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  • Title: Children's adjustment to the hospital: a rural/urban comparison.
    Author: Strickland MP, Leeper JD, Jessee P, Hudson C.
    Journal: Matern Child Nurs J; 1987; 16(3):251-9. PubMed ID: 3441148.
    Abstract:
    This paper presents the findings of an investigation to determine whether or not there is a difference in the degree of psychological upset of rural and urban children during hospitalization. The subjects in the study were 70 children between the ages of 4 and 17 years who participated in the Child Life Program during hospitalization at Children's Hospital in Birmingham, Alabama. The anxiety levels of the children were evaluated by using three instruments: a 13-item, self-report test of fears; a 64-item observation checklist of negative behaviors; and a 4-item anxiety rating scale. The results revealed that on specific measures rural children exhibited a statistically significantly greater degree of psychological upset during hospitalization than urban children. Implications of these results in determining procedures to reduce anxiety of children during hospitalization are briefly considered.
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