住院儿童静脉穿刺的家庭参与式小丑疗法:一个非随机对照试验
Tianyu Chen1, Qiying Chen2, Zhenhua Lin2
1Department of Nursing, Quanzhou Medical College, Quanzhou, Fujian, China.
PloS one
|July 25, 2024
概括
家庭参与式小丑疗法显著减少了静脉穿刺期间住院儿童的疼痛,焦虑和恐惧. 这种干预也改善了儿童的遵守和父母的满意度,为儿科护理提供了一种有前途的方法.
科学领域:
- 儿科护理 儿科护理
- 儿童心理学 儿童心理学
- 疼痛管理 疼痛管理
背景情况:
- 静脉切除是住院儿童常见的,往往令人痛苦的手术.
- 需要有效的策略来缓解儿科患者的手术疼痛,焦虑和恐惧.
研究的目的:
- 评估家庭参与式小丑疗法的有效性,以管理儿童在静脉穿刺期间的经验.
- 评估这种治疗对疼痛,焦虑,医疗恐惧,哭泣,服从和父母结果的影响.
主要方法:
- 一项非随机对照试验,涉及104名3-6岁的儿童接受静脉穿刺.
- 实验组与标准护理一起接受了家庭参与式小丑治疗,而对照组仅接受了标准护理.
- 测量结果包括疼痛 (FLACC,W-B FPS),焦虑 (VAS-A),医疗恐惧 (CFS),哭泣,服从,父母焦虑 (S-AI) 和满意度.
主要成果:
- 与对照组相比,实验组显示疼痛得分 (FLACC,W-B FPS) 在统计学上显著降低 (P<0.05).
- 实验组的儿童表现出较低的焦虑,医疗恐惧和哭泣.
- 在实验组中观察到,儿童遵守规则的改善和父母满意度的提高.
结论:
- 家庭参与式小丑治疗是有效的减少疼痛,焦虑,医疗恐惧,和哭泣在儿科静脉穿刺期间.
- 该疗法增强了儿童的程序遵守,并减少了父母的焦虑,同时增加了满意度.
- 这种干预提供了一种有价值的非药物治疗方法,以改善儿童及其家人的静脉穿刺体验.
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