Getchell Kirsten, McCowan Kate, Whooley Erin, Dumais Christine, Rosenstock Addie, Cole Alexandra, DeGrazia Michele
Boston Children's Hospital, Boston, MA, USA.
Neonatal Intensive Care Unit, Boston Children's Hospital, Boston, MA, USA.
J Patient Exp. 2022 Jun 5;9:23743735221105679. doi: 10.1177/23743735221105679. eCollection 2022.
Children can experience extreme fear when undergoing medical procedures, including blood draws. A growing body of evidence points to the benefits of Child Life Specialists supporting children throughout medical procedures in various medical settings. This prospective cohort study aimed to describe the impact of Child Life Specialist facilitated play on children's fear and caregiver satisfaction in an outpatient blood drawing lab. A nonrandomized convenience sample of 150 children and their caregivers were enrolled. Seventy-five patients received the Child Life Specialist intervention during their blood draw, while the remaining 75 patients were enrolled as controls. Children and caregivers in the intervention group spent less time in the procedure room, with a median time of 3 min (interquartile range: 2-5) as compared to 5 min (interquartile range: 5-6; < .001) for the control group. Caregivers in the intervention group reported the atmosphere ( = .032) and experience ( < .001) more positively, and children reported lower fear scores ( = .007) as compared to the control group. The findings of this study suggest that Child Life Specialist interventions in pediatric outpatient blood drawing labs improve satisfaction and reduce fear.
儿童在接受医疗程序，包括抽血时，可能会经历极度恐惧。越来越多的证据表明，儿童生活专家在各种医疗环境中为接受医疗程序的儿童提供支持具有诸多益处。这项前瞻性队列研究旨在描述儿童生活专家引导的游戏对门诊抽血实验室中儿童恐惧及照顾者满意度的影响。研究纳入了150名儿童及其照顾者组成的非随机便利样本。75名患者在抽血过程中接受了儿童生活专家的干预，其余75名患者作为对照组。干预组的儿童和照顾者在操作室花费的时间更少，中位数时间为3分钟（四分位间距：2 - 5），而对照组为5分钟（四分位间距：5 - 6；P < 0.001）。与对照组相比，干预组的照顾者对氛围（P = 0.032）和体验（P < 0.001）的评价更为积极，儿童报告的恐惧得分更低（P = 0.007）。本研究结果表明，儿童生活专家在儿科门诊抽血实验室的干预可提高满意度并减少恐惧。
