Psychosocial Problems and Unfulfilled Care Needs of Hospitalized Children as Perceived by Their Parents

Year 2020, Volume: 6 Issue: 1, 83 - 91, 30.04.2020

Oya Sevcan Orak , Ercan Tunç , İnci İren Merve Aksöz

https://doi.org/10.19127/mbsjohs.704478

Cited By: 1

Abstract

Objective: The objective of this study was to determine psychosocial problems and care needs of hospitalized children as perceived by their parents.
Methods: This descriptive study was performed with parents of 124 children receiving treatment in pediatric clinics of a university hospital. Data were gathered with Descriptive Characteristics Form for Parents and Children and Research Information Form.
Results: Of all the parents included in the study, 65,3% reported being anxious, 62,1% reported being unhappy, 46% reported their children were anxious, 42,7% reported their children experienced problems with their eating habits and 41,9% reported their children continuously cried. 56,5% of the parents revealed the nurses were not available, 58,9% revealed their informed consent was not obtained before the procedures, 66,9% revealed they were not listened effectively, 72,6% revealed their children’s consent was not obtained before the procedures, 77,4% revealed their children were not allowed to express their opinions and 82,3% revealed their children were not listened effectively.
Conclusion: The parents were found to have such psychosocial problems as anxiety, unhappiness, continuously wanting to cry, fear and despair and their children were found to have such psychosocial problems as anxiety, problems with eating habits, continuously crying and fear. In addition, both parents and children had insufficiently fulfilled psychosocial needs concerning informed consent, effective listening and expressing their opinions.

Keywords

Child, Parents, Nursing, Psychosocial problems, Care needs

References

• Ahhmann E. New Guidance Materials Promote Family Centered Change in Health Care Institutions. Pediatric Nursing Journal 2001; 27(2): 173-175.
• Akkavak DT, Karabudak SS. Hastanede Yatan Okul Çağı Çocukların Hemşireyi ve Hastaneyi Algılama Durumlarının İncelenmesi. DEUHFED 2019; 12(1): 46-56. Arikan D, Saban F, Gurarslan Bas N. Hospital and Health Care Satisfaction Levels of The Parents Whose Children Stay in Hospital. Behcet Uz Cocuk Hast Derg. 2014; 4(2): 109-16.
• Arikan D, Tufekci FG, Tastekin A. Problems and Expectations of Hospital Attendants and Relationship with Their Problem-Solving Levels of in Pediatrics Clinics. Journal of Anatolia Nursing and Health Sciences 2007; 10(2): 49-57.
• Arslan E, Arikan D, Kazaz R. Erişkinlerin Çocuk Olma ve Çocukluğunu Yaşama Konusundaki Düşünceleri. 4th National Pediatric Nursing Congress; May, 22-25, Adıyaman-Turkey. 2013. p. 99.
• Atay G, Eras Z, Ertem İ. Developmental Support of Children During Their Hospitalizations. J Child 2011; 11(1): 1-4.
• Aykanat B, Gozen D. Family Centered Care Approach in Child Health Nursing. Gümüşhane University Journal of Health Sciences 2014; 3(1): 683-95.
• Basbakkal Z, Sonmez S, Celasin NS, Esenay F. Determination of Behavioral Reactions of A Child Of 3-6 Ages Group To Be Hospitalized Due To An Acute Illness. Journal of Human Sciences 2010; 7(1): 456-68.
• Beyazit U. The Examination of Care Giving Burden of Parents Who Have Children Being Treated At The Hospital. Adnan Menderes University Journal of Health Sciences Faculty 2017; 1(1): 10-9.
• Boztepe H, Cavusoglu H. Examination of a Family Centered Care Practice at the Children’s Units of a University Hospital. Hacettepe University Faculty of Health Sciences Nursing Journal 2009; 16(1): 11-24.
• Cakan P, Sezer O. A study on the Attitudes, Anxiety and Demographics Variables of Mothers Having A Child With Diagnosed Chronic Illness. Fırat University Journal of Social Science 2010; 20(2): 161-80.
• Celebi A, Aytekin A, Kucukoglu S, Celebioglu A. Hospitalized Children And Play. Behcet Uz Cocuk Hast Derg. 2015; 5(3): 156-60.
• Commodari E. Children Staying in Hospital: A Research on Psychological Stress of Caregivers. Italian Journal of Pediatrics 2010; 36(1): 40.
• Cooper L, Gooding JS, Gallagher J, Sternesky L, Ledsky R, Berns SD. Impact of A Family-Centered Care Initiative on NICU Care, Staff and Families. J Perinatol 2007; 27:32-7. Coyne I. Children's Experiences of Hospitalization. Journal of Child Health Care 2006; 10(4): 326-36.
• Davidson JE. Guidelines for Family-Centered Care in The Neonatal, Pediatric, and Adult ICU. Critical Care Medicine. 2017; 45(1):103–128.
• Dunst C.J, Trivette C.M, Hamby D.W. Meta-analysis of Family-Centered Help Giving Practices Research. Ment. Retard. Dev. Disabil. Res. Rev. 2007;13(4):370-378.
• Er M. Child, Illness, Parent Siblings. Journal of Pediatrics and Diseases 2006; 49(2): 155-68.
• Erdim L, Bozkurt G, İnal S. The Research of Affected Situation of Mothers Whom Children in Hospital. Journal of Atatürk University School of Nursing 2006; 9(3): 36-43.
• Gonener D, Gorak G. The Interaction Between The Informing Situation of The School Age Group Children About The Hospital And Their Illness, And Their Anxiety Reasons. Gaziantep Medical Journal 2009; 15(1): 41-8.
• Gonener D, Pek H. Improvement of “Parent Anxiety Resources Scale’’ Under Conditions of Disease and Hospitalization of School Age Children and Influence Over “Children Anxiety Resources’’. Gaziantep Medical Journal 2009; 15(1): 31-40.
• Gultekin G, Baran G. Disease and Child. Family and Society. 2005; 2(9).
• Gunay O, Sevinc N, Arslantas EE. State and Trait Anxiety Levels Among Mothers of Inpatient Children and Related Factors. Turk J Public Health 2017; 15(3): 176-86.
• Gunduz S, Yuksel S, Aydeniz GE, Aydogan RN, Turksoy H, Dikme İB et al. Factors influencing hospital phobia in children. Çocuk Sağlığı ve Hastalıkları Dergisi 2016; 59(4): 161-8.
• Inal S, Akgun M. Therapeutic Communication of Hospitalization Child. Journal of Atatürk University School of Nursing 2003; 6(2): 67-76.
• Kostak MA, Kocaaslan E, Bilsel A, Mutlu A. Determination of Sleep Habits in Children Aged 3-6 Years. HSP 2016; 3(1): 123-32.
• Longhi E, Pickett N, Hargreaves DJ. Wellbeing and Hospitalized Children: Can Music Help? Psychology of Music 2015; 43(2): 188-96.
• Lye PS. Physicians' Roles in Coordinating Care of Hospitalized Children. Pediatrics 2010; 126(4): 829-32.
• Ocakçı A.F (ed.), Ocakçı A.F. Family-Centered Nursing Care: Child's Family-Centered Care. 1. Baskı. Dokel Matbaası, Zonguldak 2006; 8-27.
• Oflaz F, Vural H. Evaluation of Inpatients Depression and Anxiety Symptoms and Related. S.D.Ü. Med J SDU 2010; 17(1): 1-7.
• Oktay H. Examination of a Family centered care practice at the children’s units of a university hospital. Hacettepe Universitesi Saglık Bilimleri Fakültesi Hemşirelik Dergisi 2009;16(1):11–24.
• Pena AL, Cibanal JL. The Experience of Hospitalized Children Regarding Their Interactions With Nursing Professionals. Revistalatino-Americana De Enfermagem 2011; 19(6): 1429-36.
• Sen-Beytut D, Bolisik B, Solak U, Seyfioglu U. A Study of The Influences of Hospitalization on Children Through Drawing As A Projective Method. Journal of Maltepe University Nursing Science and Art 2009; 2(3): 35-44.
• Sener DK, Karaca A. Mutual Expectations of Mothers of Hospitalized Children and Pediatric Nurses Who Provided Care: Qualitative Study. Journal of pediatric nursing. 2017; 34:22-8.
• Tehrani TH, Haghighi M, Bazmamoun H. Effects of Stress on Mothers of Hospitalized Children in A Hospital in Iran. Iranian Journal of Child Neurology 2012; 6(4): 39. Teksoz E, Ocakcı AF. The Practice of Art in Pediatric Nursing. DEUHYO ED 2014; 7(2): 119-23.
• Tosun A, Tufekci FG. The Examination of Family Centered Care Practices in Pediatric Clinics. Journal of Anatolia Nursing and Health Sciences 2015; 18(2): 131-9.
• Turan T, Çetinkaya B, Ceylan SS, Altundağ S. Response of Mothers Remaining at the Pediatric Clinics of Denizli to Hospitalization and Affecting Factors. Milli Pediatri-6. Milli Cocuk Hemşireligi Kongre Kitapçıgı. 2006; Antalya, 8-12.
• Ustun G, Ersan E, Kelleci M, Turgut H. Evaluation of The Psychosocial Symptoms by Several Variables in The Hospitalized Children. Cumhuriyet Med J 2014; 36(1): 25-33.