKAEK–2023/395; Date: 20.04.2023). In addition, written institutional permission was obtained from the relevant hospital administration. Written informed consent was obtained from all adolescents and their mothers who agreed to participate. Participants were informed about the purpose of the study, the study procedures, confidentiality of the data, and their right to withdraw at any stage without prejudice. The study was carried out in accordance with the Declaration of Helsinki (2013 revision).

Thanks

We would like to thank all adolescents and their mothers who agreed to participate in this study. We also thank the Pediatric Surgery Service of Kocaeli University Hospital for their support during the implementation of the study.

(ACİL APPENDEKTOMİ GEÇİREN ERGENLERDE TEKNOLOJİ DESTEKLİ AMELİYAT ÖNCESİ EĞİTİMİN AMELİYAT SONRASI BAŞ ETME VE ANNE MEMNUNİYETİ ÜZERİNDEKİ ETKİSİ: RANDOMİZE EDİLMEMİŞ KONTROLLÜ BİR ÇALIŞMA

Abstract

Amaç: Teknoloji destekli ameliyat öncesi eğitimin, acil apendektomi geçiren ergenlerde ameliyat sonrası başa çıkma düzeyleri ve anne memnuniyeti üzerindeki etkisini değerlendirmek. Yöntem: Bu randomize olmayan kontrollü çalışma, Temmuz 2024 ile Haziran 2025 tarihleri ​​arasında Türkiye'nin Marmara Bölgesi'ndeki bir üniversiteye bağlı hastanenin Çocuk Cerrahisi Servisi'nde gerçekleştirilmiştir. Çalışmaya, akut apandisit tanısı konmuş 10-18 yaş arası ergenler ve anneleri dahil edilmiştir. Uygunluk açısından değerlendirilen 52 hastadan 40 ergen-anne çifti çalışmayı tamamlamıştır (20'si deney grubunda ve 20'si kontrol grubunda). Veriler, Kişisel Bilgi Formu, KIDCOPE-T ve PedsQL™ Sağlık Bakımı Ebeveyn Memnuniyet Ölçeği kullanılarak toplanmıştır. Deney grubu, rutin bakıma ek olarak teknoloji tabanlı, video destekli bir ameliyat öncesi eğitim programı alırken, kontrol grubu sadece rutin bakım almıştır. Veriler, SPSS ve RStudio'da nonparametrik F1-LD-F1 modeli kullanılarak analiz edilmiştir. Bulgular: Gruplar arasında temel sosyodemografik özellikler açısından istatistiksel olarak anlamlı bir fark bulunmadı (p > 0,05). Ön test ve son test KIDCOPE-T toplam ve alt boyut puanları gruplar arasında anlamlı farklılık göstermedi (p > 0,05). Tekrarlanan ölçümler analizi, başa çıkma puanlarında anlamlı bir grup etkisi, zaman etkisi veya grup × zaman etkileşimi göstermedi (p > 0,05). Benzer şekilde, PedsQL™ Sağlık Bakımı Ebeveyn Memnuniyet Ölçeği'nin toplam veya alt boyut puanları açısından gruplar arasında istatistiksel olarak anlamlı bir fark bulunmadı (p > 0,05). Sonuç: Teknoloji destekli ameliyat öncesi eğitim, acil apendektomi geçiren ergenlerde ameliyat sonrası başa çıkma düzeyleri veya anne memnuniyeti üzerinde istatistiksel olarak anlamlı bir etkiye sahip değildi. Daha büyük örneklem grupları ve farklı müdahale zamanlamalarıyla daha fazla çalışma yapılması önerilir.

Keywords

• acil apendektomi
• ameliyat öncesi eğitim
• adölesan
• başetme
• anne memnuniyeti

Supporting Institution

Kocaeli Üniversitesi Tıp Fakültesi Hastanesi

Project Number

none

Ethical Statement

Çalışmanın başlatılmasından önce, video destekli ameliyat öncesi eğitim materyalinin kullanımı için izin alınmıştır. Kocaeli Üniversitesi Tıp Fakültesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından etik onay verilmiştir (Karar No: KÜ GOKAEK–2023/395; Tarih: 20.04.2023). Ayrıca, ilgili hastane yönetiminden yazılı kurumsal izin alınmıştır. Katılmayı kabul eden tüm ergenlerden ve annelerinden yazılı bilgilendirilmiş onam alınmıştır. Katılımcılara çalışmanın amacı, çalışma prosedürleri, verilerin gizliliği ve herhangi bir aşamada önyargısız olarak çekilme hakları hakkında bilgi verilmiştir. Çalışma, Helsinki Bildirgesi'ne (2013 revizyonu) uygun olarak yürütülmüştür.

Thanks

Bu çalışmaya katılmayı kabul eden tüm ergenlere ve annelerine teşekkür ederiz. Ayrıca, çalışmanın yürütülmesi sırasında verdikleri destek için Kocaeli Üniversitesi Hastanesi Çocuk Cerrahisi Servisi'ne de teşekkürlerimizi sunarız.

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