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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.
Abstract:
Echocardiography is currently the main diagnostic technique in pediatric cardiology, but sometimes it is difficult to use in very young children, as a complete and accurate study depends on the patient's and family's cooperation. Children's behavior is one of the main problems for this procedure, and interventions like sedative medication have been used to facilitate its performance. The aim of this study was to analyze the effects of TV entertainment in infants and preschool children during echocardiography. We designed an experimental study in children with a heart murmur. An examination room was prepared with a TV on the ceiling, giving the children an unobstructed view during the echocardiography procedure. Fifty-eight patients were randomized into two groups: TV intervention vs. usual care (consisting of other distraction measures). The primary outcome was echocardiography time, but we also assessed blood pressure, quality of technique, child behavior, and parents' stress level. The TV group showed a statistically significant reduction in duration of the echocardiography and systolic and diastolic blood pressure, as well as better quality of technique and child behavior. Consequently, we recommend the use of a TV as a simple and useful distraction method for improving echocardiography in young children.
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