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Published on: July 19, 2017
Effective reduction of anxiety in hospitalised children through bibliotherapy
Edwin Jose Lawrence1, Jerly Lazer2
1Department of Nursing Services, ESI Dispensary, Vikravandi, India.
Insights
Bibliotherapy significantly reduced hospital admission anxiety in children aged 5-12. Anxiety scores dropped by 27%, with no participants experiencing severe anxiety post-intervention.
Area of Science:
- Pediatric Psychology
- Childhood Anxiety Disorders
- Intervention Strategies
Background:
- Hospitalization is a significant source of distress and anxiety for children.
- Assessing and mitigating anxiety in pediatric patients is crucial for their well-being.
Purpose of the Study:
- To evaluate the effectiveness of bibliotherapy in reducing anxiety among hospitalized children.
- To explore correlations between anxiety levels and demographic/clinical variables.
Main Methods:
- A pre-test and post-test design was utilized over three months in a tertiary care pediatric ward.
- Sixty children (aged 5-12) participated, with anxiety assessed using the Spence Children Anxiety Scale.
- Bibliotherapy was implemented as the primary intervention.
Main Results:
- Post-bibliotherapy, 72% of children exhibited mild anxiety and 28% moderate anxiety; no severe anxiety was recorded.
- A 27% reduction in overall anxiety scores was observed.
- Significant associations were identified between anxiety reduction and age, educational status, and family type.
Conclusions:
- Bibliotherapy is a highly effective intervention for reducing anxiety in hospitalized children aged 5-12.
- The findings support the use of bibliotherapy as a low-cost, accessible tool in pediatric care settings.
Aim:
The process of being admitted to a hospital is widely recognised as a distressing encounter for children, frequently resulting in notable levels of anxiety. The main aim was to assess the effectiveness of bibliotherapy in reducing anxiety and to associate anxiety levels with demographic and clinical variables.
Methods:
This study was conducted at a paediatric ward in a tertiary care hospital located in Tamil Nadu, India, for 3 months from 1 August 2023-30 October 2023. In this study, a one-group pre-test and post-test design was employed. A sample of 60 children, aged between 5 and 12 years, was recruited using a convenience sampling method. Spence Children Anxiety Scale was used for assessing anxiety levels.
Results:
The mean age of the participants was 8.46 ± 1.91 years, and the majority, comprising 57%, were male. Following bibliotherapy, 72% of children showed mild anxiety, 28% showed moderate anxiety and no individual had considerable anxiety. Anxiety scores dropped 27%. Significant associations were found between anxiety reduction and variables such as age, educational status, and type of family.
Conclusion:
Bibliotherapy was notably effective in substantially reducing anxiety levels among children aged 5-12 years who were admitted to hospitals.
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