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The Effectiveness of Distraction (Cartoon-Patterned Clothes and Bubble-Blowing) on Pain and Anxiety in Preschool Children during Venipuncture in the Emergency Department.急诊科静脉穿刺期间，分散注意力（卡通图案衣服和吹泡泡）对学龄前儿童疼痛和焦虑的影响。
Compr Child Adolesc Nurs. 2017;40(sup1):22-28. doi: 10.1080/24694193.2017.1386967.
4
Distraction-Based Interventions for Children Undergoing Venipuncture Procedures: A Randomized Controlled Study.基于分心的干预措施对接受静脉穿刺手术儿童的影响：一项随机对照研究。
Clin Nurs Res. 2018 May;27(4):467-482. doi: 10.1177/1054773816686262. Epub 2016 Dec 30.
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Comparison of the effectiveness of three different methods in decreasing pain during venipuncture in children: ball squeezing, balloon inflating and distraction cards.三种不同方法在减轻儿童静脉穿刺疼痛方面的效果比较：捏球、吹气球和使用分心卡片。
J Clin Nurs. 2016 Aug;25(15-16):2328-35. doi: 10.1111/jocn.13321. Epub 2016 Apr 26.
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The Effect of Distraction on Pain Level Felt by School-age Children During Venipuncture Procedure--Randomized Controlled Trial.分心对学龄儿童静脉穿刺过程中疼痛程度的影响——随机对照试验。
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Distraction Using the BUZZY for Children During an IV Insertion.在静脉输液穿刺过程中使用BUZZY为儿童分散注意力。
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挤压一个柔软的物体可有效控制儿童静脉导管插入过程中的疼痛。

Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion.

作者信息

Sirtin Tumakaka Grace Yuliona, Nurhaeni Nani, Wanda Dessie

机构信息

Faculty of Nursing, Universitas Indonesia.

Nursing Department, Prof DR. R. D. Kandou Hospital, Indonesia.

出版信息

Pediatr Rep. 2020 Jun 25;12(Suppl 1):8692. doi: 10.4081/pr.2020.8692.

DOI:10.4081/pr.2020.8692
PMID:32905105
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7463147/
Abstract

This study aimed to identify the effect of distraction technique involving squeezing a squishy object on pain in children during intravenous catheter insertion. In this work, the control group posttest-only quasiexperimental design was used. This study involved 50 participants aged 3-15 years and was assigned into either intervention or control group. The intervention group was provided with a squishy object to squeeze as a form of distraction during intravenous catheter insertion, whereas the control group received the standard intervention. The pain was measured by using the Wong- Baker Faces Scale for 3-8 years old and the Visual Analog Scale or Numeric Rating Scale for children older than 8 years. Mann-Whitney analysis reveals significant difference in pain level between the intervention and control groups (P<0,001; α=0.05). The distraction technique involving squeezing a squishy object effectively reduced pain in children during intravenous catheter insertion and is recommended for pain management in nursing care in the pediatric ward.

摘要

本研究旨在确定在儿童静脉导管插入过程中，挤压柔软物体这种分散注意力的技巧对疼痛的影响。在这项研究中，采用了仅对后测的对照组准实验设计。本研究纳入了50名3至15岁的参与者，并将他们分为干预组或对照组。干预组在静脉导管插入过程中被提供一个柔软物体进行挤压，作为一种分散注意力的方式，而对照组接受标准干预。对于3至8岁的儿童，使用面部表情疼痛评分量表（Wong-Baker Faces Scale）测量疼痛；对于8岁以上的儿童，使用视觉模拟评分量表（Visual Analog Scale）或数字评定量表（Numeric Rating Scale）测量疼痛。曼-惠特尼分析显示，干预组和对照组之间的疼痛水平存在显著差异（P<0.001；α=0.05）。在儿童静脉导管插入过程中，挤压柔软物体这种分散注意力的技巧能有效减轻疼痛，建议在儿科病房的护理中用于疼痛管理。