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

DOI Web Site 参考文献32件
  • 涌水 理恵
    東京大学大学院医学系研究科健康科学・看護学専攻家族看護学分野博士課程
  • 上別府 圭子
    東京大学大学院医学系研究科健康科学・看護学専攻家族看護学分野

書誌事項

タイトル別名
  • Effects on Emotional Upset in Hospitalized Pediatric Surgery Patients of Repeated Viewing of a Promotional Video at Home Prior to Hospitalization :
  • 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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抄録

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.

収録刊行物

  • 医療と社会

    医療と社会 16 (2), 183-200, 2006

    公益財団法人 医療科学研究所

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