소아의 수술전 환자교육이 신체 및 정서에 미치는 영향

Abstract

[한글]

The Effects of Preoperative Nursing Instruction on the Physical and Emotional

Recovery of Pediatric Surgical Patients-An Experimental Study.

Shim, Chi Joung

Department of Nursing Graduate School of Yonsei University

(directed by Dr. Chun, San Cho)

Very few studies regarding the effects of preoperative nursing intervention on

children's welfare after surgery have been conducted. The purpose of this study was

1) to evaluate the effects of preoperative nursing instructions on children's

physical recovery and emotional state after surgery and 2) to analyse the

relationship between the effects of preoperative nursing instructions and the age

and general anxiety of child.

The study was conducted from August 15th to October 30th at Severance Hospital,

Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to

14, participated in the study. Twenty patients, randomly selected, were visited by

the experimenter in the evening before surgery and received specific preoperative

nursing instructions. These instructions were designed to alleviated emotional

stress and were adopted o the age of child. The postoperative recovery of these

patients were then compared with a randomly selected control group of 21 patients

who received only the routine preoperative care by the staff in the hospital.

Dependent variable were vomiting, pain, medication, ability to void, elevation of

temperature, infection, time between surgery and hospital discharge and

postoparative emotional stress which was measured by the vital signs.

Because of the limitation of the sample size it was difficult to obtain valid

statistical results. However, the analysis of the raw data indicates that;

1) the preoperative nursing instructionsappears to promote physical recovery and

it seems especially effective in preventing elevation of temperature and shortening

the length of the hospital stay,

2) the preoperative nursing instruction also seems to be effective in relieveing

the child's emotional stress(situational anxiety) after surgery,

3) the patient's general anxiety level prooperatively seems to be a predictor of

postoperative problems,

4) the preoperative nursing instructions were and effective means of promoting

physical recovery in every age group as long as the child understood the

instructions.

The above data would seem to indicate that all preoperative pediatric patients

four years of age or older, if they can understand, should have preoperative

nursing instruction in order to alleviate postoperative stress and enhance physical

recovery.

The lvel of general anxiety preoperatively deserves special attention since the

amount of nursing instruction needed seems to vary with the level of anxiety.

[영문]

Very few studies regarding the effects of preoperative nursing intervention on children's welfare after surgery have been conducted. The purpose of this study was 1) to evaluate the effects of preoperative nursing instructions on children's

physical recovery and emotional state after surgery and 2) to analyse the relationship between the effects of preoperative nursing instructions and the age and general anxiety of child.

The study was conducted from August 15th to October 30th at Severance Hospital, Seoul, Korea. A total of 41 Pediatric surgical Patients, between the age of 4 to 14, participated in the study. Twenty patients, randomly selected, were visited by

the experimenter in the evening before surgery and received specific preoperative nursing instructions. These instructions were designed to alleviated emotional stress and were adopted o the age of child. The postoperative recovery of these patients were then compared with a randomly selected control group of 21 patients who received only the routine preoperative care by the staff in the hospital.

Dependent variable were vomiting, pain, medication, ability to void, elevation of temperature, infection, time between surgery and hospital discharge and postoparative emotional stress which was measured by the vital signs.

Because of the limitation of the sample size it was difficult to obtain valid statistical results. However, the analysis of the raw data indicates that;

1) the preoperative nursing instructionsappears to promote physical recovery and it seems especially effective in preventing elevation of temperature and shortening the length of the hospital stay,

2) the preoperative nursing instruction also seems to be effective in relieveing the child's emotional stress(situational anxiety) after surgery,

3) the patient's general anxiety level prooperatively seems to be a predictor of postoperative problems,

4) the preoperative nursing instructions were and effective means of promoting physical recovery in every age group as long as the child understood the instructions.

The above data would seem to indicate that all preoperative pediatric patients four years of age or older, if they can understand, should have preoperative nursing instruction in order to alleviate postoperative stress and enhance physical recovery.

The lvel of general anxiety preoperatively deserves special attention since the amount of nursing instruction needed seems to vary with the level of anxiety.