在线环境扫描和内容分析关于针头手术的社会故事
Olivia Dobson1, Carter Janssen1, Anna Taddio2
1Psychology Department, University of Guelph, Guelph, ON, Canada.
Journal of pediatric psychology
|May 7, 2025
概括
社交故事可以帮助自闭症儿童进行针手术. 大多数在线故事提供有用的策略和遵循指南,但可以改进定制和其他技术,如局部麻醉剂.
科学领域:
- 儿科心理学 儿科心理学
- 自闭症谱系障碍研究研究
- 医疗保健通讯 医疗保健通讯
背景情况:
- 自闭症儿童在针手术过程中经常会因为不可预测性而经历更大的痛苦.
- 卡罗尔·格雷 (Carol Gray) 开发的"社会故事"是一个预备教育工具,旨在引导自闭症儿童度过具有挑战性的情况.
- 现有的在线社交故事对于针手术缺乏研究,以研究它们与疼痛/恐惧管理和发展指南的最佳实践保持一致.
研究的目的:
- 分析在线社交故事的内容,用于注射手术 (疫苗接种和静脉穿刺).
- 评估包括基于证据的应对策略 (有帮助和没有帮助).
- 为了评估遵守卡罗尔·格雷的社会故事指南和程序步骤的准确性.
主要方法:
- 在线环境扫描系统地收集了社会故事.
- 谷歌搜索发现了免费的英语故事.
- 两名编码人员的演性内容分析检查了82个符合条件的故事,使用了80多个代码.
主要成果:
- 大多数社交故事 (89%) 集中在疫苗接种上.
- 大多数故事都包括基于证据的策略 (例如,70%的分心) 和准确的程序步骤 (例如,80%的针头插入).
- 遵守卡罗尔·格雷的指导方针是很高的 (例如,有意义的标题在90%),尽管需要改进的领域,如用户定制和局部麻醉药的包括,被注意到.
结论:
- 在线社交故事显示出在针手术期间支持自闭症儿童和护理人员的潜力.
- 需要进一步的研究来检查使用这些社交故事的有效性和结果.
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