Chubak Jessica, Hawkes Rene, Dudzik Christi, Foose-Foster Jessica M, Eaton Lauren, Johnson Rebecca H, Macpherson Catherine Fiona
1 Kaiser Permanente Washington Health Research Institute, Seattle, WA, USA.
2 Seattle Children's Hospital, Seattle, WA, USA.
J Pediatr Oncol Nurs. 2017 Sep/Oct;34(5):331-341. doi: 10.1177/1043454217712983. Epub 2017 Jun 14.
This study assessed the feasibility of studying animal-assisted activities (AAA) in inpatient pediatric oncology and collected preliminary data on potential benefits of AAA for this population. Patients at a large pediatric hospital were identified using electronic medical records and approached with physician approval. Patients completed surveys before and after a therapy dog visit in their private hospital room. Data on infections were ascertained by electronic medical record review. Provider surveys were placed in provider common areas and distributed through a link in an e-mail. We summarized resultsusing descriptive statistics and estimated mean changes in pre- and postintervention distress and conducted hypothesis tests using the paired t test. The study population (mean age = 12.9 years) consisted of 9 females and 10 males. Following the therapy dog visit, patients had lower distress and significant decreases in worry, tiredness, fear, sadness, and pain. Providers were generally supportive of the intervention. Eight patients developed infections during the 14 days after the dog visit but none could be clearly attributed to the therapy dog visit. The study's primary limitation was that there was no control group. However, results support the feasibility of and need for future studies on AAA in pediatric oncology.
本研究评估了在儿科肿瘤住院患者中开展动物辅助活动(AAA)的可行性,并收集了关于AAA对该人群潜在益处的初步数据。利用电子病历在一家大型儿科医院识别出患者,并在医生批准后与他们接触。患者在私人病房接受治疗犬探访前后完成了调查。通过电子病历审查确定感染数据。向医护人员发放的调查问卷放置在医护人员公共区域,并通过电子邮件中的链接进行分发。我们使用描述性统计方法总结结果,并估计干预前后患者痛苦程度的平均变化,同时使用配对t检验进行假设检验。研究人群(平均年龄 = 12.9岁)包括9名女性和10名男性。在治疗犬探访后,患者的痛苦程度降低,担忧、疲劳、恐惧、悲伤和疼痛显著减轻。医护人员总体上支持该干预措施。8名患者在治疗犬探访后的14天内发生了感染,但均无法明确归因于治疗犬探访。该研究的主要局限性在于没有对照组。然而,研究结果支持了在儿科肿瘤领域开展AAA未来研究的可行性和必要性。