The symptom experience of hospitalised Chinese children and adolescents and relationship to pre-hospital factors and behaviour problems.

Abstract:

PURPOSE:To describe the symptom experience of hospitalised Chinese children and adolescents and examine the relationship of symptoms to pre-hospital factors and child behaviour. METHODS:Data were collected at two hospital sites in Hong Kong (HK) and at five hospitals in the Chinese Mainland (CM). A total of 307 hospitalised children and adolescents (ages 2-18) and their primary caregiver (e.g., mother, father or grandparent) participated in the study. Children and adolescents completed an age-appropriate symptom diary on one evening and subsequent morning early in their hospital stay. Parents completed the diary for the children less than 6 years of age. Parents also completed an age-appropriate Chinese version of the Child Behaviour Checklist. RESULTS:Over 50% of the children and adolescents reported some degree of pain, 75% of them reported evening tiredness, and 21% reported gastrointestinal symptoms. The intensity of symptoms varied by age and region and symptoms often co-occurred. Greater symptom burden was predicted by previous surgery, higher level of worst pain prior to hospitalisation, parent report of child behaviour problems, and co-occurrence of other symptoms. CONCLUSIONS:Hospitalised Chinese children manifest symptoms of pain, tiredness, and gastrointestinal distress that vary based on pre-hospital factors and are associated with child behaviour problems. Further research is needed to identify causes and treatments for children's symptoms.

journal_name

Int J Nurs Stud

authors

Franck LS,Kools S,Kennedy C,Kong SK,Chen JL,Wong TK

doi

10.1016/j.ijnurstu.2004.02.001

keywords:

subject

Has Abstract

pub_date

2004-08-01 00:00:00

pages

661-9

issue

6

eissn

0020-7489

issn

1873-491X

pii

S0020748904000318

journal_volume

41

pub_type

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