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

Yasemin ÖZHANLI, Sinem ÖZTÜRKLER, Bihter ÖZTÜRK YILDIRIM

Kocaeli Üniversitesi Sağlık Bilimleri Dergisi - 2026;12(3):219-226

Kocaeli University, Faculty of Health Sciences, Surgical Diseases Nursing, Kocaeli, Türkiye

 

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 2023 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 (each group 20 parcipitants). Data were collected using the Personal Information Form, the KIDCOPE-T, and the PedsQL(TM) 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. Pretest and posttest KIDCOPE-T total and subdimension scores did not differ significantly between the groups. Repeated-measures analysis showed no significant group effect, time effect, or group x time interaction on coping scores. Likewise, no statistically significant differences were found between the groups regarding total or subdimension scores of the PedsQL(TM) 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.