ppt presentasi 1

8/12/2019 PPT presentasi 1

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EFFECTIVENESS AND

APPROPRIATENESS OF THERAPEUTIC

PLAY INTERVENTION IN PREPARING

CHILDREN FOR SURGERY: A

RANDOMIZED CONTROLLED TRIALSTUDY

By :Thetiya Cica Yudo (462011047)Novitasari Mariyanto (462011048)Marlinda M Raange (462011052)Grace D M Rudjubik (462011053 )


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BACKGROUND

Many anxieties faced byparents and children

performed surgery, andin HONG KONG thisapproach is mostlyfocused on providing

procedural information;the psychological needs

of children and theirparents have seldombeen taken into

consideration

to examine theeffectiveness and

appropriateness of usingtherapeutic play in

preparing children forsurgery.

PURPOSE


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METHODS

Design ParticipantsBy using a simple complete

randomization method,participants were

randomly assigned to theexperimental group,receiving therapeutic play

intervention, and thecontrol group, receiving

routine informationpreparation. The study wascarried out in a well-

established day surgeryunit

criteria were as follows:children should be

between 7 and 12 years ofage, able to speak well,and accompanied by theirparents (either mother orfather) on the preoper-ative assessment day andon the day of surgery


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Interventions

In the control group,children and theirparents received routineinformation interventionon the preoperativeassessment day.In the experimentalgroup, children and theirparents were invited toreceive therapeutic playintervention at around 1week before each childsoperation

The state anxiety level ofthe children wasmeasured by using the

CSAS-C.The state anxiety level ofthe parents wasmeasured by using theChinese version of theState Anxiety Scale forAdults.

MEASURES


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Figure 3. A Child ExploresEquipment in the OperatingTheater.

Figure 4. With Supervision, aChild Return Demonstrates theProcedures on the Doll.


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DATA

COLLECTION

The PPSQ is a scalemeasuring the parentsperceptions and opinionsof the interventionsreceived preoperatively,which covered theappro- priateness,adequacy, relevancy,understanding, and useof preoperativeinformation and skills tohelp their children copewith the stress of surgery

The data collectionlasted for 13 months. Atotal of 203 childrenalong with their parentswere recruited. Theresponse and attritionrates were 88% and 18%,respectively. Of the 203children and parents, 106were randomly assignedto the control group and97 were assigned to theexperimental group.


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RESULTS

DemographicCharacteristic

Experimental (n=97)Frequency (%)

Control (n=106)Frequency (100%)

Age of Children (Years)

7 8 (8,2) 11 (10,4)

8 14 (14,4) 16 (15,1)

9 27 (27,8) 30 (28,3)

10 24 (24.7) 27 (25,5)

11 13 (13,4) 12 (11,3)

12 11 (11,3) 10 (9,4)Gender of Children

Male 67 (69,1) 73 (68,9)

Female 30 (30,9) 33 (31,1)

Table 1. Demographic Data of Participants in theExperimental and Control Groups


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Cont

Parents educationalattainment

Primary 10 (10,3) 9 (8,5)

Lower secondary 46 (47,4) 46 (43,3)

Upper secondary 35 (36,1) 46 (43,3)

Tertiary 6 (6,2) 5 (4,7)

Type of surgery performed

Circumcision 45 (46,4) 42 (39,6)

Herniorrhaphy 18 (18,6) 21 (19,8)Minor eye operation 11 (11,3) 13 (12,3)

Minor ENT operation 8 (8,2) 9 (8,5)

Dental operation 9 (9,3) 13 (12,3)

Minor orthopedic operation 6 (6,2) 8 (7,5)


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CONCLUSION

Children who received therapeutic playintervention reported lower state anxietyscores in the pre- and postoperative periodsthan children who received informationintervention. The information from this study will promoteawareness in nurses and parents that play is avery important part of childrens lives andthey need play even when they are ill.

ppt presentasi 1

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