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基于舒适理论的护理方案对减少儿科日间手术中父母焦虑的效果:随机对照试验。

Effect of care programme based on Comfort Theory on reducing parental anxiety in the paediatric day surgery: Randomised controlled trial.

机构信息

Department of Medical Services and Techniques, Isparta University of Applied Sciences, Isparta, Turkey.

Child Health Nursing Department, Nursing Faculty, Akdeniz University, Antalya, Turkey.

出版信息

J Clin Nurs. 2022 Apr;31(7-8):922-934. doi: 10.1111/jocn.15945. Epub 2021 Jul 8.

DOI:10.1111/jocn.15945
PMID:34240490
Abstract

AIMS AND OBJECTIVES

The aim of the study was to determine the effect of a care programme based on the Comfort Theory on reducing parental anxiety forming during the perioperative process of paediatric day surgery.

BACKGROUND

According to the Comfort Theory, nurses provide comfort and take precautions related to comfort, and they provide care and assistance by encouraging individuals/families/society and supporting coping methods. This study is the first randomised controlled study to test the effect of a nursing care programme based on the Comfort Theory for paediatric day surgery.

DESIGN

Randomised controlled trial.

METHODS

The research was completed from June-September 2019 with participation of parents whose children were undergoing paediatric day surgery at a hospital in the Mediterranean region of Turkey. A total of 120 participants were randomly assigned to two equal groups. The intervention group received care programme based on Comfort Theory. The control group received nursing care routinely provided in the clinic. Data were collected using the State-Trait Anxiety Inventory. Measures were obtained at six points, at baseline, at four interval observations after the initial point and during follow-up on the 10th postoperative day. The repeated measures ANOVA test and t-test for independent samples were used to compare the anxiety levels between the intervention and control groups.

RESULTS

There was a statistically significant difference in favour of the group receiving the care programme based on the Comfort Theory when the anxiety levels between the intervention and control groups were compared.

CONCLUSIONS

The care programme based on the Comfort Theory was effective in reducing parental anxiety forming in the perioperative process of paediatric day surgery.

RELEVANCE TO CLINICAL PRACTICE

The results of this study show the applicability of the care programme for paediatric day surgery. It is recommended that this programme be introduced to nurses in paediatric day surgery.

摘要

目的和目标

本研究旨在确定基于舒适理论的护理方案对减少小儿日间手术围手术期父母焦虑的影响。

背景

根据舒适理论,护士提供舒适和预防与舒适相关的措施,并通过鼓励个人/家庭/社会和支持应对方法提供护理和帮助。本研究是首个测试基于舒适理论的小儿日间手术护理方案效果的随机对照研究。

设计

随机对照试验。

方法

本研究于 2019 年 6 月至 9 月在土耳其地中海地区的一家医院进行,参与研究的是其子女正在接受小儿日间手术的父母。共有 120 名参与者被随机分配到两个相等的组。干预组接受基于舒适理论的护理方案,对照组接受诊所常规护理。使用状态-特质焦虑量表收集数据。在基线时、初始点后四个间隔观察时以及术后第 10 天随访时共获得了 6 次测量结果。使用重复测量方差分析和独立样本 t 检验比较干预组和对照组之间的焦虑水平。

结果

与接受常规护理的对照组相比,接受基于舒适理论的护理方案的组的焦虑水平存在统计学显著差异。

结论

基于舒适理论的护理方案在减少小儿日间手术围手术期父母焦虑方面是有效的。

临床意义

本研究结果表明了该护理方案在小儿日间手术中的适用性。建议将该方案引入小儿日间手术护士中。

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