Department of Women's and Children's Health, Uppsala University, Unit for Paediatric Haematology and Oncology, Children's University Hospital, Uppsala, Sweden.
Eur J Cancer Care (Engl). 2009 Jul;18(4):358-63. doi: 10.1111/j.1365-2354.2008.00939.x. Epub 2008 Nov 27.
The aim of this study was to examine whether children experience less fear, distress and pain connected to a routine needle insertion in an intravenous port when subjected to an intervention: blowing soap bubbles or having a heated pillow vs. standard care. Twenty-eight children, 2-7 years, cared for at a paediatric oncology unit, undergoing a routine needle insertion in an intravenous port were included consecutively. All children were subjected to two needle insertions; at the first they received standard care, and at the second standard care + a randomized intervention. Parents and nurses assessed children's fear, distress and pain on 0-100 mm visual analogue scales. According to parents' report, children experienced less fear when subjected to intervention vs. standard care reported by parents (P < 0.001). Children also experienced less fear (P < 0.05) and distress (P < 0.05) when subjected to standard care + blowing soap bubbles vs. standard care (n = 14), and less fear when subjected to standard care + heated pillow vs. standard care (P < 0.05). Nurses' reports did not show any differences for standard care + intervention vs. standard care. Blowing soap bubbles or having a heated pillow is more effective than standard care in reducing children's fear and distress in needle procedures, according to parents' report.
本研究旨在探讨在接受干预措施（吹肥皂泡或使用加热垫）与标准护理相比，儿童在静脉港内进行常规针头插入时，是否会经历更少的恐惧、痛苦和疼痛。连续纳入 28 名在儿科肿瘤病房接受常规静脉港内针头插入的 2-7 岁儿童。所有儿童均接受两次针头插入；第一次接受标准护理，第二次接受标准护理+随机干预。父母和护士使用 0-100mm 视觉模拟量表评估儿童的恐惧、痛苦和疼痛。根据父母的报告，与父母报告的标准护理相比，接受干预的儿童经历的恐惧较少（P<0.001）。与标准护理相比，接受标准护理+吹肥皂泡（n=14）和标准护理+加热垫（P<0.05）的儿童经历的恐惧和痛苦也较少，而接受标准护理+加热垫的儿童经历的恐惧也较少（P<0.05）。护士的报告显示，在干预措施+标准护理与标准护理之间没有差异。根据父母的报告，与标准护理相比，吹肥皂泡或使用加热垫在减少儿童针头操作时的恐惧和痛苦方面更有效。
