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儿童静脉诱导期疼痛:MEDi®机器人随机对照试验。

Children's Pain During IV Induction: A Randomized-Controlled Trial With the MEDi® Robot.

机构信息

Department of Community Health Sciences, Cumming School of Medicine, University of Calgary.

Department of Child Life, Alberta Children's Hospital, Alberta Health Services.

出版信息

J Pediatr Psychol. 2021 Aug 19;46(8):991-1000. doi: 10.1093/jpepsy/jsab028.

Abstract

OBJECTIVE

This study examined the impact of a humanoid robot (MEDi®) programmed to teach deep breathing as a coping strategy, on children's pain and fear as primary and secondary outcomes, respectively, during intravenous (IV) line placement. The completion of IV induction was also examined as an exploratory outcome.

METHODS

In this randomized controlled, two-armed trial, 137 children (4-12 years) were recruited in Short Stay Surgery at a tertiary pediatric hospital. Patients were randomly assigned to standard care (SC) with Ametop© only (N = 60) or SC and robot-facilitated intervention (N = 59) before induction. Pain and fear before, during, and after IV insertion were rated by patients and observers.

RESULTS

No significant differences were found between groups and there were no changes over time for pain or fear (ps > .05). Exploratory analyses show that patients in the MEDi® group were 5.04 times more likely to complete IV induction, compared to SC, Fisher's exact test: X2 (1) = 4.85, p = .04, φc = 0.22, odds ratio = 5.04, 95% CI [1.06, 24.00].

CONCLUSION

This study was the first to examine children's IV induction experience when provided MEDi® support. Reasons for nonsignificance, limitations, and research suggestions were made.

摘要

目的

本研究考察了一种类人机器人(MEDi®)在教授深呼吸作为应对策略方面的作用,将其对儿童疼痛和恐惧的影响分别作为主要和次要结果进行研究,其中静脉(IV)置管是疼痛和恐惧的诱发因素。此外,还将 IV 诱导的完成情况作为探索性结果进行了考察。

方法

这是一项随机对照、双臂试验,共招募了 137 名(4-12 岁)在三级儿科医院短期住院手术部的儿童患者。患者在诱导前被随机分为仅接受 Ametop©标准护理(SC)组(n=60)或 SC 和机器人辅助干预组(n=59)。患者和观察者分别对 IV 插入前、中、后的疼痛和恐惧进行评分。

结果

组间无显著差异,疼痛或恐惧均未随时间变化(p>.05)。探索性分析显示,与 SC 组相比,MEDi®组患者完成 IV 诱导的可能性高 5.04 倍,Fisher 确切检验:X2(1)=4.85,p=0.04,φc=0.22,优势比=5.04,95%CI[1.06,24.00]。

结论

本研究首次考察了在提供 MEDi®支持的情况下,儿童 IV 诱导体验。对无统计学意义的原因、局限性和研究建议进行了讨论。

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