治疗性沟通改善了儿童静脉穿刺期间的患者舒适度:一项单盲干预研究
Lonneke A M Aarts1, Geert-Jan van Geffen2, Eva A L Smedema3
1Department of Pediatrics, Amalia Children's Hospital, Radboud University Medical Center, Nijmegen, the Netherlands. lonneke.aarts@radboudumc.nl.
European journal of pediatrics
|June 17, 2023
概括
治疗性沟通 (TC) 并没有减少儿童在静脉穿刺期间自我报告的疼痛. 然而,TC显著降低了焦虑和程序时间,改善了门诊环境中的整体舒适度.
科学领域:
- 儿科医疗保健服务 儿科医疗保健服务
- 临床沟通策略 临床沟通策略
- 疼痛管理 疼痛管理
背景情况:
- 医疗手术,特别是那些涉及针头的手术,会引起儿科患者的焦虑和恐惧.
- 基于催眠的沟通技巧已经证明在减轻成年人医疗过程中的疼痛和焦虑方面具有有效性.
研究的目的:
- 评估治疗性沟通 (TC) 对儿童静脉穿刺舒适度的影响,与标准沟通相比.
- 评估TC是否可以减少疼痛,焦虑和手术时间,并提高接受静脉穿刺的儿科患者的满意度.
主要方法:
- 一项单盲干预研究,涉及105名5至18岁的儿童,在门诊三级医院环境中进行.
- 参与者接受了标准沟通 (SC组,n=51) 或治疗性沟通 (TC组,n=54),以及局部麻醉 (EMLA).
- 结果包括自我报告的疼痛 (面部疼痛量表修订),观察到的疼痛和焦虑 (数值评分量表),以及程序时间.
主要成果:
- 在TC和SC组之间,在自我报告的疼痛中没有发现显著差异.
- 在TC组表现出明显较低的自我报告和观察到的焦虑水平在孩子和父母 (p <0.05).
- 在TC组中,程序时间显著减少 (p=0.011),医疗人员的满意度更高 (p=0.014).
结论:
- 治疗性沟通 (TC) 在儿科静脉穿刺期间不会减少自我报告的疼痛.
- 疗法显著改善了二次结果,包括减少焦虑和缩短手术时间,提高了患者和工作人员的体验.
- 术术是一种有价值的沟通策略,用于改善门诊静脉穿刺诊所的儿科舒适度.
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