During COVID-19 panic, we examined if educational digital video disk can reduce maternaluncertainty, anxiety and depression if their children undergo congenital heart diseasesurgery and when surgical or post-surgical complications occur. Compared to only routineeducation, adding digital video disk could decrease mothers' uncertainty and anxiety moreafter education, and until the day of discharge. Compared to only routine education,adding digital video disk could decrease mothers' uncertainty and anxiety more on thedischarge day if their child had surgical or post-surgical complications.
Aims and objectives: During COVID-19 panic, we examined if educational digital video disk
can reduce maternal uncertainty, anxiety and depression if their children undergo
congenital heart disease surgery and when surgical or post-surgical complications occur.
Background: Mothers experience uncertainty, anxiety and depression if their children
undergo conditions mentioned above. Such stress would be more during COVID-19 panic.
Design: A randomized control-group pretest-posttest design. The CONSORT checklist is
used. Methods: During COVID-19 panic, in a teaching hospital, 120 mothers whose children
underwent first elective surgery for congenital heart disease were randomly divided into
group 1: 60 mothers receiving routine education plus digital video disk before surgery;
and group 2: 60 mothers receiving routine education. Between groups, mothers'
uncertainty, anxiety and depression levels were compared (1) before education, (2) after
education (before surgery) and (3) on the discharge day. Among mothers whose children had
surgical or post-surgical complications, the effect of watching the digital video disk on
uncertainty, anxiety and depression at discharge day was evaluated.
Other: Preoperative educational videos plus routine education
Mothers receiving routine education plus digital video disk before their children
receiving congenital heart disease surgery. The content was the same as the routine
education but was presented audio-visually, and the video was easy to understand by the
general public.
Other: Preoperative routine education
Mothers receiving routine education before their children receiving congenital heart
disease surgery
Inclusion Criteria:
  -  Mothers, whose children underwent first elective cardiac surgery for congenital
     heart disease
- Mothers should have been the primary caregivers
- Mothers able to communicate effectively, either orally or in writing
Exclusion Criteria:
- Mothers of children with genetic disorders
- Mothers of children with non-cardiac congenital anomalies
  -  Mothers of children with diseases such as cerebral palsy, epilepsy, psychiatric
     diseases, and * * Mothers of children with chronic lung diseases
Chung Shan Medical University Hospital.
Taichung	1668399, Taiwan
Tsai, Principal Investigator
 Chung Shan Medical University Hospital, Taichiung, Taiwan