对患有严重疾病的儿科患者进行补充和整合性干预的研究
Jennifer L Raybin1, Kathleen Montgomery2, Norah Janosy3
1Oregon Health and Sciences University Schools of Nursing and Medicine (J.L.R., S.M., H.F., N.F.D), Portland, Oregon.
Journal of pain and symptom management
|February 19, 2025
概括
补充和整合性健康 (CHI) 干预措施对于医院的儿科患者来说是可行的和可以接受的. 使用CHI与严重疾病儿童的改善生活质量和症状管理有关.
科学领域:
- 综合医学和儿科医疗保健研究.
- 临床环境中的补充和整合性健康 (CHI) 干预措施.
背景情况:
- 儿科患者越来越多地利用补充和整合性健康 (CHI) 干预措施来管理症状.
- 了解儿童医院环境中CHI的可行性和影响对于基于证据的实践至关重要.
研究的目的:
- 评估在两个儿童医院内为儿科患者实施CHI干预措施的可行性和初始效果大小.
- 评估CHI对儿童患者群体生活质量 (QOL) 和症状负担的影响.
主要方法:
- 一项前性,采用方便抽样的两站式研究招募了100名2-29岁的儿科患者.
- 可行性取决于积累率 (90%) 和完成率 (60%的调查/CHI会议).
- 结果包括QOL和症状的验证调查,以及两个生理学测量;进行了191次CHI治疗.
主要成果:
- 该研究超过了可行性值,累计率为94%,完成率为87%; 96%的人认为CHI是可以接受的.
- 常用的CHI包括针 (39%),芳香疗法 (35%) 和创意艺术 (20%).
- 在心率,焦虑,疲劳,恶心,疼痛和悲伤得分 (科恩d:0.22-0.99) 中观察到显著改善,持续的QOL改善.
结论:
- 在儿科医院实施CHI是可行的,可以接受的,并且受到患者的好评.
- CHI干预措施对症状管理和生活质量产生了积极影响,支持将其纳入儿科护理.
- 需要进一步的严格研究,以探索CHI在特定儿科群体和针对性症状的疗效.
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