7岁及以上儿童静脉穿刺疼痛的振动和寒冷的多维评估:随机对照试验
Hu Long-Yi1, Zhou Zi-Yun2, Wang Ming-Li2
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital Central South University, Changsha, China; Department of Clinical Nursing, Xiangya School of Nursing, Central South University, Changsha, China.
Applied nursing research : ANR
|December 2, 2025
概括
寒冷和振动有效地减少了7岁及以上儿童的静脉穿刺疼痛和脉变化. 然而,这些方法并没有显著影响儿科患者的焦虑或合作水平.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 医疗干预 医疗干预
- 儿童健康 儿童健康
背景情况:
- 静脉切割是一种常见的手术,在儿童中引起疼痛和焦虑.
- 有效的疼痛管理策略对于改善儿科患者体验至关重要.
- 非药物干预措施,如寒冷和振动,需要对减轻疼痛进行调查.
研究的目的:
- 评估寒冷和振动对减轻7岁及以上儿童静脉穿刺疼痛的疗效.
- 评估这些干预措施对客观生理测量和主观疼痛报告的影响.
- 为了确定寒冷和振动是否影响孩子的焦虑,父母的焦虑,或程序合作.
主要方法:
- 一项随机对照试验,涉及120名 (7岁以上) 接受静脉穿刺的儿童.
- 参与者被分为四组:冷,振动,冷和振动组合,或控制.
- 疼痛,父母的焦虑,孩子的焦虑,以及护士评估的合作都被测量在术后.
主要成果:
- 寒冷和振动,单独和组合,显著减少了儿童的脉率变化和报告的疼痛 (p < 0.05).
- 寒冷和振动的组合产生了最显著的脉冲变化和疼痛得分的减少 (p < 0.05).
- 没有观察到对儿童焦虑,家长焦虑或合作水平的显著影响 (p > 0.05).
结论:
- 寒冷和振动是有效的减少疼痛和生理上的痛苦在儿科静脉穿刺.
- 这些干预措施对疼痛管理有希望,但似乎没有减轻焦虑或改善合作.
- 建议对更大的队列进行进一步的多中心研究,以证实这些发现,并探索儿科疼痛管理中的更广泛应用.
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