| Summary: | 碩士 === 國立臺灣大學 === 護理學系 === 86 === Because of the limitation of cognition and development, preschooler
usually misunderstand the procedures of herniorrhaphy(elective surgery) and
result in behavioral upset after operation. It bothers parents. Therefore
the purpose of the study is to understand the status of the preschooler's
behavior in postoperation period and the effects of systematic nursing
instruction for preschooler-age hospitalized children with herriorrhaphy in
reducing the upset of behavior.
Quasi-expermental design was conducted during January 1998 to April 1998
at the pediatric surgical ward at a medical center. The sample consist of 40
mothers and their children (3 to 6 years of age)who were short term
hospitalization by purposive sampling and assigned to one of two conditions
by the week. Twenty subjects in the experimental group received systemic
nursing instruction from the researcher, and twenty subjects in the control
group received regular nursing care from the ward of staff nurses. Each
subject was followed-up for 7 days and 14 days.
"Children's temperament questionnair", "Posthospital Behavier
Questionnaire (PHBQ)" and "Trait questionnaire" were used to evaluate the
effects of systemic nursing instruction for the preschool's upset of
behavior. Data were analyzed by frequency distribution , percentage, rank,
mean, standard deviation, Chi-square test, Wilcoxon signed-rank test,
Mann-Whitney U test, one way ANCOVA, and Pearson correlation through the
SPSS for window 7.0 P/C.
The results adjusted by ANCOVA were : two weeks after operation, general
anxiety of the experimental group was significantly less than the control
group, it meant the systemic nursing instruction can reduce the behavioral
upset in two weeks after operation.
In both of the two groups, the upset was significantly in one week after
operation(p<0.01 in the control group ; p<0.05 in the experimental group).
Two weeks after operation , the upset was not significantly in the
experimental group, but the upset was significantly in the control group
(p<0.01). One week after operation, in the control group there were
significantly upset in general anxiety and seperation anxiety (p<0.01) and
in the experimental group there were significantly upset in anxiety about
sleep and aggression (p<0.05). After two weeks, the six kind of behavioral
upset was not significantly in the experimental group. General anxiety,
seperation anxiety, feeding disturbances, and aggression, these kind of
behavior upsets were significantly in the control group (p<0.01 in general
anxiety and feeding disturbances ; P<0.05 in seperation anxiety and
aggression).
The factors result in behavioral upset were patients' age, body weight,
birth order, temperament dimensions of adaptability, intensity, mood and
distractibility,.
The study can be a reference in promoting nursing care, and reducing the
behavioral upset after operation.
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