McCarthy Ann Marie, Kleiber Charmaine, Hanrahan Kirsten, Zimmerman M Bridget, Westhus Nina, Allen Susan
College of Nursing, University of Iowa, Iowa City, IA.
Child Health Care. 2010;39(2):125-141. doi: 10.1080/02739611003679915.
This study evaluates the impact of parent-provided distraction on children's responses (behavioral, physiological, parent, and self-report) during an IV insertion. Participants were 542 children, 4 to 10 years old, randomized to an experimental group that received a parent distraction coaching intervention or to routine care. Experimental group children had significantly less cortisol responsivity (p = .026). Children that received the highest level of distraction coaching had the lowest distress on behavioral, parent report, and cortisol measures. When parents provide a higher frequency and quality of distraction, children have lower distress responses on most measures.
本研究评估了在静脉穿刺过程中家长提供分心措施对儿童反应（行为、生理、家长报告及自我报告）的影响。研究对象为542名4至10岁的儿童，他们被随机分为接受家长分心指导干预的实验组或接受常规护理的对照组。实验组儿童的皮质醇反应显著更低（p = 0.026）。接受最高水平分心指导的儿童在行为、家长报告及皮质醇测量方面的痛苦程度最低。当家长提供更高频率和质量的分心措施时，儿童在大多数测量指标上的痛苦反应更低。
