İnönü University, Faculty of Nursing, Pediatric Nursing Department, Malatya, Turkey.
Adıyaman University, School of Health, Nursing Department, Adıyaman, Turkey.
J Pediatr Nurs. 2020 Mar-Apr;51:e33-e38. doi: 10.1016/j.pedn.2019.07.004. Epub 2019 Jul 16.
This study was conducted to determine the effect of a new therapeutic model (a therapeutic play/play therapy (TP/PT) program) on alleviating pain in children receiving inpatient treatment in paediatric surgery units and parents' anxiety levels in the post-operative period.
The study was designed as a semi-experimental model using the TP/PT program. Four measurements (pre-test, two interim tests and post-test) for children and two measurements (pre-test and post-test) for parents were performed. The data were collected using the Child and Parent Information Form, the Wong-Baker Faces Pain (WBFP) Rating Scale and the State-Trait Anxiety Inventory (STAI).
The mean pain score for children after TP/PT decreased in each measurement, and a significant difference was found between these measurements. The mean state anxiety score for parents significantly decreased after the TP/PT program, and a statistically significant difference was found between these measurements (p = 0.000).
This study determined that the post-operative TP/PT program was an effective method to reduce acute post-operative pain in children. Parental anxiety levels were found to correlate with levels of pre- and post-operative pain in children.
The findings of this study provide a basis for using a new therapeutic model that is easy to apply and effective for reducing children's pain and parents' anxiety.
本研究旨在确定一种新的治疗模式(治疗性游戏/游戏疗法(TP/PT)方案)对减轻儿科手术单元住院患儿疼痛和父母术后焦虑水平的影响。
该研究采用 TP/PT 方案设计为半实验模型。对儿童进行了四项测量(前测、两次中间测和后测),对父母进行了两项测量(前测和后测)。使用儿童和父母信息表、Wong-Baker 面部疼痛(WBFP)评分量表和状态-特质焦虑量表(STAI)收集数据。
TP/PT 后儿童的平均疼痛评分在每次测量中均降低,且这些测量之间存在显著差异。TP/PT 方案后父母的状态焦虑评分显著降低,且这些测量之间存在统计学差异(p=0.000)。
本研究确定术后 TP/PT 方案是减轻儿童急性术后疼痛的有效方法。发现父母的焦虑水平与儿童术前和术后疼痛水平相关。
本研究结果为使用新的治疗模式提供了依据,该模式易于实施,对减轻儿童疼痛和父母焦虑有效。