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儿科初级保健新模式的综合方法:主动高效医疗咨询的互动调解

An Integrated Approach for a New Pattern in Pediatric Primary Care: Interaction Mediation for Active and Efficient Medical Consultations.

作者信息

Ranieri Jessica, Guerra Federica, Cilli Eleonora, Di Giacomo Dina

机构信息

Department of Life, Health and Environmental Sciences, University of L'Aquila, L'Aquila, Italy.

出版信息

Front Pediatr. 2020 Sep 4;8:530. doi: 10.3389/fped.2020.00530. eCollection 2020.

DOI:10.3389/fped.2020.00530
PMID:33014931
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7499798/
Abstract

This study analyzed the impact of an innovative integrated approach in pediatric care on children's behavior and cooperation during care. The participants included 75 children aged 3-8 years (30 girls and 45 boys) recruited from a pediatric surgery department. The sample was categorized into three groups according to experimental condition: the Control, Playing, and Interaction groups. A one-way ANOVA revealed significant differences in cooperation between the three groups [ = 5.52; = 0.006]. A analysis showed better performance in the Interaction group ( = 0.002) compared to the Control group during clinical care. The Control group also showed less cooperation compared to the Playing group ( = 0.009). The findings indicate that distraction before medical care can positively influence children's behavior, increasing their cooperation in medical settings. Future studies could objectively analyze physiological changes in children during medical care to better relieve anxiety and provide them with more efficient care.

摘要

本研究分析了儿科护理中一种创新的综合方法对儿童护理期间行为和合作的影响。参与者包括从儿科外科招募的75名3至8岁儿童(30名女孩和45名男孩)。根据实验条件,样本分为三组:对照组、游戏组和互动组。单向方差分析显示三组之间在合作方面存在显著差异[F = 5.52;p = 0.006]。事后检验分析表明,在临床护理期间,互动组(p = 0.002)比对照组表现更好。与游戏组相比,对照组的合作也较少(p = 0.009)。研究结果表明,医疗护理前的分散注意力可以对儿童行为产生积极影响,提高他们在医疗环境中的合作。未来的研究可以客观分析儿童在医疗护理期间的生理变化,以更好地缓解焦虑并为他们提供更有效的护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/8c0ac4dd3145/fped-08-00530-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/050cc84b8eb5/fped-08-00530-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/2b4254443910/fped-08-00530-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/8c0ac4dd3145/fped-08-00530-g0003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/050cc84b8eb5/fped-08-00530-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/2b4254443910/fped-08-00530-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/54b8/7499798/8c0ac4dd3145/fped-08-00530-g0003.jpg

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Health Psychol. 2017 Oct;36(10):987-995. doi: 10.1037/hea0000530. Epub 2017 Jul 20.
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CONSORT 2010 statement: extension to randomised pilot and feasibility trials.《CONSORT 2010声明:随机试点和可行性试验的扩展》
BMJ. 2016 Oct 24;355:i5239. doi: 10.1136/bmj.i5239.
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Systematic Review: Audiovisual Interventions for Reducing Preoperative Anxiety in Children Undergoing Elective Surgery.
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J Pediatr Psychol. 2016 Mar;41(2):182-203. doi: 10.1093/jpepsy/jsv094. Epub 2015 Oct 17.
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Remembering pain after surgery: a longitudinal examination of the role of pain catastrophizing in children's and parents' recall.术后疼痛记忆:对疼痛灾难化在儿童及其父母记忆中作用的纵向研究
Pain. 2015 May;156(5):800-808. doi: 10.1097/j.pain.0000000000000102.
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Pediatric hypnosis: pre-, peri-, and post-anesthesia.儿科催眠:麻醉前、麻醉期间和麻醉后。
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