Qualitative and Systemic Assessment of a Nurse Intervention an Inpatient Child and His or Her Parents (EVALINF)
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|ClinicalTrials.gov Identifier: NCT03977948|
Recruitment Status : Active, not recruiting
First Posted : June 6, 2019
Last Update Posted : June 10, 2019
|Condition or disease||Intervention/treatment|
|Anxiety State Surgery Pediatric Disorder||Other: semi-structured systemic interview|
The hospitalization of a child for surgery is a major event that can disrupt a family's life. Indeed, whatever the degree of severity and type of pathology that leads to hospitalization, a stay in hospital is often synonymous with stress and fear, both for the child and for parents. A lack of knowledge of care procedures, the feeling of not being able to control the situation and a lack of explanations in terms adapted to their age are all factors that contribute to the vulnerability of children hospitalized for surgery.
Preoperative anxiety can be defined as an overflow of the child's ability to cope with stress, induced by the fear of surgery. Significant preoperative anxiety could increase the risk of post-operative complications and promote emotional and behavioural disorders such as: insecurity, guilt, anger, anger, regression, withdrawal or rebellion, it could also have the effect of limiting the child's ability to cope with surgery, encouraging negative behaviours related to health care, but also inhibiting post-operative recovery. These behavioural disorders induced by preoperative anxiety may persist once hospitalization is completed and the family returns home. In addition, if the operating experience is negative, the child may develop separation anxiety or even phobia following surgery and in extreme cases acute stress or even post-traumatic stress. The risk for the child to develop one of these disorders following surgery is increased by the frequency and duration of the anxiety episodes to which he or she will be subjected.
Parents of children hospitalized for surgery would also experience very high stress, related to their perception of their child's state of health, apprehension of invasive treatments, as well as fear of sequelae that could be caused by certain invasive treatments or because of their child's pathology. It is therefore important, during hospitalization and surgery, to take into consideration the anxiety of the child, but also of his or her parents, and to consider how best to manage this anxiety in order to prevent complications.
|Study Type :||Observational|
|Actual Enrollment :||10 participants|
|Official Title:||Qualitative and Systemic Assessment of a Family Health Nurse Intervention Through Play, Which Aims to Prepare an Inpatient Child and His or Her Parents for Heart Surgery|
|Actual Study Start Date :||October 16, 2018|
|Actual Primary Completion Date :||April 15, 2019|
|Estimated Study Completion Date :||August 31, 2019|
- Other: semi-structured systemic interview
Semi-structured systemic interviews will be conducted with families who have benefited from the preparation for surgery through play. Other tools such as the logbook and the socio-demographic questionnaire will also be used. The themes that will emerge from these interviews will provide a better understanding of what these families are going through, how the proposed intervention may or may not have met their expectations, and provide insights so that health care services can build their own surgical preparation programs.
- Questionnaire [ Time Frame: 1 day ]parents' feelings about the nurse's preparation : Advantages and disadvantages, open-ended question, Questionnaire
- Questionnaire [ Time Frame: 1 day ]children's feelings about the nurse's preparation : Advantages and disadvantage, open-ended question, Questionnaire
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT03977948
|Hôpital Marie Lannelongue|
|Le Plessis Robinson, France, 92350|