A comparison of two hospital preadmission preparation programmes for young children
Jeanine Marie Harper
The purpose of this study was to compare a tour-based preadmission preparation programme for young children to a video-tape-based programme. Subjects were 30 English speaking children who were admitted to Surrey Memorial Hospital, a community general hospital in Surrey, B.C. The children were admitted for elective surgery which required an overnight stay. The children and their parents participated in the programmes three days to two weeks prior to the child's scheduled surgery. Half of the
... dren and their parents were taken on a tour of the paediatric ward and laboratory. The other group was shown a video-tape made at the Surrey Memorial Hospital, which depicted the hospitalization of a boy and girl for tonsillectomy and adenoidectomy. Both treatments were followed by a discussion and play period. The two groups were not found to differ on sex, previous hospitalizations, types of surgical procedure, length of stay, length of anaesthesia, or prehospital personality as measured by a modification of the Post-hospital Behavior Questionnaire (Vernon, Schulman, & Foley, 1966). However, the tour group was found to contain more younger children (under 6 years of age) than the video group. No significant differences were found between the two groups on the self-report, behavioural, or physiological outcome measures, except for incidence of postoperative vomiting. The video group vomited less than the tour group. Questions concerning the validity of the Hospital Fears Rating Scale and the modified Posthospital Behavior Questionnaire for this age group are raised in the discussion. Complicating factors, such as small sample size, lack of a control group, and lack of control over physiological data collection are addressed in this chapter. Confounding factors, such as a preoperative teaching class and the discussion groups, are also addressed. Finally, the impact of Preadmission Programmes and practical considerations in choosing a programme are discussed.