Ghabeli Fatemeh, Moheb Naeime, Hosseini Nasab Seyed Davoud
Department of Nursing, Amiralmomenin Hospital, Islamic Azad University of Tabriz, Tabriz, Iran.
Department of Psychology, Tabriz Branch, Islamic Azad University, Iran.
J Caring Sci. 2014 Feb 27;3(1):21-8. doi: 10.5681/jcs.2014.003. eCollection 2014 Mar.
Hospital anxiety and surgery has an unpleasant and disturbing feeling for a child and his/her family. This study aimed to determine the effect of toys and visit in reducing children's anxiety before the surgery and their mothers and satisfaction with the treatment process.
This was a quasi-experimental study in posttest design with a control group. 60 children aged 3 to 8 years, who were undergoing ear, nose and throat surgery in Tabriz Amiralmomenin hospital, were chosen, and regarding their age and gender, were recruited into the control or experiment group. For the experiment group, the interventions before surgery were applied. The level of anxiety in children and parents was evaluated by Observation Scale of Behavioral Distress (OSBD-R) and Spielberger State Anxiety Inventory (STAI). The level of parental satisfaction with the treatment process before being discharged from the hospital was evaluated by the process of treatment satisfaction questionnaire (PSQ-18). Data were analyzed by SPSS ver.13.
Mean anxiety scores of the children and mothers in the experimental group were lower than the control group. Mean maternal satisfaction score of the treatment process in the experimental group was higher than the mean scores of the control group. However, in the subscales of general satisfaction, interpersonal behavior, and financial aspects of satisfaction with treatment, no statistical significant difference was found between the experimental and control groups.
Based on the findings, providing toys for children and informing the parents about medical information has a major effect in reducing children's and other's anxiety and increasing maternal satisfaction with the treatment process.
住院和手术会给孩子及其家人带来不愉快和困扰的感觉。本研究旨在确定玩具和探访对减轻儿童手术前焦虑以及其母亲焦虑的效果，以及她们对治疗过程的满意度。
这是一项采用后测设计并设有对照组的准实验研究。选取了60名年龄在3至8岁、在大不里士阿米尔阿拉穆宁医院接受耳鼻喉科手术的儿童，根据他们的年龄和性别，将其纳入对照组或实验组。对实验组在手术前实施干预措施。通过行为困扰观察量表（OSBD-R）和斯皮尔伯格状态焦虑量表（STAI）评估儿童和家长的焦虑水平。通过治疗过程满意度问卷（PSQ-18）评估家长在出院前对治疗过程的满意度。数据使用SPSS 13.0版进行分析。
实验组儿童和母亲的平均焦虑得分低于对照组。实验组母亲对治疗过程的平均满意度得分高于对照组的平均得分。然而，在总体满意度、人际行为以及治疗满意度的财务方面等子量表中，实验组和对照组之间未发现统计学上的显著差异。
基于研究结果，为儿童提供玩具并向家长告知医疗信息对减轻儿童及他人的焦虑以及提高母亲对治疗过程的满意度有重要作用。
