Sanchez Cristal Natasha, Staab Jennifer, Chatham Rachel, Ryan Sarah, Mcnair Brian, Grubenhoff Joseph A
1 University of Colorado, Aurora, CO, USA.
2 Children's Hospital Colorado, Aurora, CO, USA.
Clin Pediatr (Phila). 2018 Nov;57(13):1567-1575. doi: 10.1177/0009922818798386. Epub 2018 Sep 3.
This study evaluated the effects of Certified Child Life Specialist (CCLS) intervention on pediatric distress and pain and family satisfaction during routine peripheral intravenous (PIV) line placement in the emergency department (ED). A convenience sample of 78 children (3-13 years) requiring PIV placement for their treatment at a regional level 1 pediatric trauma center ED with 70 000 annual visits were selected to receive either standard nursing care or CCLS intervention for PIV placement. CCLS involvement was associated with fewer negative emotional behaviors as indicated by a lower score on the Children's Emotional Manifestation Scale (-3.37 ± 1.49, P = .027), a reduction in self-reported pain on the Wong-Baker Faces pain rating scale (-1.107 ± 0.445, P = .017), an increase in parent-reported patient cooperation during PIV placement, and greater satisfaction with the ED visit. This study demonstrates that Child Life can have an impact on important outcomes in the pediatric ED such as distress, pain, and visit satisfaction.
本研究评估了认证儿童生活专家（CCLS）干预对急诊科（ED）常规外周静脉（PIV）置管期间儿童痛苦与疼痛以及家庭满意度的影响。在一家年就诊量达70000人次的地区一级儿科创伤中心急诊科，选取了78名（3至13岁）因治疗需要进行PIV置管的儿童作为便利样本，这些儿童被分为两组，分别接受PIV置管的标准护理或CCLS干预。儿童情绪表现量表得分较低（-3.37±1.49，P = 0.027），表明CCLS的参与与较少的负面情绪行为相关；在面部表情疼痛评分量表上，自我报告的疼痛有所减轻（-1.107±0.445，P = 0.017）；家长报告称，在PIV置管期间患儿的配合度有所提高，并且对急诊就诊的满意度更高。本研究表明，儿童生活专家服务可以对儿科急诊科的重要结果产生影响，如痛苦、疼痛和就诊满意度。
