PEDIATRIC SURGICAL PATIENTS' AND PARENTS' STRESS RESPONSES AND ADJUSTMENT as a Function of Psychologic Preparation and Stress‐Point Nursing Care
PEDIATRIC SURGICAL PATIENTS' AND PARENTS' STRESS RESPONSES AND ADJUSTMENT as a Function of Psychologic Preparation and Stress‐Point Nursing Care
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儿科手术患者和家长的压力反应和调整作为心理准备和压力点护理的函数
DOI：
10.1097/00006199-197507000-00002
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发表时间：
1975
期刊：
影响因子：
2.5
通讯作者：
M. Visintainer
中科院分区：
文献类型：
--
作者：
J. Wolfer;M. Visintainer
本研究的目的是检验以下假设：与未接受系统心理准备和持续支持性护理的儿童相比，接受系统心理准备和持续支持性护理的儿童在医院表现出较少的不安行为和更多的合作，以及较少的出院后适应问题，并且他们的父母会更少焦虑，对所接受的信息和护理更加满意。八十名计划接受小手术的儿童及其父母被随机分配到实验条件和对照条件。实验干预包括有关事件顺序、感官体验、角色期望和适当反应的准确信息、通过游戏技巧进行的手术预览以及在术前和术后关键点给予的支持性护理。实验儿童和对照儿童以及家长在不安行为评分、手术配合度、疼痛手术前后脉搏、诱导阻力、首次排尿时间、出院后调整、家长焦虑以及对信息和护理的满意度方面存在显着差异，一致支持了这些假设。还根据孩子的年龄和性别以及父母是否与孩子同住一室来分析结果。
The purpose of this study was to test the hypotheses that children who receive systematic psychologic preparation and continued supportive care, in contrast to those who do not, would show less upset behavior and more cooperation in the hospital and fewer post-hospital adjustment problems and that their parents would be less anxious and more satisfied with information and care received. Eighty children scheduled for minor surgery and their parents were randomly assigned to experimental and control conditions. The experimental intervention consisted of accurate information about sequences of events, sensory experiences, role expectations and appropriate responses, previews of procedures through play techniques, and supportive care given at critical points pre- and postoperatively. Significant differences between experimental and control children and parents on ratings of upset behavior, cooperation with procedures, pulse before and after painful procedures, resistance to induction, time to first voiding, posthospital adjustment, and parental anxiety and satisfaction with information and care consistently supported the hypotheses. Results were also analyzed in relation to the age and sex of the children and whether parents roomed with the children.