MacLaren Jill E, Cohen Lindsey L
West Virginia University, USA.
J Pediatr Psychol. 2005 Jul-Aug;30(5):387-96. doi: 10.1093/jpepsy/jsi062. Epub 2005 Feb 23.
To compare the effects of two pediatric venipuncture distress-management distraction strategies that differed in the degree to which they required children's interaction.
Eighty-eight 1- to 7-year-old children receiving venipuncture were randomly assigned to one of three treatment conditions: interactive toy distraction, passive movie distraction, or standard care. Distress was examined via parent, nurse, self-report (children over 4 years), and observational coding. Engagement in distraction was assessed via observational coding.
Children in the passive condition were more distracted and less distressed than children in the interactive condition. Although children in the interactive condition were more distracted than standard care children, there were no differences in distress between these groups.
Despite literature that suggests that interactive distraction should lower distress more than passive distraction, results indicate that a passive strategy might be most effective for children's venipuncture. It is possible that children's distress interfered with their ability to interact with the distractor.
比较两种儿童静脉穿刺痛苦管理分心策略的效果，这两种策略在儿童互动程度上有所不同。
88名接受静脉穿刺的1至7岁儿童被随机分配到三种治疗条件之一：互动玩具分心、被动电影分心或标准护理。通过家长、护士、自我报告（4岁以上儿童）和观察编码来检查痛苦程度。通过观察编码评估分心参与度。
被动条件下的儿童比互动条件下的儿童更易分心且痛苦程度更低。尽管互动条件下的儿童比接受标准护理的儿童更易分心，但两组在痛苦程度上没有差异。
尽管有文献表明互动分心比被动分心更能减轻痛苦，但结果表明被动策略可能对儿童静脉穿刺最为有效。儿童的痛苦可能会干扰他们与分心物互动的能力。
