Matziou Vasiliki, Chrysostomou Anthi, Vlahioti Efrosyni, Perdikaris Pantelis
Faculty of Nursing, National and Kapodestrian University of Athens.
Br J Nurs. 2013;22(8):470-5. doi: 10.12968/bjon.2013.22.8.470.
To investigate the effect of parental presence and the distraction of the attention by a toy in children undergoing a painful procedure.
A randomised study with two experimental groups and one control group-130 children (64 girls and 66 boys), mean age 8.3 years (range 7-10 years) were randomly assigned to one of the three groups from September 2006 to March 2007: the parent presence group, the toy group, the control group. The verbal rating scale of pain, the assessment of vital signs before and after the procedure and the State-Trait Anxiety Inventory for Children were used.
Children who had their parent close to them showed a reduction in breaths (95% confidence interval (CI) for gradient of regression line): -4.20 to -2.80, p<0.001), mean blood pressure (95% CI: -4.88 to -2.99, p<0.001) and pulse (95% CI: -8.76 to -5.68, p<0.001) compared to the children whose parents were absent. They also felt less pain (95% CI: -4.40 to -2.71, p<0.001) and they were less distressed (95% confidence interval for A-State tool (CIA-State): -10.46 to -6.49, p<0.001 and 95% confidence interval for A-Trait tool (CIA-Trait): -5.71 to -2.13, p<0.001).
Parental presence is considered to be important in decreasing children's pain, stress and their negative behaviour in general during invasive procedures.
探讨在接受痛苦治疗的儿童中，父母陪伴及玩具分散注意力的效果。
一项随机研究，设有两个实验组和一个对照组。2006年9月至2007年3月，130名儿童（64名女孩和66名男孩），平均年龄8.3岁（7 - 10岁）被随机分配到以下三组之一：父母陪伴组、玩具组、对照组。使用疼痛言语评定量表、治疗前后生命体征评估以及儿童状态-特质焦虑量表。
与父母不在身边的儿童相比，父母在身边的儿童呼吸（回归线斜率的95%置信区间[CI]：-4.20至-2.80，p<0.001）、平均血压（95%CI：-4.88至-2.99，p<0.001）和脉搏（95%CI：-8.76至-5.68，p<0.001）均有所降低。他们也感觉疼痛减轻（95%CI：-4.40至-2.71，p<0.001），并且痛苦程度更低（状态焦虑量表[A-State]的95%置信区间[CIA-State]：-10.46至-6.49，p<0.001；特质焦虑量表[A-Trait]的95%置信区间[CIA-Trait]：-5.71至-2.13，p<0.001）。
一般而言，在侵入性治疗过程中，父母陪伴对于减轻儿童的疼痛、压力及负面行为被认为是重要的。
