Kleye Ida, Sundler Annelie J, Karlsson Katarina, Darcy Laura, Hedén Lena
Faculty of Caring Science Work Life and Social Welfare, University of Borås Boras Sweden.
Paediatr Neonatal Pain. 2023 Feb 6;5(1):23-30. doi: 10.1002/pne2.12095. eCollection 2023 Mar.
To examine whether children experience less fear or pain using a child-centered intervention and if there were differences between the intervention group and the control group regarding heart rate, time required for the procedure, success rate for the cannula insertion, and patient satisfaction. A controlled single-center case study of observational design, with one control and one intervention group. Child self-reported fear or pain levels did not reveal any differences for those receiving the intervention compared with controls. However, according to a behavioral observation measure with the Procedure Behavior Check List, effects of the intervention were lower distress in relation to fear and pain during the cannula insertion. The time it took to perform the cannula insertion also decreased significantly in the intervention group. More children in the intervention group reported that they were satisfied with the needle procedure compared with the children in the control group. The child-centered intervention provides reduced observed distress related to fear and pain in children undergoing a cannula insertion and reduced total time by more than 50%. This study found that child involvement in care strengthen their ability to manage a needle procedure.
为了研究采用以儿童为中心的干预措施时儿童是否体验到更少的恐惧或疼痛，以及干预组和对照组在心率、操作所需时间、套管插入成功率和患者满意度方面是否存在差异。这是一项采用观察性设计的对照单中心案例研究，设有一个对照组和一个干预组。儿童自我报告的恐惧或疼痛程度显示，接受干预的儿童与对照组相比没有任何差异。然而，根据使用《操作行为检查表》进行的行为观察测量，干预的效果是在套管插入过程中与恐惧和疼痛相关的痛苦程度降低。干预组进行套管插入所需的时间也显著减少。与对照组的儿童相比，干预组中有更多儿童表示对针头操作感到满意。以儿童为中心的干预措施减少了接受套管插入术儿童与恐惧和疼痛相关的明显痛苦，并使总时间减少了50%以上。本研究发现，让儿童参与护理可增强他们应对针头操作的能力。
