Zhang Yuanyuan, Yan Fanghong, Li Sijun, Wang Yutan, Ma Yuxia
Evidence-Based Nursing Center, School of Nursing of Lanzhou University, Lanzhou, Gansu, China.
Int J Nurs Sci. 2020 Dec 18;8(1):30-37. doi: 10.1016/j.ijnss.2020.12.009. eCollection 2021 Jan 10.
Animal-assisted therapy (AAT) relieves pain by creating a relaxed and comfortable environment to reduce anxiety in children. Yet little is known about its effects on pain in children. This study aims to systematically evaluate the effects of AAT on pain in children.
Eight databases including PubMed, Cochrane Library, Web of Science, CINAHL Complete, Chinese Biomedical Database (CBM), Weipu Database (VIP), China Knowledge Resource Integrated Database (CNKI) and Wanfang Database were retrieved, and all randomized controlled trials or controlled clinical trial using AAT on children's pain were recruited from inception to October 2019. Two reviewers independently screened literature, extracted data and assessed the risk of bias of the included studies. RevMan 5.3 software was employed for meta-analysis.
Seven published studies containing 4 RCTs and 3 CCTs were included for the systematic review. The results of meta-analysis showed that AAT could reduce children's pain when compared with the control group [ = -0.53, 95% CI (-0.77, -0.30), < 0.00001].
Current evidence shows that AAT can relieve pain in children to some extent. Considering the limited quality and quantity of the available studies, more high quality studies should be performed to verify the above conclusion.
动物辅助疗法(AAT)通过营造轻松舒适的环境来减轻儿童焦虑从而缓解疼痛。然而,其对儿童疼痛的影响却鲜为人知。本研究旨在系统评价AAT对儿童疼痛的影响。
检索了包括PubMed、Cochrane图书馆、科学网、CINAHL Complete、中国生物医学数据库(CBM)、维普数据库(VIP)、中国知网全文数据库(CNKI)和万方数据库在内的8个数据库,纳入从建库至2019年10月所有使用AAT治疗儿童疼痛的随机对照试验或对照临床试验。两名评价员独立筛选文献、提取数据并评估纳入研究的偏倚风险。采用RevMan 5.3软件进行荟萃分析。
纳入7项已发表研究进行系统评价,其中包括4项随机对照试验和3项对照临床试验。荟萃分析结果显示,与对照组相比,AAT可减轻儿童疼痛[ = -0.53,95%CI(-0.77,-0.30), < 0.00001]。
现有证据表明,AAT在一定程度上可缓解儿童疼痛。鉴于现有研究的质量和数量有限,应开展更多高质量研究以验证上述结论。