开发一本用于减轻学龄前儿童静脉穿刺痛苦的医学绘本。
Developing a medical picture book for reducing venipuncture distress in preschool-aged children.
作者信息
Tsao Ying, Kuo Hui-Chen, Lee Hsui-Chuan, Yiin Shuenn-Jiun
机构信息
Department of Nursing, Tzu-Chi University, Hualien, Taiwan.
Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
出版信息
Int J Nurs Pract. 2017 Oct;23(5). doi: 10.1111/ijn.12569. Epub 2017 Jul 20.
AIM
Distress associated with needle-related procedures is a major concern in preschool-aged children nursing. This study developed a medical picture book for supporting preschool-aged children facing a venipuncture and determined the effectiveness of such a book intervention in decreasing behavioural distress.
METHODS
The picture book was designed in 3 stages: developing stories on medical situations, penning the text, and drafting the book. We conducted a quasiexperimental study to examine the effectiveness of the book. The behavioural distress of the control and picture book groups were assessed before, during, and after the intervention by using the Observational Scale of Behavioral Distress-Revised (OSBD-R).
RESULTS
We created a 12-page picture book, Sick Rui-Rui Bear, in which cartoon characters were depicted undergoing venipunctures, as a guide for vein injection and for facilitating positive venipuncture outcomes in preschool-aged children. Over time, the OSBD-R scores of the picture book group were significantly lower than those of the control group (P < .001).
CONCLUSION
We recommend the picture book be routinely read and used during venipunctures to decrease procedural distress in preschool-aged children.
目的
与针头相关操作所带来的痛苦是学龄前儿童护理中的一个主要问题。本研究开发了一本医学绘本，以帮助面临静脉穿刺的学龄前儿童，并确定这种绘本干预在减少行为痛苦方面的有效性。
方法
绘本设计分三个阶段进行：编写医疗场景故事、撰写文字、绘制绘本。我们进行了一项准实验研究来检验该绘本的有效性。通过使用修订后的行为痛苦观察量表（OSBD-R），在干预前、干预期间和干预后对对照组和绘本组的行为痛苦进行评估。
结果
我们创作了一本12页的绘本《生病的瑞瑞熊》，其中描绘了卡通人物接受静脉穿刺 的情景，作为学龄前儿童静脉注射的指南，并促进积极的静脉穿刺结果。随着时间的推移，绘本组的OSBD-R得分显著低于对照组（P <.001）。
结论
我们建议在静脉穿刺期间常规阅读并使用该绘本，以减少学龄前儿童在操作过程中的痛苦。
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