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通过游戏干预减少住院儿童的焦虑和负面情绪。

Play interventions to reduce anxiety and negative emotions in hospitalized children.

作者信息

Li William H C, Chung Joyce Oi Kwan, Ho Ka Yan, Kwok Blondi Ming Chau

机构信息

School of Nursing, The University of Hong Kong, 4/F, William M. W. Mong Block, 21 Sassoon Road, Pokfulam, Hong Kong, China.

Playright Children's Play Association (Playright), Hong Kong, China.

出版信息

BMC Pediatr. 2016 Mar 11;16:36. doi: 10.1186/s12887-016-0570-5.

Abstract

BACKGROUND

Hospitalization is a stressful and threatening experience, which can be emotionally devastating to children. Hospital play interventions have been widely used to prepare children for invasive medical procedures and hospitalization. Nevertheless, there is an imperative need for rigorous empirical scrutiny of the effectiveness of hospital play interventions, in particular, using play activities to ease the psychological burden of hospitalized children. This study tested the effectiveness of play interventions to reduce anxiety and negative emotions in hospitalized children.

METHODS

A non-equivalent control group pre-test and post-test, between subjects design was conducted in the two largest acute-care public hospitals in Hong Kong. A total of 304 Chinese children (ages 3-12) admitted for treatments in these two hospitals were invited to participate in the study. Of the 304 paediatric patients, 154 received hospital play interventions and 150 received usual care.

RESULTS

Children who received the hospital play interventions exhibited fewer negative emotions and experienced lower levels of anxiety than those children who received usual care.

CONCLUSION

This study addressed a gap in the literature by providing empirical evidence to support the effectiveness of play interventions in reducing anxiety and negative emotions in hospitalized children. Findings from this study emphasize the significance of incorporating hospital play interventions to provide holistic and quality care to ease the psychological burden of hospitalized children.

TRIAL REGISTRATION

ClinicalTrials.gov NCT02665403 . Registered 22 January 2016.

摘要

背景

住院是一种充满压力和威胁的经历,对儿童来说可能在情感上具有毁灭性。医院游戏干预已被广泛用于帮助儿童为侵入性医疗程序和住院做好准备。然而,迫切需要对医院游戏干预的效果进行严格的实证审查,特别是利用游戏活动减轻住院儿童的心理负担。本研究测试了游戏干预对减轻住院儿童焦虑和负面情绪的效果。

方法

在香港两家最大的急症公立医院进行了非等效对照组的前测和后测、组间设计。共有304名在这两家医院接受治疗的中国儿童(3至12岁)被邀请参与研究。在这304名儿科患者中,154名接受了医院游戏干预,150名接受了常规护理。

结果

接受医院游戏干预的儿童比接受常规护理的儿童表现出更少的负面情绪,焦虑水平也更低。

结论

本研究通过提供实证证据支持游戏干预在减轻住院儿童焦虑和负面情绪方面的有效性,填补了文献中的空白。本研究结果强调了纳入医院游戏干预以提供全面优质护理以减轻住院儿童心理负担的重要性。

试验注册

ClinicalTrials.gov NCT02665403。于2016年1月22日注册。

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