Efforts to Support and Assessment of Outpatient Nursing Care for Children with Neuroses or Psychosomatic Disorders and Their Family Members

Monday, 22 July 2013

Yukiko Sato, PhD1
Shiho Sato, MS2
Eiko Suzuki, PhD3
Miyuki Saito, PhD, RN, PHN2
(1)School of Nursing, Yamagata University, Yamagata City, Japan
(2)School of Nursing, Yamagata University, Yamagata, Japan
(3)Department of nursing, Nagano College, Komagane Nagano, Japan

Learning Objective 1: The learner will be able to find the activities of nursing clinics for children with neuroses or psychosomatic disorders and their family.

Learning Objective 2: The learner will be able to find the effects of the nursing clinics.

Purpose: We have established a child health nursing clinic to provide nursing support to children with psychosomatic disorders or neuroses and their family members. Support involves one nurse providing an 50-minute intervention for children, which mainly includes a play, and another conducting an 30-minute interview with their guardians. The present study was designed to assess the activities of nursing clinics.

Methods: The participants were 19 mothers of children with psychosomatic disorders or neuroses who attended the nursing clinic of the department of pediatrics at 2 hospitals. A questionnaire survey designed by the authors, which consisted of questions concerning basic demographics, children’s symptoms and prior history of examination, and impression of outpatient nursing clinics, was administered to the participants. The study was approved by our university’s ethical committee before initiation. The subjects were informed, both verbally and in writing, of the purpose and method of the study and that participation in the study was voluntary.

Results: Of the mothers, 3 were in their thirties; 13, in their forties; and 3, in their fifties. Eleven subjects belonged to compound families, and twelve subjects were working professionals. Refusal to go to school or early school leaving were the most common symptoms experienced by their children. Such symptoms were first noticed when children were 9.4±3.8 years old; in addition, 7 and 5 mothers consulted a physician at 2 to 3 months and 1 year or more, respectively, after their children’s symptoms were first noticed. Perceived expectations for outpatient nursing services included improvement in their child’s symptoms as well as changes in parents and in parent-child relationships. A total of 17 of the 19 subjects reported that nursing clinics were necessary.

Conclusion: Most of the mothers felt that the clinic was effective or necessary; therefore, it is important to continue to provide outpatient nursing care.