0261

TEMPERAMENT OF CHILDREN WITH CHRONIC DISEASES AND IT’S RELATION TO THEIR PARENTS’ PREDISPOSITION AND THE NURSING CARE DURING HOSPITALIZATION

Lin MY, Hong XR, Xu Jing

Pediatric Centre of PLA, Department of Pediatrics, Fuzhou Dongfong Hospital, Fuzhou, China

 

Objective: Characteristics of temperament of children is influenced by environmental factors especially by family conditions during their progress. The aim of present work is to analyze different characteristics of temperament of children as well as its relation to predisposition of their parents by making use of the continuing observation and nursing during hospitalization to try the psychiatric- manner intervention and nursing care.

Methods: Temperament of 237 hospitalized children with chronic kidney diseases or chronic gastritis was investigated by Parent Temperament Questionnaire (PTQ). At the same time, predisposition factors of their parents were also investigated by a character questionnaire formulated by Chinese National Psychophysiological Medical Co-operated Committee. Temperaments and predispositions were determined according to the scores resulted from the questionnaires performed by a specialist. Children’ temperaments were divided into three types: easy temperament (E type), difficult temperament (D type) and slow-to-warm up temperament (S type). Predispositions of their parents were also divided into three types: A type (with total score of TH+CH being beyond 27), B type (lower than 27) and intermedium type (TH+CH=27). Education of the parents were divided into three grades: junior high school and those below it, senior high school and secondary specialty, university and beyond. A repeated questionnaire was carried out 3 weeks after the first one to verified the confidence level of the tests.

Results and conclusion: There was a significant difference of constituent ratios between the predispositions of parents and temperaments of the children with the majority of D type of children in the parents of A type and E type of children mainly in the parents of B type. Constituent ratios were markedly different between those whose education ofcare and understanding” and those with other manners (over-interference, refusal and punishment). The number of children with E temperament was greater in “care and understanding” group than in others. There was no significant difference of children’ temperaments among the three different grades of education of the parents.

Intervention and nursing care: A comprehensive nursing care should be adopted with the particular emphasis on either children or their parents. A multi-communication between nurses and their patients, parents and their children, teachers  and their  pupils should  be recommended.  Intervention regime should by dynamically adjusted and a long-term connection should be built up.  Effort should be made on social educational publicizing to raise the general predisposition of the families.