艺术分散注意力对减轻儿科患者静脉穿刺时疼痛和焦虑的有效性：一项随机对照试验。

Effectiveness of art-based distraction on reducing pediatric patients' pain and anxiety during venipuncture: A randomized controlled trial.

机构信息

Nursing Department, Faculty Health Sciences, Witten/Herdecke University, Germany.

College of Medicine, Duhok University, Kurdistan Region, Iraq.

出版信息

Complement Ther Clin Pract. 2022 Aug;48:101597. doi: 10.1016/j.ctcp.2022.101597. Epub 2022 Apr 30.

DOI:10.1016/j.ctcp.2022.101597

PMID:35512482

Abstract

BACKGROUND

Venipuncture is a common procedure resulting in intense discomfort, anxiety, and pain in children. In this regard, we examined the effectiveness of a simple and practical art-based intervention on pain and anxiety in children who underwent venipuncture procedures.

METHOD

In this parallel randomized control trial, children aged 6-12 years were randomly allocated to either an intervention or a control group. The intervention group (n = 73) received an art-based intervention called Trace Image and Coloring for Kids-Book (TICK-B) during the venipuncture procedure compared to no intervention in the control group (n = 71). The children, their parents, and an observer nurse rated the outcomes 1-2 min after the venipuncture procedure was finished.

FINDINGS

The patients in the intervention group had a substantially lower mean value of pain and anxiety-as rated by children, their parents, and an observer nurse-compared to the control patients. The average values of pain reported by the children, parents, and observer nurse were 3.50, 3.52, and 3.49 in the intervention group in contrast to 6.53, 6.59, and 6.45 in the control group (a large effect). Similarly, the patients in the intervention group had significantly lower mean values of anxiety compared to the control group: 0.88, 1.43, and 1.42 vs. 3.09, 2.52, and 2.52, respectively.

CONCLUSIONS

This study showed that TICK-B is an effective technique to reduce the levels of pain and anxiety in children undergoing venipuncture procedures.

PRACTICE IMPLICATIONS

The TICK-B can be used easily by nurses to relieve the pain of children during venipuncture procedures.

TRIAL REGISTRATION

Clinical Trial Registry, NCT04690257. Registered on December 30, 2020.

摘要

背景

静脉穿刺是一种常见的程序，会给儿童带来强烈的不适、焦虑和疼痛。在这方面，我们研究了一种简单实用的基于艺术的干预措施对接受静脉穿刺程序的儿童疼痛和焦虑的效果。

方法

在这项平行随机对照试验中，将 6-12 岁的儿童随机分配到干预组或对照组。干预组（n=73）在静脉穿刺过程中接受了一种名为 Trace Image and Coloring for Kids-Book（TICK-B）的基于艺术的干预，而对照组（n=71）则没有干预。在静脉穿刺程序完成后 1-2 分钟，儿童、他们的父母和一名观察护士对结果进行了评分。

结果

与对照组患者相比，干预组患者的疼痛和焦虑评分明显较低，这些评分是由儿童、他们的父母和一名观察护士评定的。与对照组相比，干预组儿童、父母和观察护士报告的疼痛平均分值分别为 3.50、3.52 和 3.49，而对照组为 6.53、6.59 和 6.45（大效应）。同样，干预组患者的焦虑评分也明显低于对照组：0.88、1.43 和 1.42 与 3.09、2.52 和 2.52 相比。