儿童和青少年针头相关疼痛与痛苦的分心及催眠疗法的系统评价与荟萃分析
Systematic review and meta-analysis of distraction and hypnosis for needle-related pain and distress in children and adolescents.
作者信息
Birnie Kathryn A, Noel Melanie, Parker Jennifer A, Chambers Christine T, Uman Lindsay S, Kisely Steve R, McGrath Patrick J
机构信息
Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland
Department of Psychology and Neuroscience, Dalhousie University, Centre for Pediatric Pain Research, IWK Health Centre, Center for Child Health, Behavior and Development, Seattle Children's Research Institute, Department of Pediatrics, Dalhousie University, Mental Health and Addiction Services, IWK Health Centre, and School of Population Health, The University of Queensland.
出版信息
J Pediatr Psychol. 2014 Sep;39(8):783-808. doi: 10.1093/jpepsy/jsu029. Epub 2014 Jun 2.
OBJECTIVE
To systematically review the evidence (and quality) for distraction and hypnosis for needle-related pain and distress in children and adolescents. To explore the effects of distraction characteristics (e.g., adult involvement, type of distracter), child age, and study risk of bias on treatment efficacy.
METHODS
26 distraction and 7 hypnosis trials were included and self-report, observer-report, and behavioral pain intensity and distress examined. Distraction studies were coded for 4 intervention characteristics, and all studies coded for child age and study risk of bias.
RESULTS
Findings showed strong support for distraction and hypnosis for reducing pain and distress from needle procedures. The quality of available evidence was low, however. Characteristics of distraction interventions, child age, and study risk of bias showed some influence on treatment efficacy.
CONCLUSIONS
Distraction and hypnosis are efficacious in reducing needle-related pain and distress in children. The quality of trials in this area needs to be improved.
目的
系统评价分心和催眠对儿童及青少年与打针相关的疼痛和痛苦的证据（及质量）。探讨分心特征（如成人参与、分心物类型）、儿童年龄和研究偏倚风险对治疗效果的影响。
方法
纳入26项分心和7项催眠试验，对自我报告、观察者报告以及行为疼痛强度和痛苦进行检查。对分心研究的4种干预特征进行编码，对所有研究的儿童年龄和研究偏倚风险进行编码。
结果
研究结果有力支持了分心和催眠可减轻打针过程中的疼痛和痛苦。然而，现有证据的质量较低。分心干预的特征、儿童年龄和研究偏倚风险对治疗效果有一定影响。
结论
分心和催眠在减轻儿童与打针相关的疼痛和痛苦方面是有效的。该领域试验的质量有待提高。
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