视觉和听觉干扰对 6-12 岁儿童烧伤换药时生理指标和疼痛影响的比较：一项临床试验研究。

A Comparison of the Effect of Visual and Auditory Distractions on Physiological Indicators and Pain of Burn Dressing Change Among 6-12-Year-Oldchildren: A Clinical Trial Study.

机构信息

Associate Professor, Research Center for (Home Care)Chronic Diseases, Department of Pediatric Nursing,School of Nursing and Midwifery, Hamadan University of Medical Sciences, Iran.

Mother and Child Care Research Center, Hamadan University of Medical Sciences, Iran.

出版信息

J Pediatr Nurs. 2021 May-Jun;58:e81-e86. doi: 10.1016/j.pedn.2021.01.011. Epub 2021 Feb 4.

DOI:10.1016/j.pedn.2021.01.011

PMID:33551193

Abstract

POURPOSE

This study aimed to compare the effect of audiovisual distraction on physiological indicators and pain of burn dressing change among 6-12 year-old children.

DESIGN AND METHODS

The study was a single-blind clinical trial with a three-group that sample size was 120 children aged 6-12 years admitted to the burn ward of Hamadan Besat Hospital. Data collection tools were the Oucher pain scale, a Cheklist form of the physiological Indicators, and apulse oximetry device. The cartoons were shown for visual group and the melodic poems were played for the auditory group 2 min before the dressing until the end of the procedure (at 2-min intervals). Data were analyzed by SPSS-16 software one-way, variance analysis and post-hoc Bonferroni test.

RESULTS

Therewere statistically significant differences between visual, auditory and control groups in the mean pain intensity scores at all measurement times, the mean arterial blood oxygen saturation percentage at all measurement times except for the10 min before the dressing and the start of the procedure and the mean heart rate at all measurement times except for 10 min before dressing (p < 0.001). Post-hoc tests showed that the difference in the mean heart rate was related to the difference between the visual and auditory distraction groups during and at the end of the dressing (p < 0.05), the visual and control groups at all measurement times (P < 0.001) and the auditory and control groups at all measurement times (p < 0.05).

CONCLUSION

Audiovisual distraction is effective in reducing the fluctuations of physiological indicators and the burn dressing pain intensity in children at all times of measurement, especially during changedressing.

PRACTICE IMPLICATIONS

The findings of this study are relevant to clinical practice because they suggest preparing children before and during a burning procedure situation.

摘要

目的

本研究旨在比较视听分散对 6-12 岁儿童烧伤换药时生理指标和疼痛的影响。

设计和方法

这是一项单盲临床试验，有三个组，样本量为 120 名 6-12 岁的烧伤病房患儿。数据收集工具是 Oucher 疼痛量表、生理指标检查表和脉搏血氧仪。在换敷料前 2 分钟，视觉组观看卡通片，听觉组播放旋律诗歌，一直播放到操作结束（每隔 2 分钟）。使用 SPSS-16 软件进行单向方差分析和事后 Bonferroni 检验对数据进行分析。

结果

在所有测量时间的平均疼痛强度评分、除换敷料前 10 分钟和操作开始时的所有测量时间的平均动脉血氧饱和度百分比以及除换敷料前 10 分钟和操作开始时的所有测量时间的平均心率方面，视觉组、听觉组和对照组之间存在统计学显著差异（p<0.001）。事后检验表明，平均心率的差异与换敷料过程中和结束时视觉和听觉分散组之间的差异（p<0.05）、视觉和对照组在所有测量时间（p<0.001）以及听觉和对照组在所有测量时间（p<0.05）有关。