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Published on: March 1, 2019
Children's feelings in isolation rooms during COVID-19 hospitalization
Tri Arianingsih1, Dessie Wanda2, Nur Agustini2
1Faculty of Nursing, Universitas Indonesia, Depok. dessie@ui.ac.id.
Insights
Pediatric COVID-19 patients experienced emotional challenges during isolation. Hospitals should enhance activities and nursing communication to improve the children's adaptation and well-being.
Area of Science:
- Pediatric Psychology
- Infectious Disease Management
- Qualitative Health Research
Background:
- COVID-19 hospitalization requires isolation for pediatric patients, leading to significant emotional distress.
- Separation from family and familiar environments during isolation negatively impacts children's psychological state.
- Understanding children's emotional experiences is crucial for improving healthcare support during isolation.
Purpose of the Study:
- To explore the emotional experiences of children hospitalized with COVID-19 in isolation.
- To identify key themes related to children's psychological adaptation during isolation.
- To provide recommendations for enhancing hospital support for pediatric COVID-19 patients.
Main Methods:
- Descriptive qualitative study design.
- Online interviews conducted with 10 pediatric COVID-19 patients.
- Data analysis focused on identifying emergent themes from interview transcripts.
Main Results:
- Children reported a "rollercoaster" of emotions, including distress upon diagnosis and boredom during isolation.
- Peer support played a role in children's coping mechanisms.
- Positive emotions were associated with negative test results and discharge.
Conclusions:
- Hospitalization in isolation presents unique emotional challenges for children with COVID-19.
- Enhancing hospital facilities to support children's activities and improving therapeutic communication are vital.
- Interventions should focus on mitigating the negative psychological impact of isolation on pediatric patients.
Abstract:
The treatment given to children who have been confirmed positive for COVID-19 and are showing symptoms involves isolation, which consequently is an unpleasant experience for pediatric patients. In isolation rooms, children reported a "rollercoaster" of feelings due to being separated from their families and familiar surroundings. This study examines children's emotions while being hospitalized in isolation rooms due to COVID-19. The study follows a descriptive qualitative design. Online interviews were carried out and involved 10 children who had been confirmed positive for COVID-19 and were hospitalized in two big cities in Sumatra. Four themes emerged from the data: i) children's emotional conditions after finding out they had positive COVID-19 test results; ii) boredom and inconvenience during isolation; iii) support from the children's peer; and iv) happy responses to receiving negative swab results and being allowed to go home. These themes describe the children's adaptation process to isolation based on the feelings they expressed during the interviews. This study suggests that, in order to improve their facilities, hospitals should support children's activities during isolation and nurses should improve their therapeutic communication with pediatric patients.
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