Year 2019, Volume 13 , Issue 4, Pages 283 - 291 2019-07-30

A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings

İrem Erdem Atak [1] , UTKU BEYAZIT [2] , Gönül TAŞÇIOĞLU [3] , Aynur BÜTÜN AYHAN [4]


Objective: Sickness and hospitalization may have negative influences on the development and psychological status of children. It is important to understand children’s perceptions of sickness and hospital in order to reduce and eliminate the negative effects of hospitalization experiences on the psychological well-being of the children. From this perspective, the aim of this study was to examine the hospitalized children’s psychological status and their perceptions of hospital and sickness.

Material and Methods: The study was based on a both descriptive and content analysis approach. The study group consisted of 31 children between the ages of 5 and 16 years who were recruited from a public hospital in North Cyprus. The children’s experiences were examined through their family and hospital drawings and draw-and-tell interviews.

Results: Anxiety, depression, and the representation of the hospital as unsafe, need for a well-structured environment, problems with social relations, difficulties with holding onto life and lack of quality in the drawings were found to be the common findings in the drawings. When the drawings of each child were evaluated individually, it was found that regression increases in the hospital drawings.

Conclusion: The findings of this study may be helpful in understanding the hospitalization experiences from the children’s perspective and might have clinical implications for practice in terms of supporting children in the hospitalization process.

Psychological status, hospitalized children, perceptions of hospital
  • 1. Wennstreom B, Teornhage C, Hedelin H, Nasic S, Bergh I. Child drawings and salivary cortisol in children undergoing preoperative procedures associated with day surgery. Journal of PeriAnesthesia Nursing 2013; 28(6): 361-367.2. Keene N, Prentice R. Your child in the hospital. U.S.A: O’Reilly & Associates, Inc, 1999.3. Vessey, J A. Children's psychological responses to hospitalization. Annual Review of Nursing Research 2003; 21(1): 173-201.4. Aujoulat I, Simonelli F, Deccache A. Health promotion needs of children and adolescents in hospitals: A review. Patient Education and Counseling 2006; 61: 23–32.5. Chesson R A, Good M, Hart C. Will it hurt? Patients' experience of X-ray examinations: A pilot study. Pediatric Radiology 2002; 32(1): 67-73.6. Atay G, Eras Z, & Ertem İ. Developmental support of children during their hospitalizations. Journal of Child 2011; 11(1): 1-4.7. Coyne I. Children's experience of hospitalization. Journal of Child Health Care 2006; 10: 326–336.8. Brewer S, Gleditsch S, Syblik D. Tietjens M, Vacik H. Pediatric anxiety: Child life intervention in day surgery. Journal of Pediatric Nursing 2006; 21(1): 13-22.9. Small L, Melnyk B. Early predictors of post-hospital adjustment problems in critically ill young children. Research in Nursing & Health 2006; 29: 622–635.10. Bennett D S. Depression among children with chronic medical problems: A meta-analysis. Journal of Pediatric Psychology 1994; 19(2): 149–169.11. Foster R, Park J. An integrative review of literature examining psychometric properties of instruments measuring anxiety or fear in hospitalized children. Pain Management Nursing 2012; 13(2): 94-106. 12. Salmela M, Salantera S, Aronen E T. Coping with hospital related fears: experiences of pre-school-aged children. Journal of Advanced Nursing 2010; 66(6): 1222–1231.13. Rennick J, Johnston C R N, Dougherty G, Platt R, Ritchie J. Children’s Psychological Responses After Critical Illness and Exposure to Invasive Technology. Journal of Developmental & Behavioral Pediatrics 2002; 23(3): 133-144. 14. Köçkar Ç, Gürol A. Anxiety, aggression and self-esteem analysis through pictures in children with cancer. Journal of F.N. Hem 2013; 21(1): 33-39. 15. Şen Beytut D, Bolışık B, Solak U, Seyfioğlu U. An examination of the effects of hospitalization on children through projective drawings. Journal of Maltepe University Nursery Science and Art 2009; 2(3): 35-44.16. Meijer S A, Sinnema G, Bijstra J, Mellenbergh G, Wolters W H G. Coping styles and locus of control as predictors for psychological adjustment of adolescents with a chronic illness. Social Science & Medicine, 2002; 54(9): 1453-1461.17. Petrillo M, Sanger S. Emotional care of the hospitalized child. 2nd ed. U.S.A.: Lippincott Company, 1980.18. Beyazıt U, Bütün Ayhan, A. Hasta Çocukların ruhsal özellikleri ve hasta çocuğa yaklaşım. In Hasta Çocukların Gelişimi ve Eğitimi. Eskişehir: Anadolu Üniversitesi Yayınları, 2015: 60-78. 19. Mash E, Wolfe D. Abnormal Child Psychology. 3rd ed. U.S.A.: Wodsworth Learning, 2007.20. Karaaslan T, Beyazıt U, Bütün Ayhan A. Gelişimsel dönemler açısından hasta çocuklar ve hastane ortamının düzenlenmesi. In A Hasta Çocukların Gelişimi ve Eğitimi. Eskişehir: Anadolu Üniversitesi Yayınları, 2015: 26-56. 21. Karabekiroğlu K. Çocuğuma nasıl davranmalıyım. İstanbul: Say Yayınları, 2011. 22. Zeev N K, Mayes L C, Caramico L A. Preoperative preparation in children: A cross-sectional study. Journal of Clinical Anesthesia 1996; 8: 508-514. 23. Luborsky L, Diguer L, Luborsky E., McLellan A T, Woody G, Alexander L. Psychological health-sickness (PHS) as a predictor of outcomes in dynamic and other psychotherapies. Journal of Consulting and Clinical Psychology 1993; 61(4): 542-548.24. Eminson D M. Somatising in children and adolescents. Clinical presentations and aetiological factors. Advances in Psychiatric Treatment 2001; 7(4): 266-274.25. Malchiodi C A. Understanding Children’s Drawings. New York: Guilford Publications, 1998.26. Landsdown R. More Than Sympathy. The Everyday Needs of Sick and Handicapped Children and Their Families. London: Tavistock Publications, 1980.27. Lerwick J L. Psychosocial implications of pediatric surgical hospitalization. Seminars in Pediatric Surgery 2013; 22: 129-133.28. Kortesluoma R, Punamäki R, Nikkonen M. Hospitalized children drawing their pain: the contents and cognitive and emotional characteristics of pain drawings. Journal of Child Health Care 2008; 12(4): 284-300. 29. Coyne I, Kirwan L. Ascertaining children’s wishes and feelings about hospital life. Journal of Child Health Care 2012; 16(3): 293–304.30. Corsano P, Majorano M, Vignola V, Cardinale E, Izzi G, Nuzzo M J. Hospitalized children’s representations of their relationship with nurses and doctors. Journal of Child Health Care 2012; 17(3): 294-304.31. Metin Aslan Ö, Üstün E. Sytles and actions in kinetic family drawing test. The Journal of Academic Social Science Studies 2013; 6(4), 599-614.32. Kim J K, Suh J H. Children’s kinetic family drawings and their internalizing problem behaviors. The Arts in Psychotherapy 2013; 40: 206–215.33. Burns-Nader S. Examining children’s healthcare experiences through drawings. Early Child Development and Care 2017; 187(11): 1809–1818.34. Yavuzer H. Resimleriyle çocuk. İstanbul: Remzi Kitabevi, 2013. 35. Withrow R. . The use of color in art therapy. Journal of Humanistic Counseling, Education and Development 2004; 43: 33–40.36. Stuyck K. Art therapy helps children affected by cancer express their emotions. Oncology 2003; 48(12): 1-4.37. Skybo T, Ryan-Wenger N, Su Y. Human figure drawings as a measure of children’s emotional status: Critical review for practice. Journal of Pediatric Nursing 2007; 22(1): 15-28.38. Cherney I D, Seiwert C S, Dickey T M, Flichtbeil J D. Children’s Drawings: A mirror to their minds. Educational Psychology 2006; 26(1): 127-142.39. Hamama L, Ronen T. Children’s drawings as a self-report measurement. Child and Family Social Work 2009; 14: 90–102.40. Merriman B, Guerin S. Using Children’s Drawings as Data in Child-Centred Research. The Irish Journal of Psychology 2006; 27(1-2): 48-57.41. Ortega A N, Huertas S E, Canino G, Ramirez R, Rubio-Stipec M. Childhood Asthma, Chronic Illness, and Psychiatric Disorders. Journal of Nervous & Mental Disease 2002; 190(5): 275-281.42. Colette J. Le Desin De La Famille. Paris: Editions Et Applications Psychologiourd, 2000. 43. Terr L. Oyun çocuklar için neden önemlidir. İstanbul: Literatür yayıncılık, 2000. 44. Dolidze K, Smith E, Tchanturia K. A clinical tool for evaluating emotional well-being: Self-drawings of hospitalized children. Journal of Pediatric Nursing 2013; 28: 470–478.45. Livesley J, Long T. Children’s experiences as hospital in-patients: voice, competence and work. Messages for nursing from a critical ethnographic study. International Journal of Nursing Studies 2013; 50: 1292–1303.46. Sherman-Bien S A, Malcarnei V L, Roesch S, Varni J W, Katz E. R. Quantifying the relationship among hospital design, satisfaction, and psychosocial functioning in a pediatric hematology-oncology inpatient unit. HERD 2011; 4(4): 34–59.47. Utkan M S. Children hospital design in children picture. Procedia - Social and Behavioral Sciences 2012; 51: 110 – 114.48. Alzoubi H H, Al-Rqaibat S A. The effect of hospital design on indoor daylight quality in children section in King Abdullah University Hospital, Jordan. Sustainable Cities and Society 2015; 14: 449-455.49. Baykoç N. Hastanede çocuk ve genç. Ankara: Gazi Kitabevi, 2006. 50. Gültekin G, Baran G. Sickness and child. Family and Society 2005; 7(2): 61-68. 51. Boyd J R, Hunsberger M. Chronically ill children coping with repeated hospitalizations: their perceptions and suggested interventions. Journal of Pediatric Nursing 1998; 13(6): 330-342.
Primary Language en
Subjects General and Internal Medicine
Journal Section ORIGINAL ARTICLES
Authors

Orcid: 0000-0003-1155-8416
Author: İrem Erdem Atak
Institution: Dalya Danışmanlık
Country: Turkey


Orcid: 0000-0001-7334-9586
Author: UTKU BEYAZIT (Primary Author)
Institution: Akdeniz Üniversitesi, Kumluca Sağlık Bilimleri Fakültesi, Çocuk Gelişimi Bölümü, Antalya

Orcid: 0000-0001-7334-9586
Author: Gönül TAŞÇIOĞLU
Institution: Yakın Doğu Üniversitesi, Fen-Edebiyat Fakültesi, Psikoloji Bölümü Girne, KIBRIS

Orcid: 0000-0003-3306-9672
Author: Aynur BÜTÜN AYHAN
Institution: Ankara Üniversitesi Sağlık Bilimleri Fakültesi, Çocuk Gelişimi Bölümü Ankara

Dates

Publication Date : July 30, 2019

Bibtex @research article { tchd518412, journal = {Türkiye Çocuk Hastalıkları Dergisi}, issn = {1307-4490}, eissn = {2148-3566}, address = {Şehit Ömer Halisdemir Cad. Kurtdereli Sok. No:10 ANKARA}, publisher = {Sağlık Bilimleri Üniversitesi}, year = {2019}, volume = {13}, pages = {283 - 291}, doi = {10.12956/tchd.518412}, title = {A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings}, key = {cite}, author = {Erdem Atak, İrem and BEYAZIT, UTKU and TAŞÇIOĞLU, Gönül and BÜTÜN AYHAN, Aynur} }
APA Erdem Atak, İ , BEYAZIT, U , TAŞÇIOĞLU, G , BÜTÜN AYHAN, A . (2019). A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings. Türkiye Çocuk Hastalıkları Dergisi , 13 (4) , 283-291 . DOI: 10.12956/tchd.518412
MLA Erdem Atak, İ , BEYAZIT, U , TAŞÇIOĞLU, G , BÜTÜN AYHAN, A . "A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings". Türkiye Çocuk Hastalıkları Dergisi 13 (2019 ): 283-291 <https://dergipark.org.tr/en/pub/tchd/issue/47759/518412>
Chicago Erdem Atak, İ , BEYAZIT, U , TAŞÇIOĞLU, G , BÜTÜN AYHAN, A . "A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings". Türkiye Çocuk Hastalıkları Dergisi 13 (2019 ): 283-291
RIS TY - JOUR T1 - A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings AU - İrem Erdem Atak , UTKU BEYAZIT , Gönül TAŞÇIOĞLU , Aynur BÜTÜN AYHAN Y1 - 2019 PY - 2019 N1 - doi: 10.12956/tchd.518412 DO - 10.12956/tchd.518412 T2 - Türkiye Çocuk Hastalıkları Dergisi JF - Journal JO - JOR SP - 283 EP - 291 VL - 13 IS - 4 SN - 1307-4490-2148-3566 M3 - doi: 10.12956/tchd.518412 UR - https://doi.org/10.12956/tchd.518412 Y2 - 2019 ER -
EndNote %0 Türkiye Çocuk Hastalıkları Dergisi A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings %A İrem Erdem Atak , UTKU BEYAZIT , Gönül TAŞÇIOĞLU , Aynur BÜTÜN AYHAN %T A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings %D 2019 %J Türkiye Çocuk Hastalıkları Dergisi %P 1307-4490-2148-3566 %V 13 %N 4 %R doi: 10.12956/tchd.518412 %U 10.12956/tchd.518412
ISNAD Erdem Atak, İrem , BEYAZIT, UTKU , TAŞÇIOĞLU, Gönül , BÜTÜN AYHAN, Aynur . "A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings". Türkiye Çocuk Hastalıkları Dergisi 13 / 4 (July 2019): 283-291 . https://doi.org/10.12956/tchd.518412
AMA Erdem Atak İ , BEYAZIT U , TAŞÇIOĞLU G , BÜTÜN AYHAN A . A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings. Türkiye Çocuk Hast Derg. 2019; 13(4): 283-291.
Vancouver Erdem Atak İ , BEYAZIT U , TAŞÇIOĞLU G , BÜTÜN AYHAN A . A Study on the Psychological Status of Hospitalized Children and Their Perceptions of Hospital and Sickness Through Drawings. Türkiye Çocuk Hastalıkları Dergisi. 2019; 13(4): 291-283.