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Development of Nursing Care Model with Play Program for Preschool Children Receiving Treatment and Procedure in Hospital

Research Project

Project/Area Number 14572264
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Clinical nursing
Research InstitutionHirosaki University

Principal Investigator

SAITO Mikiko  Hirosaki University, School of Medicine, Instructor, 医学部, 助手 (40312508)

Co-Investigator(Kenkyū-buntansha) ICHINOHE Tomoko  Hirosaki University, School of Medicine, Professor, 医学部, 教授 (10110412)
OGURA Noriko  Hirosaki University, School of Medicine, Instructor, 医学部, 助手 (20281941)
TAKANASHI Kazuhiko  Wayo Women's University, School of Humanities, Professor, 人文学部, 教授 (80197110)
Project Period (FY) 2002 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥2,700,000 (Direct Cost: ¥2,700,000)
Fiscal Year 2004: ¥500,000 (Direct Cost: ¥500,000)
Fiscal Year 2003: ¥1,000,000 (Direct Cost: ¥1,000,000)
Fiscal Year 2002: ¥1,200,000 (Direct Cost: ¥1,200,000)
Keywordspreschool children / play program / pediatric nursing / treatment / stress / hospitalization / 遊び / プログラム / 子ども / プリパレーション / 病院環境 / 医療処置 / 検査 / 入院生活 / 看護介入
Research Abstract

The present research project focused on the therapeutic function of children's play. The aim of the project was to develop a nursing intervention model utilizing play for hospitalized children who experience considerable stress due to treatment or procedures. This research project comprised a review of literature regarding hospitalized childrens play a cross-country survey of hospitals with pediatric wards and more than 400 beds, and the implementation of a play program for 5 preschool children in hospital. As a result the following findings were obtained.
1.Survey results indicated that 73.9% of the hospitals decorated the procedure room to attract children's attention and 64.5% prepared toys for distracting children during procedures. In addition. more than half of the nursing staff often made children hold their favorite toy during procedures and created something attractive to draw the child's attention to a nurse or a nurse's clothing. However, nursing staff rarely utilized therape … More utic play to promote children's understanding of treatment and/or procedures. or to reduce their anxiety and fear. The meaning of the term "preparation" was perceived by most nurses as "clearly explaining treatment and/or procedures to a child using a doll or a picture book". or "receiving consent from the child". Therefore, "preparation" was primarily considered to be a means of demonstration to a child.
2.During participant observation, physical examination. blood pressure and temperature measurement. injection, and suppository insertion were often observed as the themes of imitative play among preschool children in hospital. Furthermore, following unpleasant procedures. repetition of the same procedure with a stuffed toy or while playing with clay also frequently appeared. These observations suggest that children release their negative emotions through such play.
Each of the 5 children received a 10-week therapeutic play intervention addressing their stress. The results indicated that among children who had difficulty adapting because of distress and fear of the medical procedure or as a result of being in an unfamiliar situation. emotional expression was encouraged : consequently adaptation to the hospital environment was promoted. Less

Report

(4 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • 2002 Annual Research Report
  • Research Products

    (3 results)

All 2004

All Journal Article (3 results)

  • [Journal Article] 入院中の子どもの遊び環境と援助の実態2004

    • Author(s)
      齋藤美紀子
    • Journal Title

      日本小児看護学会第14回学術集会講演集

      Pages: 256-257

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] プリパレーションに対する看護師の認識とその実施状況2004

    • Author(s)
      小倉能理子
    • Journal Title

      第51回日本小児保健学会 講演集

      Pages: 200-201

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 入院中の子どもの遊びの援助に関する調査2004

    • Author(s)
      高梨一彦
    • Journal Title

      第51回日本小児保健学会 講演集

      Pages: 210-211

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary

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Published: 2002-04-01   Modified: 2016-04-21  

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