探索动物辅助治疗对侵袭性手术期间儿科焦虑症的影响
Cathrine Reed1, Kelly Wagner1, Vallire Hooper2
1Dell Children's Medical Center, 4900 Mueller Blvd, Austin, TX 78723, USA.
Journal of pediatric nursing
|December 6, 2025
概括
动物辅助治疗 (AAT) 显著减少了医院手术期间的儿科焦虑,当与认证儿童生命专家 (CCLS) 支持相结合时. 这种方法对幼儿和基于针的干预特别有效.
科学领域:
- 儿科医疗保健 儿科医疗保健
- 心理干预 心理干预
- 医学创伤缓解缓解 医学创伤缓解
背景情况:
- 侵袭性手术期间的儿科焦虑是一个重大的临床挑战.
- 经过认证的儿童生活专家 (CCLS) 的支持是标准的,但需要进一步的焦虑减轻策略.
- 动物辅助疗法 (AAT) 在减轻压力和焦虑方面表现有前途.
研究的目的:
- 评估AAT结合CCLS支持对入侵性手术期间儿科焦虑的影响.
- 为了比较接受AAT加CCLS和单独接受CCLS的患者的焦虑水平.
- 确定从AAT中受益最多的特定患者群体和手术类型.
主要方法:
- 采用了质量改善 (QI) 研究设计.
- 修改后的耶鲁手术前焦虑量表 (mYPAS) 用于测量观察到的焦虑.
- 用独立样本t测试,配对t测试和单向ANOVA分析数据.
主要成果:
- 在AAT加CCLS组中,平均焦虑分数明显较低.
- AAT在幼儿 (30%在程序内,27%在程序后) 和学龄儿童 (4%在程序后) 中表现出显著的焦虑减轻.
- 在非针头手术 (31%的手术前) 和针头手术 (24%的手术内) 以及带导管干预 (20%在进行,14%之后) 中,观察到显著的焦虑减轻. 西班牙裔儿童在所有时间点都显示出显著的焦虑减轻.
结论:
- 当与CCLS服务集成时,AAT有效地减少了入侵性手术期间的儿科焦虑.
- AAT的益处在2-5岁的儿童以及基于针的手术中尤为明显.
- AAT显示了西班牙裔儿童的显著积极影响,并强调了CCLS评估在指导AAT实施以减轻儿科医疗创伤方面的重要性.
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