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气泡吹的有效性作为一个分心技术在儿科静脉注射小管:一个随机对照试验
McKenna Postles1,2, Nicholas West2, Lindy Moxham2,3
1Faculty of Science, University of British Columbia, Vancouver, British Columbia, Canada.
Paediatric anaesthesia
|June 9, 2025
概括
与视频观看相比,泡泡喷气在儿科静脉管治疗期间没有显著减少疼痛或焦虑. 对特定儿童群体的积极分心技术需要进一步的研究.
科学领域:
- 儿科麻醉学 儿科麻醉学
- 疼痛管理 疼痛管理
- 儿童心理学 儿童心理学
背景情况:
- 静脉管是儿童常见但痛苦的手术.
- 分散注意力的技术,如泡泡吹,旨在减轻手术过程中的疼痛和焦虑.
- 气泡吹风结合了呼吸练习和游戏治疗来缓解疼痛.
研究的目的:
- 为了比较泡泡吹与视频观看在减少儿科静脉注射管道治疗期间的疼痛和焦虑之前的有效性.
- 评估儿童手术疼痛的积极分心技术.
- 评估在接受医疗程序的儿童中对焦虑和疼痛的干预措施.
主要方法:
- 一项随机对照试验,涉及2至5岁的儿童接受静脉注射管.
- 参与者被分配到泡泡吹组或视频观看组.
- 使用面部腿部活动哭泣安慰度表评估疼痛,使用修改的耶鲁手术前焦虑短表格评估焦虑.
主要成果:
- 在泡泡吹和视频观看组之间,静脉管治疗期间疼痛评分没有显著差异 (p=0.888).
- 两组之间在静脉注射前的焦虑评分没有显著差异 (p=0.178).
- 视频观看组与泡泡吹组相比,观察到焦虑的显著增加 (p=0.030).
结论:
- 与视频观看相比,在儿科静脉注射管过程中,泡泡吹并没有显著减少疼痛或焦虑.
- 对特定儿科子组的积极分心方法进行进一步的研究是有必要的,包括神经多样性,焦虑或恐惧的儿童.
- 该研究强调了在儿科手术护理中需要量身定制的分心策略.
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