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Iran J Nurs Midwifery Res. 2018 Nov-Dec;23(6):426-430. doi: 10.4103/ijnmr.IJNMR_51_16.

Evaluation of the Effect of Individual and Group Tour on the Anxiety Scores of 4-7-year-old Hospitalized Children and their Mothers.

Author information

Nursing and Midwifery Care Research Center, Department of Pediatric and Neonatal, Faculty of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Student Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
Department of Pediatric Nursing, Isfahan University of Medical Sciences, Isfahan, Iran.



Anxiety is a human response to any unknown situation. Hospitalization and encountering an unfamiliar environment could lead to anxiety and its complications. Therefore, the aim of the present study was to evaluate the effect of individual and group tours on anxiety in children and their mothers.

Materials and Methods:

This quasi-experimental study was conducted on the three groups of individual tour, group tour, and control in two stages. The study was performed on 84 children. The self-report image anxiety scale and State-Trait Anxiety Inventory (STAI) (Spielberger et al.) were used for the assessment of anxiety among children and their mothers, respectively. Data were analyzed using Statistical Package for the Social Sciences software.


The results showed that the mean score of children's anxiety differed significantly between the three groups after the intervention (F = 40.58, p < 0.001). In addition, the three groups were significantly different in terms of the mothers' anxiety after the intervention (F = 4.12, p < 0.02). No significant difference was observed between the group tour and individual tour groups regarding the children's anxiety score (F = 0.02, p = 0.980) and mothers' state anxiety scores (F = 0.054, p = 0.950).


The hospital visiting tours decreased the hospitalized children's anxiety and their mother's anxiety. This might be due to their greater familiarity with the ward's nurses, hospital environment, and facilities, familiarization with the unfamiliar new places and the location of different places, and speaking to and finding a sense of empathy and sympathy with their peers.


Anxiety; hospitalization; mothers; orientation; pediatrics; surgery

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