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Measurement of Anxiety in 3-9 Year Old Children Receiving Nursing Intervention
Febby G Cardinal1, Golda Myra Arroyo2, Sheilla Magbanua3
1Department of Nursing, Sanko Mambukal Life Home Care Inc., Mambukal, Philippines.
Insights
Pediatric nurses can reduce child anxiety during hospital procedures. Peripheral cannula insertion caused the most anxiety, while temperature and pulse checks were least distressing for children.
Area of Science:
- Pediatric Nursing
- Child Psychology
- Healthcare Research
Background:
- Nurses play a crucial role in managing anxiety in hospitalized children.
- Understanding common nursing procedures and their impact on pediatric anxiety is essential for improving care.
- Hospitalization can be a significant source of stress for children.
Purpose of the Study:
- To identify common nursing procedures performed on children in a hospital setting.
- To measure the anxiety levels of children undergoing these procedures.
- To explore factors influencing anxiety, such as age and prior hospital experience.
Main Methods:
- A cross-sectional descriptive study involving 235 children aged 3-9 years in a Philippine pediatric ward.
- Data collection included demographic information and anxiety assessment using the validated Venham Picture Test.
- Statistical analysis employed chi-square and t-tests to determine significant differences in anxiety scores.
Main Results:
- Temperature and pulse measurements were the most frequent procedures and were associated with low anxiety levels.
- Peripheral cannula insertion induced the highest levels of anxiety among the studied procedures.
- Younger children (3-4 years) exhibited higher anxiety compared to older children (5-9 years).
- Children with prior hospital experience showed significantly different mean anxiety scores compared to those without.
Conclusions:
- Nursing interventions should focus on minimizing anxiety during procedures like peripheral cannula insertion.
- Age is a critical factor, with younger children requiring more supportive care.
- Nurses' ability to manage anxiety can significantly impact a child's hospital experience.
Abstract:
Nurses are in an ideal position to provide special care for anxious children admitted in hospital wards. Thus, the objectives of the study were to identify the common nursing procedures done for children and to measure their level of anxiety. A cross-sectional descriptive study was conducted at a district hospital in Philippines. The respondents of the study were 235 children aged 3 - 9 years old admitted in the pediatric ward. The descriptive characteristics of the children were recorded. Venham Picture Test was used to assess the level of anxiety in children. The instrument was validated using the Good and Scates criteria and pre-tested on 30 pediatric respondents. The chi-square test and t-test were used to determine the significance of difference between the scores given by the children across different age groups and the P-value was set at 0.05. The mean age of the respondents was 5.1 (3.5) years. Males obtained an "average" mean score of anxiety 4.0 (2.0) whilst females demonstrated a "low" mean score of anxiety 3.6 (2.3). There was a highly statistical difference between the mean anxiety scores amongst patients who had a prior experience and those who had none. Temperature measurement and pulse measurement were the most common procedures performed on children and demonstrated very low level of anxiety. Peripheral cannula insertion caused the maximum anxiety amongst all the procedures performed. Children aged 3 to 4 years old demonstrated the maximum anxiety when compared to children aged 5 to 9 years.
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