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Article: Evaluating the effectiveness of preoperative interventions: The appropriateness of using the children's emotional manifestation scale

TitleEvaluating the effectiveness of preoperative interventions: The appropriateness of using the children's emotional manifestation scale
Authors
KeywordsAnxiety
Children
Emotional responses
Nurses
Nursing
Surgery
Issue Date2007
PublisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067
Citation
Journal Of Clinical Nursing, 2007, v. 16 n. 10, p. 1919-1926 How to Cite?
Abstractli hcw (2007) Journal of Clinical Nursing 16, 1919-1926Evaluating the effectiveness of preoperative interventions: the appropriateness of using the children's emotional manifestation scaleAims. This study aimed to compare the effectiveness of two preoperative nursing interventions and examining the appropriateness of using the Children's Emotional Manifestation Scale in evaluating the effectiveness of preoperative interventions. Background. There is some evidence that the Children's Emotional Manifestation Scale can be used as an objective assessment tool in documenting children's emotional responses. However, it is uncertain from previous study that whether the scale can be used in evaluating the effectiveness of preoperative interventions. Design. A randomized controlled trial, between subjects design was carried out in a well-established day surgery unit. Method. Children (7-12 years of age; n = 203) admitted for elective day surgery during a 13-month period, were recruited. By using a simple randomization method, 97 of children were assigned to the experimental group receiving therapeutic play intervention and 106 children were assigned to the control group receiving routine information preparation. Results. Children receiving therapeutic play preparation reported statistically significant lower anxiety levels, fewer negative emotions and lower heart rates and mean arterial blood pressures than children receiving information preparation. Children with high preoperative anxiety levels manifested more negative emotional behaviour during anaesthesia induction and were associated with faster heart rates and higher mean blood pressures. Conclusion. The study demonstrates the appropriateness of using the Children's Emotional Manifestation Scale in evaluating the effectiveness of preoperative nursing interventions and presents clear evidence to support the effectiveness of therapeutic play intervention in preparing children for surgery when compared with the information preparation approach. Relevance to clinical practice. This study contributes towards enriching the experience of using child-sensitive research tools in evaluating the effectiveness of preoperative nursing interventions. The findings heighten the awareness of the importance of integrating therapeutic play as an essential component of holistic and quality nursing care to prepare children for surgery. © 2007 Blackwell Publishing Ltd.
Persistent Identifierhttp://hdl.handle.net/10722/88246
ISSN
2015 Impact Factor: 1.384
2015 SCImago Journal Rankings: 0.755
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLi, HCWen_HK
dc.date.accessioned2010-09-06T09:40:48Z-
dc.date.available2010-09-06T09:40:48Z-
dc.date.issued2007en_HK
dc.identifier.citationJournal Of Clinical Nursing, 2007, v. 16 n. 10, p. 1919-1926en_HK
dc.identifier.issn0962-1067en_HK
dc.identifier.urihttp://hdl.handle.net/10722/88246-
dc.description.abstractli hcw (2007) Journal of Clinical Nursing 16, 1919-1926Evaluating the effectiveness of preoperative interventions: the appropriateness of using the children's emotional manifestation scaleAims. This study aimed to compare the effectiveness of two preoperative nursing interventions and examining the appropriateness of using the Children's Emotional Manifestation Scale in evaluating the effectiveness of preoperative interventions. Background. There is some evidence that the Children's Emotional Manifestation Scale can be used as an objective assessment tool in documenting children's emotional responses. However, it is uncertain from previous study that whether the scale can be used in evaluating the effectiveness of preoperative interventions. Design. A randomized controlled trial, between subjects design was carried out in a well-established day surgery unit. Method. Children (7-12 years of age; n = 203) admitted for elective day surgery during a 13-month period, were recruited. By using a simple randomization method, 97 of children were assigned to the experimental group receiving therapeutic play intervention and 106 children were assigned to the control group receiving routine information preparation. Results. Children receiving therapeutic play preparation reported statistically significant lower anxiety levels, fewer negative emotions and lower heart rates and mean arterial blood pressures than children receiving information preparation. Children with high preoperative anxiety levels manifested more negative emotional behaviour during anaesthesia induction and were associated with faster heart rates and higher mean blood pressures. Conclusion. The study demonstrates the appropriateness of using the Children's Emotional Manifestation Scale in evaluating the effectiveness of preoperative nursing interventions and presents clear evidence to support the effectiveness of therapeutic play intervention in preparing children for surgery when compared with the information preparation approach. Relevance to clinical practice. This study contributes towards enriching the experience of using child-sensitive research tools in evaluating the effectiveness of preoperative nursing interventions. The findings heighten the awareness of the importance of integrating therapeutic play as an essential component of holistic and quality nursing care to prepare children for surgery. © 2007 Blackwell Publishing Ltd.en_HK
dc.languageengen_HK
dc.publisherWiley-Blackwell Publishing Ltd. The Journal's web site is located at http://www.wiley.com/bw/journal.asp?ref=0962-1067en_HK
dc.relation.ispartofJournal of Clinical Nursingen_HK
dc.rightsThe definitive version is available at www3.interscience.wiley.comen_HK
dc.subjectAnxietyen_HK
dc.subjectChildrenen_HK
dc.subjectEmotional responsesen_HK
dc.subjectNursesen_HK
dc.subjectNursingen_HK
dc.subjectSurgeryen_HK
dc.subject.meshAnxiety - diagnosis - physiopathology - prevention and control-
dc.subject.meshChild, Hospitalized - psychology-
dc.subject.meshNursing Assessment - methods-
dc.subject.meshPatient Education as Topic - methods-
dc.subject.meshPlay Therapy - methods-
dc.titleEvaluating the effectiveness of preoperative interventions: The appropriateness of using the children's emotional manifestation scaleen_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0962-1067&volume=16&spage=1919&epage=1926&date=2007&atitle=Evaluating+the+effectiveness+of+preoperative+interventions:+the+appropriateness+of+using+the+Children%27s+Emotional+Manifestation+Scaleen_HK
dc.identifier.emailLi, HCW: william3@hkucc.hku.hken_HK
dc.identifier.authorityLi, HCW=rp00528en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1111/j.1365-2702.2007.01784.xen_HK
dc.identifier.pmid17608635-
dc.identifier.scopuseid_2-s2.0-34548708483en_HK
dc.identifier.hkuros126095en_HK
dc.identifier.hkuros202164-
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-34548708483&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume16en_HK
dc.identifier.issue10en_HK
dc.identifier.spage1919en_HK
dc.identifier.epage1926en_HK
dc.identifier.isiWOS:000249663400015-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridLi, HCW=8973660200en_HK
dc.identifier.citeulike1457589-

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