Different Approaches in Assessing Children's Emotional Responses to Surgery: An Evaluation

2.50
Hdl Handle:
http://hdl.handle.net/10755/154937
Type:
Presentation
Title:
Different Approaches in Assessing Children's Emotional Responses to Surgery: An Evaluation
Abstract:
Different Approaches in Assessing Children's Emotional Responses to Surgery: An Evaluation
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Li, Ho Cheung William, RN, MPhil, PhD
P.I. Institution Name:The University of Hong Kong
Title:Assistant Professor
[Research Presentation] Background. The principal methods for assessing children's emotional responses to surgery have been physiological measurements, self-report measurements, and behaviour ratings by observers. However, it is uncertain from previous literature that which approach is more sensitive in assessing children's emotional responses to surgery, and is more appropriate in evaluating the effectiveness of paediatric preoperative nursing preparations. Aims. This study aimed at examining the sensitivity of different approaches in assessing children's emotional responses to surgery and comparing the appropriateness of different approaches in evaluating the effectiveness of paediatric preoperative nursing preparations. Methods. Children (7-12 years of age; N = 203) admitted for elective surgery during a 13-month period, were recruited. By using a simple complete randomization method, 97 of children were assigned to receiving preoperative therapeutic play preparation and 106 were assigned to receiving preoperative information preparation. Children's emotional responses to surgery were assessed by using the Chinese version of the State Anxiety Scale for Children, Children's Emotional Manifestation Scale, and children's heart rates and mean arterial blood pressures. Results Children with high preoperative anxiety levels manifested more negative emotional behaviour during anaesthesia induction. Those with more negative emotional behaviour or high levels of state anxiety also had faster heart rates and higher mean arterial blood pressures. Among the three approaches in evaluating the effectiveness of paediatric preoperative nursing preparations, the children's emotional responses as measured by the Childre's Emotional Manifestation Scale were found to have the highest observed statistical power. Conclusion. This study demonstrates that the Children's Emotional Manifestation Scale is more sensitive in assessing children's emotional responses to surgery, and is more appropriate in evaluating the effectiveness of paediatric preoperative nursing preparations than other two approaches.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDifferent Approaches in Assessing Children's Emotional Responses to Surgery: An Evaluationen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154937-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Different Approaches in Assessing Children's Emotional Responses to Surgery: An Evaluation</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Li, Ho Cheung William, RN, MPhil, PhD</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">The University of Hong Kong</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">william3@hku.hk</td></tr><tr><td colspan="2" class="item-abstract">[Research Presentation] Background. The principal methods for assessing children's emotional responses to surgery have been physiological measurements, self-report measurements, and behaviour ratings by observers. However, it is uncertain from previous literature that which approach is more sensitive in assessing children's emotional responses to surgery, and is more appropriate in evaluating the effectiveness of paediatric preoperative nursing preparations. Aims. This study aimed at examining the sensitivity of different approaches in assessing children's emotional responses to surgery and comparing the appropriateness of different approaches in evaluating the effectiveness of paediatric preoperative nursing preparations. Methods. Children (7-12 years of age; N = 203) admitted for elective surgery during a 13-month period, were recruited. By using a simple complete randomization method, 97 of children were assigned to receiving preoperative therapeutic play preparation and 106 were assigned to receiving preoperative information preparation. Children's emotional responses to surgery were assessed by using the Chinese version of the State Anxiety Scale for Children, Children's Emotional Manifestation Scale, and children's heart rates and mean arterial blood pressures. Results Children with high preoperative anxiety levels manifested more negative emotional behaviour during anaesthesia induction. Those with more negative emotional behaviour or high levels of state anxiety also had faster heart rates and higher mean arterial blood pressures. Among the three approaches in evaluating the effectiveness of paediatric preoperative nursing preparations, the children's emotional responses as measured by the Childre's Emotional Manifestation Scale were found to have the highest observed statistical power. Conclusion. This study demonstrates that the Children's Emotional Manifestation Scale is more sensitive in assessing children's emotional responses to surgery, and is more appropriate in evaluating the effectiveness of paediatric preoperative nursing preparations than other two approaches.</td></tr></table>en_GB
dc.date.available2011-10-26T13:23:58Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:23:58Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.