Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

An Educational Booklet Diminishes Anxiety in Parents Whose Children Receive Total Parenteral Nutrition

An Educational Booklet Diminishes Anxiety in Parents Whose Children Receive Total Parenteral... Abstract • A major cause of anxiety in parents of hospitalized children is insufficient information about hospital procedures. In an effort to determine the extent to which parental anxiety could be diminished and knowledge and satisfaction enhanced in regard to total parenteral nutrition (TPN), we developed a booklet that describes the mechanics of TPN administration and related procedures. When informal discussions were held between parents and members of the nutritional support team during four alternating periods (every five to six months), parents of first-time recipients of TPN either did not receive the booklet (period 1, n = 20; period 3, n = 30) or received it (period 2, n =23; period 4, n = 27). Within one week of TPN initiation, parents in both groups completed the Spielberger State-Trait anxiety scale, an attitude questionnaire, and a quiz on TPN. No differences between groups were found in ethnic background, socioeconomic status, severity of illness, age of children, or route of TPN administration. Predisposition to anxiety was also similar between the groups. In contrast, acute situational anxiety was significantly greater in the group with no booklet than in the booklet group. Parents in the no-booklet group demonstrated less comfort in the care of their children and less knowledge about TPN than did the booklet group. Written information provided to parents decreased their anxiety and increased satisfaction with patient care more successfully than did verbal communication. Such a booklet may reduce parentally induced anxiety in the child and facilitate parent-hospital staff interactions. (AJDC 1989;143:374-377) References 1. Bayer LM: Psychosocial responses of adult patients to nutritional support . Nutr Support Serv 1984;4:40-43. 2. May R: The Meaning of Anxiety , ed 2. New York, WW Norton & Co Inc, 1977. 3. Travelbee J: Interpersonal Aspects of Nursing . Philadelphia, FA Davis Co, 1973. 4. Neylan M: Anxiety . Am J Nurs 1962;62: 110-111. 5. Skipper JK, Leonard RC, Rhymes J: Child hospitalization and social interaction . Med Care 1968;6:496-506.Crossref 6. Smitherman CH: Parents of hospitalized children have needs, too . Am J Nurs 1979;79:1423-1424.Crossref 7. Bright F: The pediatric nurse and parental anxiety . Nurs Forum 1965;4:31-47.Crossref 8. Mason E: The hospitalized child: His emotional needs . N Engl J Med 1965;272:406-414.Crossref 9. Condon SR: Daytime hospital for children . Am J Nurs 1972;72:1431-1433. 10. Frieburg KH: How parents react when their child is hospitalized . Am J Nurs 1972;72:1270-1272. 11. Wolfer JA, Visintainer MA: Pediatric surgical patients' and parents' stress responses and adjustment as a function of psychologic preparation and stress-point nursing care . Nurs Res 1975; 24:244-255.Crossref 12. Kendall PC: Anxiety: States, traits-situations? J Consult Clin Psychol 1978;46:280-287.Crossref 13. Spielberger CD, Barker LR, Donham GW, et al: The factor structure of the state-trait anxiety inventory , in Sarason IG, Spielberger CD (eds): Stress and Anxiety . Washington, DC, Hemisphere Publishing Co, 1980, pp 95-109. 14. Spielberger CD: Manual for the State Trait Anxiety Inventory . Palo Alto, Calif, Consulting Psychologists Press, 1983. 15. SPSS Users Guide , ed 2. New York, McGraw-Hill International Book Co, 1986. 16. Gofman H, Buckman W, Schade GH: Parents' emotional response to child's hospitalization . AJDC 1957;93:629-636. 17. Korsch BM: Psychologic principles in pediatric practice: The pediatrician and the sick child , in Levine SZ (ed): Advances in Pediatrics . Chicago, Year Book Medical Publishers Inc, 1958, pp 11-25. 18. Blom GE: The reactions of hospitalized children to illness . Pediatrics 1958;22:590-600. 19. Goshman B, Yunck M: Dealing with the threats of hospitalization . Pediatr Nurs , (September) , 1979, pp 32-35. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

An Educational Booklet Diminishes Anxiety in Parents Whose Children Receive Total Parenteral Nutrition

Loading next page...
 
/lp/american-medical-association/an-educational-booklet-diminishes-anxiety-in-parents-whose-children-bKEXmOqOJH

References (21)

Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1989.02150150136033
Publisher site
See Article on Publisher Site

Abstract

Abstract • A major cause of anxiety in parents of hospitalized children is insufficient information about hospital procedures. In an effort to determine the extent to which parental anxiety could be diminished and knowledge and satisfaction enhanced in regard to total parenteral nutrition (TPN), we developed a booklet that describes the mechanics of TPN administration and related procedures. When informal discussions were held between parents and members of the nutritional support team during four alternating periods (every five to six months), parents of first-time recipients of TPN either did not receive the booklet (period 1, n = 20; period 3, n = 30) or received it (period 2, n =23; period 4, n = 27). Within one week of TPN initiation, parents in both groups completed the Spielberger State-Trait anxiety scale, an attitude questionnaire, and a quiz on TPN. No differences between groups were found in ethnic background, socioeconomic status, severity of illness, age of children, or route of TPN administration. Predisposition to anxiety was also similar between the groups. In contrast, acute situational anxiety was significantly greater in the group with no booklet than in the booklet group. Parents in the no-booklet group demonstrated less comfort in the care of their children and less knowledge about TPN than did the booklet group. Written information provided to parents decreased their anxiety and increased satisfaction with patient care more successfully than did verbal communication. Such a booklet may reduce parentally induced anxiety in the child and facilitate parent-hospital staff interactions. (AJDC 1989;143:374-377) References 1. Bayer LM: Psychosocial responses of adult patients to nutritional support . Nutr Support Serv 1984;4:40-43. 2. May R: The Meaning of Anxiety , ed 2. New York, WW Norton & Co Inc, 1977. 3. Travelbee J: Interpersonal Aspects of Nursing . Philadelphia, FA Davis Co, 1973. 4. Neylan M: Anxiety . Am J Nurs 1962;62: 110-111. 5. Skipper JK, Leonard RC, Rhymes J: Child hospitalization and social interaction . Med Care 1968;6:496-506.Crossref 6. Smitherman CH: Parents of hospitalized children have needs, too . Am J Nurs 1979;79:1423-1424.Crossref 7. Bright F: The pediatric nurse and parental anxiety . Nurs Forum 1965;4:31-47.Crossref 8. Mason E: The hospitalized child: His emotional needs . N Engl J Med 1965;272:406-414.Crossref 9. Condon SR: Daytime hospital for children . Am J Nurs 1972;72:1431-1433. 10. Frieburg KH: How parents react when their child is hospitalized . Am J Nurs 1972;72:1270-1272. 11. Wolfer JA, Visintainer MA: Pediatric surgical patients' and parents' stress responses and adjustment as a function of psychologic preparation and stress-point nursing care . Nurs Res 1975; 24:244-255.Crossref 12. Kendall PC: Anxiety: States, traits-situations? J Consult Clin Psychol 1978;46:280-287.Crossref 13. Spielberger CD, Barker LR, Donham GW, et al: The factor structure of the state-trait anxiety inventory , in Sarason IG, Spielberger CD (eds): Stress and Anxiety . Washington, DC, Hemisphere Publishing Co, 1980, pp 95-109. 14. Spielberger CD: Manual for the State Trait Anxiety Inventory . Palo Alto, Calif, Consulting Psychologists Press, 1983. 15. SPSS Users Guide , ed 2. New York, McGraw-Hill International Book Co, 1986. 16. Gofman H, Buckman W, Schade GH: Parents' emotional response to child's hospitalization . AJDC 1957;93:629-636. 17. Korsch BM: Psychologic principles in pediatric practice: The pediatrician and the sick child , in Levine SZ (ed): Advances in Pediatrics . Chicago, Year Book Medical Publishers Inc, 1958, pp 11-25. 18. Blom GE: The reactions of hospitalized children to illness . Pediatrics 1958;22:590-600. 19. Goshman B, Yunck M: Dealing with the threats of hospitalization . Pediatr Nurs , (September) , 1979, pp 32-35.

Journal

American Journal of Diseases of ChildrenAmerican Medical Association

Published: Mar 1, 1989

There are no references for this article.