文本框: THE EFFECTS OF SYSTEMATIC PREOPERATIVE NURSING INTERVENTION ON MOTHERS WITH CHILDREN OF CONGENITAL HEART DISEASE IN ANXIETY STATUS AND COPING BEHAVIORS An-Hui Chuang Jin-Teh Junior College of Medicine, Nursing and Management, Miaoli, Taiwan Objective: Cardiac surgery is an invasive treatment. Patient’s mother has to face with a series of stress during child’s hospitalization for preparing for operation. Therefore the purpose of the study is to delve into the effects of systematic preoperative nursing intervention on mothers with children of congenital heart disease (CHD) in anxiety status and coping behaviors. Methods: Quasi-experimental design was conducted during February 1999 to May 1999 at the pediatric and surgical ward of two medical centers in Taipei, Taiwan. Forty mothers whose children aging under 3 years with CHD and prepared for operation were chosen as subjects by purposive sampling. The subjects were assigned into two groups according to the time sequence of admission. Twenty subjects in the control group received regular nursing care, and twenty subjects in the experimental group received systematic nursing intervention. 「State Trait Anxiety Inventory (STAI)」 and 「Jalowiec Coping Scale (JCS)」 were used to evaluate the effects of nursing intervention for the mother’s anxiety status and coping behaviors (pre and post intervention). The collected data were analyzed by frequency distribution, rank, percentage, mean, standard deviation, Chi-square test, t test, paired-T test, ANCOVA, and stepwise regression through the SPSS for window 8.0 P/C. Results: The results adjusted by ANCOVA were: The subjects in the experimental group received systematic nursing intervention whose mean of decrease of state anxiety level was significantly much greater than the mean of decrease of state anxiety level of the subjects in the control group received regular nursing care (p <0.001). In both of the two groups, between the pre and post tests, the use frequencies of the coping behavior types were not significantly different. After the systematic preoperative nursing intervention, the effectiveness of two coping strategies of 「Tried to look at the problem objectively and see all sides」 and 「Tried to find out more about the problem」 was significantly higher than the effectiveness of the same coping strategies before the subjects in the experimental group received the systematic preoperative nursing intervention (p<0.05), but not significantly in the control group’s subjects. Conclusion: In conclusion, this study demonstrates that more actual information was given and more decrease in state anxiety level of mothers from the use of systematic preoperative nursing intervention. The research bring future some suggestions for the reference with the respect of study design, nursing practice, nursing education, and nursing research. 1958