| Psychological preparation for surgery pediatric patients: the effects on children's and parents' stress responses and adjustment. | |
| | |
MedLine Citation:
|
PMID: 1161368 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
This clinical experiment tested variations of psychological preparation and supportive care designed to increase the adjustment of children (and their parents) hospitalized for elective surgery. Eighty-four children, aged 3 to 12, admitted for tonsillectomies were randomly assigned to one of three treatment conditions or to a control group: (1) a combination of systematic preparation, rehearsal, and supportive care conducted prior to each stressful procedure; (2) a single-session preparation conducted after admission, and (3) consistent supportive care given by one nurse at the same points as in the first condition, but including no systematic preparation or rehearsal. The children's hospital adjustment was measured by blind ratings of behavioral upset and cooperation during the blood test, medication injection, transport to surgery, induction, and postoperative fluid intake and by recovery room medications and pulse rates and time to first voiding. Post-hospital adjustment was assessed with Vernon et al.'s Post Hospital Behavior Inventory. Parent outcome measures included self-ratings for anxiety and satisfaction with information and care. As hypothesized, the results demonstrated that children who received condition one showed significantly less upset and more cooperation and their parents reported significantly greater satisfaction and less anxiety than did children or parents in the other groups. Younger children were significantly more upset and less cooperative than older children. |
| | |
Authors:
|
M A Visintainer; J A Wolfer |
Related Documents
:
|
17501988 - Paediatric out-of-hospital resuscitation in an area with scattered population (galicia-... 19645398 - Nationwide trends in hospitalization and surgical treatment of congenital and infantile... 2045258 - Medical audit--why children attend out-patient clinics. 2388168 - An adaptation of the miller patient classification system for the postanesthesia care u... 8257888 - High prevalence of asthma in cross country skiers. 17107448 - When labels hurt but novelty helps: children's perseveration and flexibility in a card-... |
Publication Detail:
|
Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Pediatrics Volume: 56 ISSN: 0031-4005 ISO Abbreviation: Pediatrics Publication Date: 1975 Aug |
Date Detail:
|
Created Date: 1975-11-26 Completed Date: 1975-11-26 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0376422 Medline TA: Pediatrics Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 187-202 Citation Subset: AIM; IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adaptation, Psychological Adolescent Age Factors Child Child Behavior Child Psychology Child, Hospitalized* Child, Preschool Cooperative Behavior Female Humans Male Manifest Anxiety Scale Parents* Pediatric Nursing* Postoperative Care Preoperative Care* Professional-Family Relations Stress, Psychological* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Early intrauterine development: I. The rate of growth of Caucasian embryos and fetuses between the 6...
Next Document: Endotracheal tube placement in infants determined by suprasternal palpation: a new technique.