Bray Lucy, Booth Lisa, Gray Victoria, Maden Michelle, Thompson Jill, Saron Holly
Faculty of Health, Social Care and Medicine, Child Health Literacy, Edge Hill University, Ormskirk, UK.
Institute of Health and Wellbeing, University of Cumbria, Cumbria, UK.
Insights Imaging. 2022 Sep 5;13(1):146. doi: 10.1186/s13244-022-01278-5.
Children attending hospital for radiological procedures can experience uncertainty, anxiety and distress; this can result in sub-optimal experiences for children, poor scan quality and the need for radiological procedures to be rescheduled or sedation to be used. The preparation and education of children before clinical procedures has been shown to have a positive influence on procedural outcomes. This scoping review aimed to locate and examine the evidence relating to non-invasive interventions and methods to prepare, educate and familiarise children for radiological procedures within a healthcare setting. A comprehensive search strategy identified 36 articles. A narrative synthesis approach was adopted to make sense of the key findings. Studies investigated a range of radiological procedures (MRI, plain radiographs, CT, fluoroscopy and Micturating cystourethrogram) using a wide range of interventions (smartphone applications, storybooks, videos, mock scanners) which varied by method, mode of delivery and target audience. The outcomes used to evaluate the value and impact of the interventions are wide, varied and inconsistently applied making it difficult to judge which interventions offer the optimal impact on scan quality, scan completion and children's experiences. This review highlights that there is a need to further understand which specific elements of the non-invasive interventions 'work best' for children. There is a need for consistency on the outcomes measured and for these measures to include child-centred outcomes alongside scan quality and length of radiological procedure.
因接受放射检查而住院的儿童可能会经历不确定性、焦虑和痛苦；这可能会导致儿童的就医体验不佳、扫描质量差，以及需要重新安排放射检查或使用镇静剂。临床检查前对儿童的准备和教育已被证明对检查结果有积极影响。本综述旨在查找和审查与医疗环境中用于让儿童为放射检查做好准备、接受教育并熟悉检查流程的非侵入性干预措施和方法相关的证据。一项全面的检索策略共识别出36篇文章。采用叙述性综合方法来理解关键发现。研究使用了广泛的干预措施（智能手机应用程序、故事书、视频、模拟扫描仪），针对一系列放射检查（磁共振成像、X光平片、计算机断层扫描、荧光透视检查和排尿性膀胱尿道造影）进行了调查，这些干预措施在方法、交付方式和目标受众方面各不相同。用于评估干预措施价值和影响的结果广泛、多样且应用不一致，这使得难以判断哪些干预措施对扫描质量、扫描完成情况和儿童体验具有最佳影响。本综述强调，有必要进一步了解非侵入性干预措施的哪些具体要素对儿童 “效果最佳”。在测量结果方面需要保持一致，并且这些测量应包括以儿童为中心的结果以及扫描质量和放射检查时长。
