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Related Experiment Videos

Distress and the micturating cystourethrogram: does preparation help?

D A Phillips1, A R Watson, D MacKinlay

  • 1Children and Young People's Kidney Unit, City Hospital NHS Trust, Nottingham, UK.

Acta Paediatrica (Oslo, Norway : 1992)
|March 25, 1998
PubMed
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Therapeutic preparation significantly reduces distress in children undergoing micturating cystourethrogram (MCUG). Providing a candid explanation further lowers anxiety and improves the child

Area of Science:

  • Pediatric radiology
  • Child psychology
  • Healthcare communication

Background:

  • Micturating cystourethrogram (MCUG) is a common diagnostic procedure for children.
  • The investigation can cause significant distress and anxiety for both children and their parents.
  • Effective preparation strategies are crucial for mitigating negative psychological impacts.

Purpose of the Study:

  • To evaluate the effectiveness of therapeutic preparation methods on children's distress during MCUG.
  • To compare the impact of different preparation approaches (storybooklet vs. storybooklet and play).
  • To assess the influence of parental communication styles on child distress levels.

Main Methods:

  • A survey was conducted with parents of 35 children who had undergone MCUG.

Related Experiment Videos

  • Child distress was measured using the Groningen Distress Rating Scale.
  • Parental coping styles were assessed with the Utrecht Coping List.
  • Families received either a storybooklet or a storybooklet combined with play preparation.

    • Main Results:

    • Therapeutic preparation significantly lowered reported child distress levels (mean score 2.5) compared to no preparation (mean score 3.3).
    • Anxiety-linked behavioral changes post-MCUG decreased from 46% in controls to 13% after therapeutic preparation.
    • Children whose parents provided candid explanations experienced lower distress (mean score 2.0) than those whose parents avoided upsetting details (mean score 3.1).

    Conclusions:

    • Therapeutic preparation, including storybooklets and play, effectively reduces distress associated with MCUG in children.
    • Open and honest communication from parents is vital in minimizing child anxiety during medical procedures.
    • Implementing these preparation strategies can enhance the patient experience and reduce post-procedural anxiety.