Moore Elizabeth R, Bennett Katherine L, Dietrich Mary S, Wells Nancy
J Pediatr Health Care. 2015 May-Jun;29(3):265-73. doi: 10.1016/j.pedhc.2014.12.006. Epub 2015 Jan 24.
Directed medical play is used to reduce children's pain and distress during medical treatment. In this pilot study, young children who attended the burn clinic received either directed medical play provided by a child life specialist or standard preparation from the burn clinic nurse to prepare for their first dressing change. Data were collected using validated instruments. Children who participated in medical play experienced less distress during their dressing change (M = 0.5, n = 12) than did those receiving standard preparation (M = 2.0, n = 9). Children who received standard care reported a 2-point increase in pain during the procedure, whereas children who participated in medical play reported a 1-point increase. Change in parental anxiety was similar for both groups. Parent satisfaction was higher for caregivers who observed medical play than standard preparation. Although all findings were in the hypothesized direction, none was statically significant, most likely because of the small sample size.
定向医疗游戏用于减轻儿童在医疗过程中的疼痛和痛苦。在这项试点研究中，前往烧伤诊所的幼儿要么接受儿童生活专家提供的定向医疗游戏，要么接受烧伤诊所护士为首次换药做的标准准备。使用经过验证的工具收集数据。参与医疗游戏的儿童在换药过程中经历的痛苦（M = 0.5，n = 12）比接受标准准备的儿童（M = 2.0，n = 9）少。接受标准护理的儿童在手术过程中疼痛增加了2分，而参与医疗游戏的儿童疼痛增加了1分。两组家长的焦虑变化相似。观察到医疗游戏的照顾者的家长满意度高于标准准备组。尽管所有结果都符合假设方向，但由于样本量小，没有一个结果具有统计学意义。
