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多感官刺激疗法对儿科复杂持续护理的影响:一项试点研究。

The impact of Snoezelen in pediatric complex continuing care: A pilot study.

作者信息

Koller Donna, McPherson Amy C, Lockwood Ilana, Blain-Moraes Stefanie, Nolan Jason

机构信息

Early Childhood Studies, Ryerson University, Toronto, ON, Canada.

Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

出版信息

J Pediatr Rehabil Med. 2018;11(1):31-41. doi: 10.3233/PRM-150373.

Abstract

PURPOSE

Snoezelen is an environment that provides sensory stimulation to individuals in health care and rehabilitative settings. With the presentation of various instruments and materials, individuals can encounter a range of sensory experiences including visual, tactile, and auditory with the purpose of inducing relaxation and restoration. Little is known about how children and adolescents experience this form of sensory stimulation, particularly those in complex continuing care who may have limited verbal and mobility capacity.

METHODS

This pilot study examined autonomic physiological responses and observational data on five children and adolescents in complex continuing care within a large rehabilitation hospital. Responses to Snoezelen and watching television were compared against baseline data collected during pre-intervention phases.

RESULTS

Using a single-subject design, this preliminary study found that individual participant responses varied considerably. Four of the five participants exhibited significant changes between sessions on one or two distinct physiological measures. The authors call on additional studies that apply unique and multiple methods capable of accessing the preferences of children and adolescent in rehabilitative care.

CONCLUSIONS

As an outcome, contributions to evidence-based practice can be made while supporting children's participation rights in health care decision making.

摘要

目的

多感官刺激疗法(Snoezelen)是一种为医疗保健和康复环境中的个体提供感官刺激的环境。通过展示各种仪器和材料,个体可以体验一系列感官体验,包括视觉、触觉和听觉,目的是诱导放松和恢复。对于儿童和青少年如何体验这种形式的感官刺激知之甚少,尤其是那些在复杂的持续护理中可能言语和行动能力有限的儿童和青少年。

方法

这项试点研究调查了一家大型康复医院中五名处于复杂持续护理中的儿童和青少年的自主生理反应和观察数据。将对多感官刺激疗法的反应和看电视的反应与干预前阶段收集的基线数据进行比较。

结果

采用单受试者设计,这项初步研究发现个体参与者的反应差异很大。五名参与者中有四名在一两项不同的生理指标上各阶段之间表现出显著变化。作者呼吁开展更多研究,采用独特且多样的方法来了解康复护理中儿童和青少年的偏好。

结论

因此,在支持儿童参与医疗保健决策权利的同时,可以为循证实践做出贡献。

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