Hospitalization stress and coping in children
10.15343/0104-7809.202246551562I
Keywords:
Stress. Coping. Hospitalization. Child.Abstract
Hospitalization is stressful for children and their families that can affect health outcomes, depending on how they face the situation. This study analyzed how children deal with indicators of physiological and psychological stress related to hospitalization. Participants were 20 children aged five years old, most of them hospitalized for chronic diseases, in a public hospital in Cuiabá, MT. The following were applied individually in the playroom library: a) Morning and late afternoon salivary cortisol index to measure physiological stress; b) Interview script on illness and hospitalization - child version; and c) Hospitalization Coping Scale (COPE-H). Salivary cortisol was above that indicated in four children. More than half of the sample reported having difficulties caused by the disease to perform several activities; invasive medical procedures are more aversive. They also presented psychological stress responses, with coping of involuntary and voluntary disengagement within the mean age. They reported adaptive strategies to deal with hospitalization, such as watching TV, talking, taking medication and, especially, playing, evaluated as a stress reducer by almost half of the children. However, half of the sample presented a poorly adaptive coping pattern of hospitalization below that expected for their age. There were no significant correlations between salivary cortisol index and coping. Consistent with the literature of the area on the limitations imposed by hospitalization and psychosocial consequences for the child and the caregiving family, the results indicate the importance of interventions in the coping of hospitalization for this population in this age group.
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References
2. Maier SRO, Almeida AN. Utilizando as expressões lúdicas como terapêutica na reabilitação da hospitalização infantil: uma revisão integrativa. Rev. Elet. Gestão & Saúde. 2016; 7(1), 356–368. https://periodicos.unb.br/index.php/rgs/article/ view/3432
3. Gomes, GLL, Fernandes, MGM, Nóbrega, MML. (2016). Ansiedade da hospitalização em crianças: análise conceitual. Rev Bras Enf. 2016; 69(5), 940–945. https://doi.org/10.1590/0034-7167-2015-0116
4. Farias, DD, Gabatz, RIB, Terra, AP, Couto, GR, Milbrath, VM, Schwartz, E. (2017). A hospitalização na perspectiva da criança: uma revisão integrativa. Rev Enf UFPE Online. 2017; 11(2), 703–711. https://periodicos.ufpe.br/revistas/revistaenfermagem/ article/view/11988
5. Compas, BE, Jaser, SS, Dunn, MJ, Rodriguez, EM. Coping with chronic illness in childhood and adolescence. Ann Rev Clin Psych. 2012, 27(8), 455-480. http://dx.doi.org/10.1146/annurevclinpsy-032511-143108
6. Enumo, SRF, Motta, AB, Linhares, MBM. Avaliação psicológica de crianças no contexto hospitalar: Contribuições para a Psicologia Pediátrica. In Lins, MRC, Muniz, M, Cardoso, LM (Orgs.), Avaliação Psicológica Infantil. SP: HOGREFE, 2018. pp. 401-429.
7. Enumo, SRF, Oliveira, AW, Bellodi, AC, Motta, AB. Estresse-Coping em situação de adoecimento. In Crepaldi, MA, Enumo, SRF, Linhares, MBM (Orgs.), Psicologia da saúde e desenvolvimento na infância e adolescência: Pesquisas e reflexões. Curitiba CRV, 2019. pp. 99-136.
8. Motta, A.B. et al. Comportamentos de coping no contexto da hospitalização infantil. Est Psic (Campinas). 2015, 32(2): 331- 341. http://dx.doi.org/10.1590/0103-166X2015000200016
9. Silveira, KA, Lima, VL, Paula, KMP. Estresse, dor e enfrentamento em crianças hospitalizadas: análise de relações com o estresse do familiar. Rev SBPH. 2018; 21(2), 5–21. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1516- 08582018000200002&lng=pt&nrm=iso
10. Silveira, KA, Paula, KMP, Enumo, SRF. Stress related to pediatric hospitalization and possible interventions: an analysis of the Brazilian literature. Trends Psychol. 2019; 27(2), 443–458. https://doi.org/10.9788/TP2019.2-11
11. Matsuda-Castro, AC, Linhares, MBM. Dor e estresse em crianças hospitalizadas na percepção das crianças e das mães. Paidéia. 2014, 24(59), 351–359. https://doi.org/10.1590/1982-43272459201409
12. Martins, SW, Enumo, SRF, Paula, KMP. Manejo da dor neonatal: influência de fatores psicológicos e organizacionais. Est Psic (Campinas). 2016, 33(4), 633-644. https://dx.doi.org/10.1590/1982-02752016000400007
13. Santos AF, Machado, RR., Ribeiro, CJN, Mendes Neto, JM, Luz, LKT, Ribeiro, MCO, Menezes, MGV. Manejo da dor em crianças submetidas a procedimentos cirúrgicos. O Mundo da Saúde. 2019, 43(2), 438-455. Doi:10.15343/0104- 7809.20194302438455
14. Hostert, PCCP, Motta, AB, Enumo, SRF. Coping da hospitalização em crianças com câncer: a importância da classe hospitalar. Est Psic (Campinas). 2015; 32(4), 627–639. https://doi.org/10.1590/0103-166X2015000400006
15. Skinner, EA, Wellborn, JG. Coping during childhood and adolescence: A motivational perspective. In D. L. Featherman, R. M. Lerner, M. Perlmutter (Eds.). Life-span development and behavior. Lawrence Erlbaum Associates. 1994; v. 12, 91–133.
16. Skinner EA, Zimmer-Gembeck MJ. The development of coping: Stress, neurophysiology, social relationships, and resilience during childhood and adolescence. 2016. New York: Springer.
17. Ramos, FP, Enumo, SRF, Paula, KMP. Teoria Motivacional do Coping: uma proposta desenvolvimentista de análise do enfrentamento do estresse. Est Psic (Campinas). 2015; 32(2), 269–279. https://doi.org/10.1590/0103-166X2015000200011
18. Bardin L. Análise de conteúdo. São Paulo: Edições 70. 2011.
19. Garioli, DS. Escala de Coping da Hospitalização (COPE-H): processo de adaptação. Tese de doutorado. Universidade Federal do Espírito Santo. 2016.
20. Emidio, SCD, Morais, RJL, Oliveira, PNM, Bezerra, RS. Percepção de crianças hospitalizadas acerca do tratamento oncológico. Rev Pesq: Cuidado é Fundamental Online. 2018, 10(4), 1141–1149. https://doi.org/10.9789/2175-5361.2018. v10i4.1141-1149
21. Santos, PM, Silva, LF, Depianti, JRB, Cursino, EG, Ribeiro, CA. Os cuidados de enfermagem na percepção da criança hospitalizada. Rev Bras Enf. 2016, 69(4), 646–653. https://doi.org/10.1590/0034-7167.2016690405i
22. Garioli, DS, Paula, KMP, Enumo, SRF. Avaliação do coping da dor em crianças com anemia falciforme. Est Psic. 2019, 36: e160079, 2019. http://dx.doi.org/10.1590/1982-0275201936e160079
23. Zimmer-Gembeck, MJ, Skinner, EA. The development of coping across childhood and adolescence: An integrative review and critique of research. International Journal of Behavioral Development. 2011, 35(1), 1–17. https://doi. org/10.1177/0165025410384923
24. Carnier, LE, Padovani, FHP, Perosa, GB, Rodrigues, OMPR. Estratégias de enfrentamento em crianças em situação pré-cirúrgica: relação com idade, sexo, experiência com cirurgia e estresse. Est Psic (Campinas). 2015, 32(2), 319–330. https:// doi.org/10.1590/0103-166X2015000200015
