在幼儿疫苗接种期间护理人员的生理反应:与心理和行为反应的关联
Shaylea D Badovinac1, David B Flora1, Heather Edgell2
1Department of Psychology, York University, Toronto, ON, Canada.
Journal of pediatric psychology
|November 23, 2024
概括
照顾者的压力会影响他们对孩子接种疫苗的生理反应. 较高的育儿压力与较少的阴道抽缩相关,这表明护理人员心理状态和儿科疼痛事件期间的生物反应之间存在联系.
科学领域:
- 儿科心理学 儿科心理学
- 心理生理学 心理生理学
- 儿童健康 儿童健康
背景情况:
- 护理人员对儿童疼痛的生理和心理反应对于有效的疼痛管理至关重要.
- 了解这些护理人员的反应可以告知干预措施,以支持儿童和他们的护理人员在痛苦的程序.
研究的目的:
- 研究护理人员对幼儿与疼痛相关的痛苦的反应的生物,心理和行为方面.
- 在幼儿疫苗接种期间测量护理人员高频率心率变化 (HRV).
- 检查护理人员HRV,行为反应和心理压力之间的关联.
主要方法:
- 在常规疫苗接种期间 (12,18,24个月) 对194名照顾者-幼儿二代进行了纵向队列测序研究.
- 增长曲线建模分析了护理人员HRV的变化.
- 条件增长曲线模型评估了护理人员HRV,行为和心理压力之间的联系.
主要成果:
- 接种疫苗后,护理人员的HRV略有线性下降 (阴道抽出) (p = .049).
- 较高的育儿压力与在针针后的时间内较少的阴道抽出有关 (p = .003).
- 护理人员的行为和焦虑症状与HRV反应没有显著的关联.
结论:
- 接种疫苗后,护理人员的副交感神经系统活动略有下降.
- 育儿压力与照顾者对疫苗接种疼痛的副交感反应有关.
- 这些发现有助于更好地理解儿童在自然环境下疼痛期间的护理人员机制.
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