Effects of a Systematic Nursing Care Program on Mother Stressors of Children First Admitted to Pediatric Intensive Care Unit
Date Issued
2006
Date
2006
Author(s)
Fann, Guei-Ling
DOI
zh-TW
Abstract
Many prior studies have shown that the first-time admission of a child to Pediatric Intensive Care Unit (PICU) is indeed a stressful situation for the mothers, and they need supports from all resources. Therefore, this study was aimed to establish a systemic nursing care program that uses multimedia interactive videodisc learning system as the assisting educational tool. The nurses can provide this program when sick children first admitted to PICU as a tool to reduce the mothers， stresses.
A nonequivalent control group pretest-posttest quasi-experimental design was applied in the study. Children admitted to a certain tertiary medical center in northem Taiwan were conveniently recruited during January to May 2006. Sixty patients were assigned into the control and experimental groups, which received regular nursing care or systematic nursing instruction, respectively. Mothers， stresses were measured before and after all nursing instructions. The study tools include two parts: A systemic nursing instruction videodisc, and the PICU Mothers Stressor Scale. Data were collected through in-person interviews and self-adminstered questionnaires of mothers.
Results showed that differences of mothers， stress levels between mothers who participate in the experimental and control groups were found for children，s
condition(Z＝-6.87, P＜0.05), medical explanation (Z＝-6.81, P＜0.05), trust in
medical personnel(Z＝-6.77, P＜0.05), alteration of parenting roles and participation in childhood care(Z＝-6.77, P＜0.05), monitor alarms(Z＝-6.85, P＜0.05), invasive treatment(Z＝-6.78, P＜0.05) were further decreased significantly. Comparing both the mothers in the experimental group and control group, the reduction of mothers， stress levels is more prominent using systemic nursing instructions.(Z＝-6.74, P＜0.05)
As summary, this study demonstrated that implementing systematic nursing instruction using multimedia interactive videodisc learning system in clinical practice provided more actual and clear information to mothers, and significantly decreased their stress levels. Therefore, Systematic nursing instructions are strongly recommended for enhancing nursing care in PICU, and provide a valuable tool to promote nursing reseach and clinical intensive care quality.
Subjects
兒科加護病房
母親
壓力源
多媒體互動式光碟學習系統
Pediatric Intensive Care Unit
mother
tressor
Type
other
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