The effectiveness of the care program is based on the comfort theory on the level of anxiety in children candidates for endoscopy referred to the endoscopy center of Hajar Shahrekord Hospital affiliated Shahrekord university of medical sciences

Document Type : original article

Authors

1 Student, Master of Nursing, Hajar Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran

2 Associate Professor, School of Nursing and Midwifery, Shahrekord University of Medical Sciences, Shahrekord, Iran

3 Assistant Professor, School of Medicine, Shahrekord University of Medical Sciences, Shahrekord, Iran

Abstract

Background: Endoscopy is an invasive diagnosis and treatment procedure that can create anxiety in children. The use of nursing theories as a comprehensive nursing care model has a significant role in improving people's health. This study aims to examine the effects of the comfort- theory-based care model on the anxiety level of children undergoing endoscopy at the endoscopy center of Hajar Hospital in Shahrekord, Iran.
Method: This clinical trial was conducted with on 56 children referred to the endoscopy center of Hajar Hospital in Shahrekord, in 2022. Sampling was done by convenience method among eligible children, who were later divided into two intervention and control groups by random allocation method. The intervention group received a care program based on comfort theory two hours before the start of endoscopy. Data collection tools included a demographic information form and the modified Yale anxiety scale; and the statistical analysis were performed through SPSS-22 software, using independent t-test, paired t-test, chi-square test and Fisher's exact test at a significance level of p<0.05.
Results: Mean score of anxiety before the intervention was 42.04±11.47 in the intervention and 44.03±8.86 in the control group, which showed no statistically significant difference (p=0.470). But after the intervention, the mean score of anxiety increased to 24.11.73 in the intervention group and 49.88±11.98 in the control group, which showed a statistically significant difference (p=0.009).
Conclusion: According to the results, using a care program based on comfort theory was effective in reducing the anxiety of children undergoing endoscopy; so, this care model is recommended to be implemented for children undergoing invasive procedures.

Keywords

References

  1. Hassan Tehrani T, Pakzad A, Mohammadi F, Tapak L Bazmamoun H. Effect of Pre-endoscopy Preparation Program on Children's Anxiety and Parental Satisfaction: A Clinical Trial Study. Evidence Based Care Journal. 2022; 11(4): 48-54.
  2. Maghaminejad F, Adib-Hajbaghery M, Jahangir S. Predicting Factors of Patients' Anxiety before Endoscopy. Iranian Journal of Psychiatric Nursing. 2017; 4(6):22-9. [persian]
  3. Kurniawan N, Keuchel M. Flexible Gastro-intestinal Endoscopy — Clinical Challenges and Technical Achievements. Journal of Comput Struct Biotechnol. 2017; 15:168–79.
  4. Schreiber-Dietrich D, Hockey M, Braden B, Carrara S, Gottschalk U, Dietrich CF. Pediatric endoscopy, update 2020. Applied Sciences. 2019; 9(23):5036.
  5. Hee Kang S, Jin Hyun J. Preparation and Patient Evaluation for Safe Gastrointestinal Endoscopy. Journal of Clinical Endoscopy. 2013; 46(3):212–8.
  6. Eun Kang H, Mee Jung S, Park S. Pharmacological and non-pharmacological interventions to alleviate anxiety before pediatric anesthesia: a survey of current practice in Korea. Journal of Anesth Pain Medicine. 2016; 11(1):55–63.
  7. Meletti DP, Meletti JF, Camargo RP, Silva LM, Módolo NS. Psychological preparation reduces preoperative anxiety in children. Randomized and double-blind trial. Jornal de pediatria. 2019; 95(5):545–51.
  8. Fallah mehrjardi M, salaree M M, Barkhordari sharifabad M. Comparison of parental anxiety before surgery of your children. JPEN. 2020; 7 (1): 80-86.
  9. Ebrahimi Araghi Z, Tal A, Shojaei Zadeh d, Khorsandi M, Bagheri F. Effect of educational intervention on the anxiety of nurses working in hospitals affiliated to Arak University of medical sciences: Application of the Presidential model. Health Research Journal. 2014; 10(4): 752-765
  10. Jalali R, Dehghan F. The Effectiveness of Indi- vidual counseling on Preoperative Perceived Stress in Patients with Cholelitiasis Surgery. Iran Journal of Nursing. 2017; 30(108):1-10.
  11. Millett CR, Gooding LF. Comparing active and passive distraction-based music therapy interventions on preoperative anxiety in pediatric patients and their caregivers. Journal of music therapy. 2017; 54(4):460-78.
  12. Mohammadi S, Tajabadi A, Mohebbi R, Roshanzadeh M. Comparison of the Effect of playing and watching the Cartoon on Anxiety before Anesthesia in 3-6 Years Old Children Candidate for Tonsillectomy. Journal of North Khorasan Medical Sciences. 2019; 41(1):16–22. [persian]
  13. Majzoobi RM, Amani R, Majzoobi F. Effects of psychological preparation on reduction of surgery anxiety signs in children. Koomesh. 2013; 14(4).466-73. [persian]
  14. Sekine H, Abukawa D, Yamada H, Inoue M, Saito T, Kudo T, Seki Y. Pediatric Patient and Parental Anxiety and Impressions Related to Initial Gastrointestinal Endoscopy: A Japanese Multicenter Questionnaire Study. Scientifica (Cairo). 2015; 2015:1–7.
  15. Arıcan Ş, Yücel A, Yılmaz R, Hacıbeyoğlu G, Yusifov M, Yüce S, Topal A. Anxiety level and risk factors among pediatric patients in endoscopic procedures outside the operating room: A cross-sectional study. Journal of Surgery and Medicine. 20201; 4(8):693-7.
  16. Kamyabi N, Nakhaei M, Nasiri A, Akbari E, Sharifzadeh G. Effects of Video- and Pamphlet-based Patient Educations on Anxiety and Satisfaction Among Candidates for Gastroscopy. Journal of Mod Care. 2016; 13(2):1-5 [persian].
  17. Torbahn A. Preoperative anxiety in children and their mothers. Praxis Kinderpsychol Kinderpsychiatr. 2018; 37(7):247–52.
  18. Gimikan, Bors AM, ŞTEFĂNESCU G, Iorga M, Diaconescu S. Effective Communication and Psychotherapy in Reducing Anxiety Related to Digestive Endoscopy Procedures for Pediatric Patients. International Journal of Medical Dentistry. 2016; 20(4):255–60.
  19. NikbakhtNasrabadi AR, Bakhshayeshi O, Parsa Yekta Z, Hoseyni M, Taghavi T, Rezvani H. The Effectiveness of Implementing Nursing Consultation on the Anxiety of Patients Undergoing GI Endoscopy. Iran Journal of Nursing. 2012; 25(4):54–62. [persian]
  20. Sukartini T, Nursalam N, Wahyuni ED, Ismiwiranti R. Psychological preparation models using hypnosis approach for patients before gastrointestinal endoscopy. A multifaceted review journal in the field of pharmacy Sy.2020; 11(6):1016–21.
  21. Hashemi S, Montazerian M, Nisi L, Bahrampour E. Evaluation of education on patients' anxiety before abdominal surgical operations. Journal of Aligudarz School of Nursing (Mendish). 2010; 10(2 and 3):59-66 [persian].
  22. Borhani F, Bagherian S , Abbaszadeh A, Ranjbar H, Tehrani H, Soleimanzadeh L. Correlation between anxiety and pain due to intravenous catheters in children with thalassemia Borhani.Sci Journal of Iran Blood Transfus Organ. 2012; 9(2):170–4. [persian]
  23. Dimarco KK, Kolcaba K. Comfort theory and its application to pediatric nursing. Journal of Pediatric Nursing. 2005; 31(3):187–94.
  24. Kolcaba KY. A theory of holistic comfort for nursing. Journal of advanced Nursing. 1994; 19(6):1178–84.
  25. Mehrasa Khaleghi, Akram Sadat Sadat Hoseini, Fatemeh Khoshnavay Fomani, Mahdavi. M. Assessing The Effects Of Implementation Of Comfort Caring Model On Distress, Pain, And Hemodynamic Parameters Of Children With Congenital Heart Disease Following The Cardiac Surgery: Tehran University Of Medical Sciences; 2018.
  26. Mukesh Chandra SH, Raman K, Katharine K. Application of Katharine Kolcaba Comfort Theory in Post-Operative Child: Delivering Integrative Comfort Care Intervention by using Theory of Comfort –A Case Study of a 5 year Old Child Admitted in ICU with Laparotomy Experiencing Post-Operative Discomfort. International Journal of Science and Research. 2016; 5(6):1714–20.
  27. Seyedfatemi N, Rafii F, Rezaei M, Kolcaba K. Comfort and hope in the preanesthesia stage in patients undergoing surgery. Journal of Perianesthesia Nursing. 2014; 29(3):213–20 [persian].
  28. Khaleghi M, Hoseini A. Assessing the Effects of Implementation of Comfort Caring Model on Distress, Pain, and Hemodynamic Parameters of Children with Congenital Heart Disease Following Cardiac Surgery. 2016. p. 1–10 [persian].
  29. Chandra M, Raman K. Application Of Katharine Kolcaba Comfort Theory In Post-Operative Child: Delivering Integrative Comfort Care Intervention By Using The Theory Of Comfort-A Case Study Of A 5 Years Old Child Admitted In Picu With Laparotomy Experiencing Post-Operative Discomfort. Int J Sci Res. 2016; 5(6): 1714-20.
  30. Aksoy Derya Y, Pasinlioğlu T. The Effect of Nursing Care Based on Comfort Theory on Women’s Postpartum Comfort Levels after Cesarean Sections. International Journal of Nursing Knowledge. 2017; 28(3):138–44.

31.Kain ZN, Mayes LC, Cicchetti DV, Bagnall AL, Finley JD,
Hofstadter MB. The Yale Preoperative Anxiety Scale. Anesth
Analg. 1997; 85(4):783-8.

  1. Wilson L, Kolcaba K. Practical application of comfort theory in the perianesthesia setting. Journal of Perianesthesia Nursing. 2004; 19(3):164–73.
  2. Kolcaba, K. (2003). Comfort theory and practice. A vision for holistic care and research. New York: Springer Publishing Company.
  3. Dimarco KK, Kolcaba K. Comfort theory and its application to pediatric nursing. Journal of Pediatric Nursing. 2005; 31(3):187–94.
  4. Bergström A, Håkansson Å, Stomberg MW, Bjerså K. Comfort Theory in Practice—Nurse Anesthetists’ Comfort Measures and Interventions in a Preoperative Context. Journal of Perianesthesia Nursing. 2018; 33(2):162–71.
  5. Liu M. Observation of Comfort Nursing in Patients with Acute Myocardial Infarction. Journal of Nursing. 2015; 4(3):1.
  6. Aksoy Derya Y, Pasinlioğlu T. The Effect of Nursing Care Based on Comfort Theory on Women’s Postpartum Comfort Levels after Cesarean Sections. International Journal of Nursing Knowledge. 2017; 28(3):138–44.
Journal of Pediatric Perspectives
Volume 11, Issue 2
February 2023
Pages 17346-17357

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