개심술 환아 어머니를 위한 교육 프로그램이 지식, 불안 및 대처행동에 미치는 효과

The Effects of the Nursing Education Program on the Knowledge, Anxiety, and Coping Behavior of Mothers with Young Child Undergoing Cardiac Surgery

  • 투고 : 2009.10.13
  • 심사 : 2009.12.10
  • 발행 : 2009.12.31

초록

Purpose: This study was to develop a nursing education program for mothers with a young child undergoing cardiac surgery and determine effects of the program on her knowledge, anxiety and coping behavior. Methods: The research design was a nonequivalent control group non-synchronized design. 18 mothers were assigned to the experimental group and 18 to the control group. The effects were evaluated by measuring knowledge, anxiety, and coping behavior. The collected data was analyzed through independent t-test, and repeated measures ANOVA respectively using SPSS/WIN 12.0 program. Results: The point of knowledge in the experimental group was significantly increased tan that in the control group. The point of subjective, physiological, and behavior anxiety in the experimental group was significantly decreased than that in the control group by time change. The point of coping behavior in the experimental group was significantly higher than that in the control group. Conclusion: The nursing educational program for a young child with cardiac surgery is expected to be clinically applied as an intervention program for mothers with a young child undergoing cardiac surgery.

키워드

참고문헌

  1. Ahn, H. S. (2007). Pediatrics (9th ed.). Seoul: Daehan Book.
  2. Asan Medical Center (AMC) (2004). I love heart. Retrieved January 20, 2008, from http://www.iloveheart.org
  3. Chessa, M., De Rosa, G., Pardeo, M., Negura, D. G., Butera, G., Giamberti, A., Bossone, E., & Carminati, M. (2005). What do parents know about the malformations afflicting the hearts of their children? Cardiology in the Young, 15(2), 125-129.
  4. Children's Hospital Boston (2007). For patients and families. Retrieved January 1, 2008, from http://www. childrenshospital.org/patientsfamilies
  5. Cline, K. E., Herman, J., Shaw, E. R., & Morton, R. D. (1992). Standardization of the visual analogue scale. Nursing Research, 4(16), 348-380.
  6. Cho, K. M. (1991). The effect of parents educational program for congenital heart disease child on the mother's anxiety and knowledge degree. Unpublished master's thesis, Seoul University, Seoul.
  7. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erlbaum Associates.
  8. Finesilver, C. (1980). Reducing stress in patients having cardiac catheterization. American Journal of Nursing, 80, 1805-1807. https://doi.org/10.2307/3462460
  9. Hur, S. K. (1993). A study for development of nursing guideline in the open-heart surgery patients. Unpublished master's thesis, Pusan University, Busan.
  10. Kain, Z. N., Mayes, L. C., Caldwell, A. A., Karas, D. E., & McClain, B. C. (2006). Preoperative anxiety, postoperative pain, and behavioral recovery in young children undergoing surgery. Journal of Korean Academy of Nursing, 118(2), 651-658.
  11. Kim, H. J. (1989). The theory and application of health education. Seoul: Soomoonsa.
  12. Kim, H. K., & Jeong, I. S. (2007). Effect of newborn care education program on newborn care confidence and behavioral accuracy of primiparas in a postpartum care center. Journal of Korean Academy of Nursing, 37(1), 125-134.
  13. Kim, K. S. (1990). The effect of preparatory information on stress reduction in patients undergoing cardiac catheterization. Unpublished doctoral dissertation, Seoul University, Seoul.
  14. Kim, M. Y. (1998). Effect of informational support care on anxiety reduction in mothers of cardiac disease child. Journal of Kyungpook Nursing Science, 2(2), 25-36.
  15. Kim, Y. J. (2007). Welcome to Drheart.net. Retrieved January 10, 2008, from http://www.drheart.net
  16. Kim, Y. K., & Jun, E. M. (2007). The effect of supportive intervention an the anxiety and nursing satisfaction of mothers with children undergoing open-heart surgery. Journal of Korean Academic Adult Nursing, 19(3), 459-469.
  17. Krupst, T. J., Blatterbauser, S., & Westman, J. (1977). Helping parents cope with the diagnosis of congenital heart defect. Pediatrics, 59(2), 266-272.
  18. Lawoko, S., & Soares, J. J. (2006). Psychosocial morbidity among parents of children with congenital heart disease: A prospective longitudinal study. Heart and Lung, 35(5), 203-314.
  19. Lee, H. J. (2004). Congenital heart disease in neonates and infants: diagnostic scheme. Journal of Korean Pediatric Heart Association, 6(1), 1-7.
  20. Lee, J. K. (2003). Young Child Heart Disease. Retrieved January 1, 2008, from http://www.soaheart.com
  21. Menahem, S., Polakis, Z., & Prior, M. (2008). Children subjected to cardiac surgery for congenital heart disease. Part 1-Emotional and psychological outcomes. Interact Cardiovascular and Thoracic Surgery, 7, 600-604. https://doi.org/10.1510/icvts.2007.171058
  22. Moon, J. R. (2000). A correlating study regarding knowledge, stress and coping of parents of patients with congenital heart disease. Unpublished master's thesis, Hanyang University, Seoul.
  23. Park, I. S. (2002). Congenital heart disease. Seoul: Korea.
  24. Park, I. S. (2003). A study on the perception of disease-related uncertainties in the mothers of hospitalized children and their coping strategies. Unpublished master's thesis, Daejeon University, Daejeon.
  25. Samsung Medical Center (SMC)(2008). Hearti. Retrieved January 25, 2008, from http://hearti.co.kr
  26. Sejong Hospital (2006). Cardiovascular center. Retrieved January 15, 2008, from http://sejongh.co.kr
  27. Seoul University Children's Hospital (2003). Kidheart. Retrieved January 5, 2008, from http://kidheart.com
  28. Smith, P. (2001). Primary care in children with congenital heart disease. Journal of Pediatric Nursing, 16(5), 308-319. https://doi.org/10.1053/jpdn.2001.26572
  29. Utens, E. M., Versluis-Den Bieman, H. J., Verhulst, F. C., Witsenburg, M., Bogers, A. J., & Hess, J. (2000). Psychological distress and styles of coping in parents of children awaiting elective cardiac surgery. Cardiology in the Young, 10(3), 239-244.
  30. You, J. S., Shin, Y. H., Yoon, S. H., Jeong, J. H., Ko, K. S., & Kim, Y. J. (2001). The effect of the structured nursing information program on anxiety, knowledge degree and nursing satisfaction of open heart surgery children' parent. Clinical. Nursing Research, 7(2), 147-157.