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Prof. Madiha Hassan Bayoumi :: Publications:

Title:
Effect of Implementing Continuous Care Model on Psychological Outcomes in Children undergoing Abdominal Surgery and Mother's Anxiety Level
Authors: 1Amal Gharib Sabaq, 2Basma Rabie Abdelsadik, 3Madiha Hassan Bayoumi
Year: 2020
Keywords: Abdominal surgery, anxiety level, continuous care model, children, psychological outcomes and mothers.
Journal: International Journal of Novel Research in Healthcare and Nursing
Volume: 7
Issue: 1
Pages: 235-249
Publisher: Madiha Hassan Bayoumi
Local/International: International
Paper Link:
Full paper Madiha Hassan Bayoumi_Effect of Implementing Continuous paper.pdf
Supplementary materials Madiha Hassan Bayoumi_Effect of Implementing Continuous paper.pdf
Abstract:

Surgical operation can lead to emotional distress for both children and their families that persists for a long time after discharge. This distress is commonly reflected as anxiety and fear. Through continuous care model, children's anxiety and fear can be decreased. Aim of the study was to evaluate the effect of implementing continuous care model on psychological outcomes in children undergoing abdominal surgery and mother's anxiety level. Setting: This study was conducted at the surgical pediatric unit at Benha Specialized Pediatric Hospital affiliated to the Ministry of Health. Design: A quasi experimental design was utilized for conducting the current study. Subjects: 100 children accompanying their mothers were selected purposively and divided equally into study and control groups. Tools of data collection: Four tools were used: Personal and medical assessment sheet, children's fear scale, visual facial anxiety scale and Spielberger state anxiety inventory. Results: The results of this study showed that 56% and 68% of children in the study group had significantly mild fear after 1 week, and 1 month of implementation of the care model compared to 26% and 22% in the control ones (P< 0.000). Meanwhile, about more than half (52%) and more than two thirds (70%) of children in the study group experienced mild level of anxiety after 1 week and 1 month of implementation of the care model compared to less than one quarter (16% and 12% respectively) of the control ones. Besides, majority of mothers in the study group reported significantly mild anxiety level after one week and one month of implementation of the care model compared to the control ones (p˂0.000).Conclusion: The current study concluded that the continuous care model was efficient in decreasing the level of anxiety and fear among children undergoing abdominal surgery as well as mother's anxiety level. Recommendation: Implement continuous care model in surgical pediatric units which will help children along with their mothers feel empowered and this will alleviate the risk of anxiety and fear. Future research is suggested to compare the differences between continuous care model and other intervention

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