Effects of Watching Cartoons During an Echocardiography on Infants and Preschool Children. A Prospective Randomized

Francisco Sánchez Ferrer1, M Dolores Grima Murcia2, Adriana Lopez-Pineda3

  • 1Pediatrics Department, University Hospital of San Juan de Alicante, Alicante, Spain.

Insights

Watching TV during echocardiography significantly reduces procedure time and improves child behavior in pediatric cardiology. This simple distraction method enhances the quality of echocardiograms for young patients.

Area of Science:

  • Pediatric Cardiology
  • Medical Imaging
  • Child Psychology

Background:

  • Echocardiography is the primary diagnostic tool in pediatric cardiology.
  • Patient and family cooperation is crucial for accurate pediatric echocardiograms.
  • Child behavior and anxiety can complicate echocardiography procedures, sometimes necessitating sedation.

Purpose of the Study:

  • To evaluate the effectiveness of television (TV) entertainment as a distraction method during echocardiography in infants and preschool children.
  • To assess the impact of TV intervention on procedure duration, physiological parameters, and behavioral outcomes.
  • To compare TV intervention with standard distraction techniques.

Main Methods:

  • An experimental study involving 58 children with heart murmurs.
  • Randomization into two groups: TV intervention group and usual care group.
  • Measurements included echocardiography duration, blood pressure, technical quality, child behavior, and parental stress.

Main Results:

  • The TV intervention group demonstrated a statistically significant reduction in echocardiography duration.
  • Systolic and diastolic blood pressure were significantly lower in the TV group.
  • Improved child behavior and enhanced quality of echocardiographic technique were observed in the TV group.

Conclusions:

  • Television entertainment serves as a simple and effective distraction method for pediatric echocardiography.
  • Implementing TV can improve patient cooperation, reduce procedure time, and enhance diagnostic accuracy.
  • This non-pharmacological approach is recommended for facilitating echocardiography in young children.

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