The Effects of Systematic Nursing Instruction on Preschooler-Age Hospitalized Children with Herniorrhaphy in Behavioral Upset

• Main Authors: Wu, Wei-Wen, 吳維紋
• Other Authors: Yueh-Chih Chen
• Format: Others
• Language: zh-TW
• Published: 1998
• Online Access: http://ndltd.ncl.edu.tw/handle/52933543468535218972

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.