A Case of Detailed Assessment and Family-Empowered Nursing for Radiofrequency Ablation in an Adolescent with Arrhythmogenic Cardiomyopathy

Abstract

Objective: To summarise innovative perioperative nursing experiences in a paediatric case of arrhythmogenic cardiomyopathy (ACM) undergoing radiofrequency ablation and to explore the effectiveness of a family-empowerment-oriented refined nursing model. Methods: For a paediatric patient with ACM, the following specialised nursing interventions were implemented in addition to routine care: (1) a refined “Symptoms-Medication-Activity” assessment chart was established to enable objective quantitative monitoring; (2) child-friendly concepts and peer support strategies were used for psychological intervention; (3) tiered early warning management based on MEWS scores was implemented to prevent complications; and (4) a family-centred “hospital-home” seamless continuity-of-care plan was established, including illustrated home-management manuals, WeChat follow-up groups and long-term follow-up records. Results: Through multidisciplinary collaboration and the aforementioned innovative nursing practices, the patient’s preoperative anxiety decreased significantly (VAS score reduced from 7 to 3). The surgery proceeded smoothly, with no complications. The 6-minute walk distance improved significantly at 72 hours postoperatively. The patient was discharged in stable condition on the fifth postoperative day. At the 3-month post-discharge follow-up, cardiac function was normal and family caregiving capacity had markedly improved. Conclusion: For paediatric patients with ACM undergoing radiofrequency ablation, a refined, personalised care model centred on family empowerment may effectively support surgical safety, alleviate negative emotions, promote recovery and enhance long-term family health-management capability. This approach may provide a useful reference for clinical nursing practice.