自閉スペクトラム症児の静脈穿刺体験の向上
DeeAnn Hebrink1, Deb Bruene, Cassandra Fowler
1DeeAnn Hebrink is a staff nurse, Deb Bruene is a nursing practice leader, Cassandra Fowler is an evidence-based practice specialist, Kelly Pelzel is a clinical assistant professor, and Kirsten Hanrahan is the director of nursing research and evidence-based practice, all at the University of Iowa Health Care in Iowa City. Contact author: DeeAnn Hebrink, deeann-hebrink@uiowa.edu. The authors have disclosed no potential conflicts of interest, financial or otherwise.
The American journal of nursing
|December 24, 2025
まとめ
個別化されたケア、準備、システム設計を実施することで、自閉スペクトラム症（ASD）児の静脈穿刺手順が大幅に改善されました。この品質改善プロジェクトは、臨床医と保護者の準備を高め、ASD児の転帰を改善しました。
科学分野:
- 小児医療の質改善。
- 自閉スペクトラム症（ASD）介入。
- 医療におけるエビデンスに基づく実践。
背景:
- 自閉スペクトラム症（ASD）の子供たちは、医療中に恐怖と苦痛が増大することが多く、不遵守につながります。
- 針の痛みと恐怖の効果的な管理は、頻繁な医療ニーズと限られた対処メカニズムを持つASDの子供たちにとって非常に重要です。
主な方法:
- 小児の処置および画像診断スイートにおけるエビデンスに基づく実践（EBP）改善のためのアイオワモデルを利用しました。
- 文献、好み、およびインプットに基づいて、個別化されたケア、患者/家族の準備、臨床医の準備、およびシステム設計を包含する実践変更を実施しました。
結論:
- 静脈穿刺中のASD児のケアを最適化するには、個別化されたケア、患者/家族および臨床医の準備、およびシステム設計を強化することが含まれます。
- EBPプロセスモデルとターゲットを絞った実装戦略は、ASD児をサポートするための介入の採用を促進できます。
関連する概念動画
01:19Autism Spectrum Disorder
892
Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
These core symptoms manifest differently among individuals, ranging from mild to severe. The disorder's complexity extends beyond its clinical presentation, encompassing a diverse range of biological, cognitive, and sociocultural influences.
892
01:26Modeling in Therapy
360
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
360
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
679
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
679