De Mula-Fuentes Beatriz, Quintana María, Rimbau Jordi, Martínez-Mejías Abel, Úriz María Socorro, Rivera-Pérez Cristina, Garolera Maite
Brain, Cognition and Behavior: Clinical Research Consorci Sanitari de Terrassa, Barcelona, España.
Brain, Cognition and Behavior: Clinical Research Consorci Sanitari de Terrassa, Barcelona, España Unidad de Psicología Infantojuvenil. Consorci Sanitari de Terrassa, Barcelona, España.
Actas Esp Psiquiatr. 2018 Mar;46(2):42-50. Epub 2018 Mar 1.
A hospital admission is an experience capable of generating emotional and behavioral alterations at any age. This study pretends to analyze the response of anxiety, fears and/or behavioral alterations in pediatric patients exposed to a conventional non-surgical hospital admission and the existing relationship between these responses and certain modulating variables. Metodology. Design of cohorts. Data collection was carried out in three stages (M1: at admission; M2: at discharge; M3: 2 weeks after discharge), on a 30 patient sample between the ages of 6 to 15 years and 30 caregivers. A comparison was made on the mean of the repeated measurements (Student t) of the respond variables and their correlation (Pearson’s Coefficient Correlation) with modulating variables.
The results of the intra-subject analysis showed significance in terms of anxiety levels state in patients in M1 versus M3 (t=3.93, p<.0001, d=0.69) and the magnitude of the total behavioral alterations registered in M1 versus M3 (t=-5.02, p<.0001, d=0.60). It was observed that a significant relationship between modulating variables of patients (anxiety risk) and of the caregiver (anxiety character state, strategy of confrontation) and the variables of response of the anxiety and behavioral alterations of the patient.
Exposure of a conventional non-surgical hospital admission may have negative consequences at an emotional and behavioral level in children, present far beyond the hospital admission. Certain variables, from the patient and the caregiver, are psychological vulnerability factors before a hospitalization process.
住院会在任何年龄段引发情绪和行为改变。本研究旨在分析接受常规非手术住院治疗的儿科患者的焦虑、恐惧和/或行为改变反应，以及这些反应与某些调节变量之间的现存关系。方法：队列设计。对30名6至15岁的患者及其30名护理人员分三个阶段（M1：入院时；M2：出院时；M3：出院后2周）进行数据收集。对反应变量的重复测量均值（学生t检验）及其与调节变量的相关性（皮尔逊相关系数）进行比较。
受试者内分析结果显示，患者在M1与M3阶段的焦虑水平状态具有显著性差异（t = 3.93，p <.0001，d = 0.69），且M1与M3阶段记录的总行为改变程度也有显著性差异（t = -5.02，p <.0001，d = 0.60）。研究发现，患者的调节变量（焦虑风险）和护理人员的调节变量（焦虑特质状态、应对策略）与患者焦虑和行为改变的反应变量之间存在显著关系。
常规非手术住院治疗可能会在儿童的情绪和行为层面产生负面影响，且这种影响远不止于住院期间。患者和护理人员的某些变量是住院过程前的心理脆弱因素。
