Vernon D T, Thompson R H
Department of Family and Community Medicine, University of Missouri School of Medicine, Columbia 65212.
J Dev Behav Pediatr. 1993 Feb;14(1):36-44.
Despite continued interest in ameliorating the posthospital psychological effects of hospitalization on children, there have been no analytic reviews of the research on this topic. The present study synthesized all known research that evaluated experimental interventions through the use of the Posthospital Behavior Questionnaire (PHBQ), by far the most commonly used method of examining posthospital behavior. The mean weighted effect size (ES) was +.44, Confidence Interval (CI).95 = +/- .10. Thus, on the average, children who received experimental interventions tended to change their behavior in the direction of psychological upset less than children who did not (z = +4.81; p < .00006). Analyses of ES moderators indicated significant variations (p < .05) associated with (1) the year of the report, (2) questionnaire format, (3) study design, (4) variations in experimental treatment, (5) subject's age, and (6) length of hospitalization. Psychoeducational preparation was not effective with younger children. The benefits of experimental interventions persisted up to 4 weeks after discharge.
尽管人们一直对改善住院治疗对儿童出院后的心理影响感兴趣,但尚未有对该主题研究的分析性综述。本研究综合了所有已知的研究,这些研究通过使用《出院后行为问卷》(PHBQ)评估实验性干预措施,这是迄今为止检查出院后行为最常用的方法。平均加权效应量(ES)为 +.44,95% 置信区间(CI)= +/- .10。因此,平均而言,接受实验性干预的儿童比起未接受干预的儿童,其行为朝着心理困扰方向改变的程度要小(z = +4.81;p < .00006)。对效应量调节因素的分析表明,与以下因素相关存在显著差异(p < .05):(1)报告年份,(2)问卷格式,(3)研究设计,(4)实验治疗的差异,(5)受试者年龄,以及(6)住院时间。心理教育准备对年幼儿童无效。实验性干预的益处出院后可持续长达 4 周。