采用分散注意力的方法减轻儿童和青少年报告的疼痛、恐惧及行为困扰：一项多中心研究。
Using distraction to reduce reported pain, fear, and behavioral distress in children and adolescents: a multisite study.
作者信息
Carlson K L, Broome M, Vessey J A
机构信息
College of Nursing, University of New Mexico, Albuquerque, USA.
出版信息
J Soc Pediatr Nurs. 2000 Apr-Jun;5(2):75-85. doi: 10.1111/j.1744-6155.2000.tb00089.x.
ISSUES AND PURPOSE
Distraction during painful procedures has been shown to be effective in previous studies, yet this simple intervention is not used routinely. This study examined the effectiveness and feasibility of distraction in reducing behavioral distress, pain, and fear during venipuncture or intravenous insertion.
DESIGN AND METHODS
A two-group randomized design with 384 children in 13 children's hospitals.
RESULTS
Age was a significant factor in observed behavioral distress, reports of fear, and self-reported pain. The use of a kaleidoscope, however, did not significantly reduce pain or distress during venipuncture or i.v. insertion.
PRACTICE IMPLICATIONS
Failure of the distraction intervention to reach statistical significance in this study is puzzling, given anecdotal reports of clinical efficacy. Methodological issues may have obscured actual differences between experimental and control groups.
问题与目的
在先前的研究中，已证明在痛苦的操作过程中采用分散注意力的方法是有效的，但这种简单的干预措施并未被常规使用。本研究探讨了在静脉穿刺或静脉插管过程中，分散注意力对于减轻行为困扰、疼痛和恐惧的有效性及可行性。
设计与方法
采用两组随机设计，在13家儿童医院中纳入了384名儿童。
结果
年龄是观察到的行为困扰、恐惧报告及自我报告疼痛的一个重要因素。然而，使用万花筒在静脉穿刺或静脉插管过程中并未显著减轻疼痛或困扰。
实践意义
鉴于有临床疗效的轶事报道，本研究中分散注意力干预措施未达到统计学显著性令人费解。方法学问题可能掩盖了实验组与对照组之间的实际差异。
Zotero 插件