Effects on Emotional Upset in Hospitalized Pediatric Surgery Patients of Repeated Viewing of a Promotional Video at Home Prior to Hospitalization :

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  • Wakimizu Rie
    Doctoral Course Department of Family Nursing, Graduate School of Health Sciences and Nursing, Faculty of Medicine, The University of Tokyo
  • Kamibeppu Kiyoko
    Department of Family Nursing, Graduate School of Health Sciences and Nursing, Faculty of Medicine, The University of Tokyo

Bibliographic Information

Other Title
  • オリエンテーションビデオを用いた家庭でのプレパレーションが手術を受ける幼児に与える効果
  • オリエンテーションビデオを用いた家庭でのプレパレーションが手術を受ける幼児に与える効果 : ランダム化比較試験による検討
  • オリエンテーションビデオ オ モチイタ カテイ デ ノ プレパレーション ガ シュジュツ オ ウケル ヨウジ ニ アタエル コウカ ランダムカ ヒカク シケン ニ ヨル ケントウ
  • A Randomized Controlled Trial
  • －ランダム化比較試験による検討－

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Description

In this study we examined the effects of psychological preparation at home on emotional upset in young children aged 3-7 years scheduled to undergo inguinal hernia in hospital. Subjects were randomly assigned to one of two groups that both viewed a promotional video once as outpatients in a group of other patients prior to hospitalization ("standard of care"); the control group (n=31) later underwent surgery without any further preparation; the intervention group (n=28) watched the same promotional video again at least once at home with their parents prior to hospitalization and surgery.<br>The patients' emotional upset was measured once pre-intervention, twice perioperatively, once at discharge, and three times post-discharge, the last being 1 month after surgery. Patients' perioperative vital signs and parents' anxiety were also assessed.<br>We found that patients in the intervention group experienced significantly less upset at induction of anesthesia (p=0.04) and in the postoperative period (p=0.01) than patients in the control group and that such perioperative vital signs as body temperature (p=0.003) and heart rate (p=0.02) indicated lower physical stress in the intervention group than in the control group.<br>We also found evidence of post-hospitalization negative behaviors in both groups, suggesting that medical personnel should proactively follow up and assess the condition of such young patients and their parents.<br>We concluded that psychological preparation with parents at home significantly alleviates young patients' perioperative emotional upset and disturbances in vital signs; young patients' post-hospitalization mental state and parents' anxiety merit further investigation.

Journal

  • Iryo To Shakai

    Iryo To Shakai 16 (2), 183-200, 2006

    The Health Care Science Institute

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