手術を受ける子どもに対する外来・病棟・手術部の看護師が連携したプレパレーションの効果

The purpose of this study is to clarify the efficacy of preparation which children undergoing surgery are performed collaboratively by nurses of outpatient departments, wards, and operation rooms before children are hospitalized. For 28 preschool children who were hospitalized for operation in the children's ward and their parents, we performed a questionnaire survey for their parents'impression of preparation and a participant-observer study for children's response to preparation. Many families were satisfied with explanation of treatment which operation-room nurses performed by doll and subsequently with children's getting to the operation room without getting fussy. In the participation observation by the nurse, most children had received it consenting treatment. Familial members uttered positive opinion as follows; "children could understand the preparation","children did their best", "parents' anxiety was decreased", "parents could offer appropriate support for children". These results suggest that the prehospital preparation in cooperation with each nurse who has different specialities is effective for both children and their parents.
　

本研究の日的は手術を受ける子どもへ外来・病棟・手術部の看護師が連携して実施したプレパレーションの効果を明らかにすることである。対象は手術目的で入院した幼児期の子どもとその親28名で,子どもの反応は参加観察,親には質問紙調査を実施し,得られたデ一夕を分析した。親は子どもの反応では「がんばって手術室に入った」,方法では「手術室看護師による人形を用いた処置の説明」に満足していた。看護師による参加観察では,ほとんどの子どもが,処置を納得して受けていた。親の意見や感想では【子どもが理解しやすい】【子どものがんばり】【親の負担軽減】【子どもへのサポートが容易】など肯定的に捉えていた。以上のことから,外来通院中から実施したプレパレーションは,子どもとその親にも有効であった。