63408Chung-Jen College of Nursing, Health Sciences and Management, Chia-Yi.
210832College of Nursing, Kaohsiung Medical University, Kaohsiung.
Biol Res Nurs. 2021 Jul;23(3):430-441. doi: 10.1177/1099800420977699. Epub 2020 Dec 17.
Acute respiratory infection is a major health issue and a primary cause of morbidity and mortality among preschool-aged children worldwide. Disease and hospitalization are chief stressors for children during their development. Therapeutic play has been used in pediatric care processes and has been demonstrated to be effective by most studies that have targeted children undergoing surgeries or invasive medical treatments. Currently, few published studies have focused on children receiving acute inpatient care. Additionally, not all types of therapeutic play produce significant results, and few studies have elaborated on the purposes, principles, and concrete measures of therapeutic play. Therefore, this study aimed to design therapeutic play that would reduce the stress responses of preschool-aged children hospitalized with acute respiratory infection. An experimental design with a pretest/posttest was conducted with 105 preschool children recruited from a regional teaching hospital in southern Taiwan. The children in the experimental group received the therapeutic play, while those in the control group received routine nursing care. Children in the experimental group showed significantly greater reductions in their physiological, psychological, and behavioral stress responses than those in the control group. Future studies could apply therapeutic play to children from different age groups with diverse health issues before recommending it be used in pediatric health settings.
急性呼吸道感染是全球学龄前儿童的主要健康问题和发病率及死亡率的主要原因。疾病和住院是儿童发育过程中的主要压力源。治疗性游戏已被用于儿科护理过程中，大多数针对接受手术或侵入性医疗治疗的儿童的研究都证明了其有效性。目前，很少有发表的研究关注接受急性住院治疗的儿童。此外，并非所有类型的治疗性游戏都能产生显著效果，也很少有研究详细阐述治疗性游戏的目的、原则和具体措施。因此，本研究旨在设计一种治疗性游戏，以减轻因急性呼吸道感染住院的学龄前儿童的应激反应。这项研究采用了预测试/后测试的实验设计，共招募了来自台湾南部一家地区教学医院的 105 名学龄前儿童。实验组的儿童接受了治疗性游戏，而对照组的儿童则接受了常规护理。实验组儿童的生理、心理和行为应激反应明显低于对照组。未来的研究可以在推荐将治疗性游戏应用于儿科健康环境之前，将其应用于不同年龄组和不同健康问题的儿童。
