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Background: The role home-schooling of children in parental mental health during the COVID-19 pandemic in Taiwan remains unknown. This study aimed to assess the association between parental psychological distress and home-schooling in a socio-ecological context during the peak of the first wave of the COVID-19 pandemic in Taiwan. Methods: This was a prospective cohort study. In total, 902 parents (father: n = 206, mother: n = 696) who home-schooled children under 18 years of age were recruited by purposive sampling from 17 cities in Taiwan. Data were collected between 19 July and 30 September 2021 through a survey. Multilevel regression models were used to examine the association between parents’ psychological distress and home-schooling considering the characteristics at the person and city levels. Results: Parental psychological distress was positively associated with difficulty in setting up electronic devices and increased disputes between parents and children, and it was negatively associated with time management and increased time spent bonding with their children during home-schooling (Ps

Background: Anxiety is a common issue among pre-surgery patients, and also popular explored among medical surgical patients. But for gynecologic laparotomy patients' pre-surgery anxiety and the effects of the nursing education for anxiety still rare. Purpose: The purpose of this study was to examine the effects of multimedia education program on pre-surgery anxiety in gynecologic laparotomy patients. Methods: Using a two groups compared study design. All participants were over 20 years of age and will receiving gynecologic laparotomy. Participants were distributed into with a multimedia education group (experimental group, n = 100) or with pamphlet group (control group, n = 100). Outcome measurements included state-trait anxiety inventory, disease related data, and personal demographics. We examined outcome indicators before nursing intervention and follow up at one hour after nursing intervention. Results: A post-test comparison of the two groups showed a statistically significant intergroup difference in terms of both state-trait anxiety and breathing (p < .05). In addition, a mean differential comparison showed statistically significant differences between the groups in terms of state-trait anxiety, blood pressure, pulse rate, and breathing rate (p < .05). Conclusions / Implications for Practice: This study demonstrates the efficacy of multimedia education in decreasing pre-surgery anxiety in gynecologic laparotomy patients. Findings may be referenced in the development of multimedia nursing instructions. The authors suggest that these instructions may be disseminated via hospital websites to allow patients to read prior to admission in order to increase readiness and reduce surgery-related anxiety. [ABSTRACT FROM AUTHOR]