Department of Pediatric Nursing, School of Nursing, Koç University, Istanbul, Turkey
Department of Pediatric Nursing, Faculty of Health Science, Trakya University, Edirne, Turkey.
Res Theory Nurs Pract. 2024 Apr 25;38(2):252-269. doi: 10.1891/RTNP-2023-0103.
The study aimed to examine the effect of a child-friendly design on the pain and anxiety levels during blood draw in children aged 1-3 years and the satisfaction levels of their parents toward the environment in which they receive health care services. The nonrandomized study was conducted with 158 children aged 1-3 years and their parents. Data were obtained with the "Personal Information Form," "Face, Legs, Activity, Cry, Consolability (FLACC) Pain Scale," "Visual Analog Scale (VAS) Anxiety Scale," and "Parental Satisfaction Scale-VAS." Data were collected from the control group before the design and from the intervention group after the design. During the blood draw, the VAS Anxiety score of the children in the intervention group was 3.17 ± 1.44 and that of the control group was 7.00 ± 2.51 ( = 246.500, < .001). The FLACC score was 3.94 ± 1.65 in the intervention group and 7.32 ± 2.51 in the control group ( = 915.000, < .001). The mean satisfaction scores of the parents in the intervention group for the environment where they received health care were 10.00 ± 0.00, and those of the parents in the control group were 4.85 ± 1.68 (test = -11.561, < .001). The child-friendly design effectively reduced children's pain and anxiety levels during blood draws and increased parents' satisfaction with the environment in which health care was received. Implementing a child-friendly design in blood collection units is recommended to alleviate the pain and anxiety associated with children's blood draws, thereby enhancing parental satisfaction with the care provided.
本研究旨在探讨儿童友好型设计对 1-3 岁儿童采血时疼痛和焦虑水平的影响,以及父母对其接受医疗服务环境的满意度。该非随机研究纳入了 158 名 1-3 岁的儿童及其父母。通过“个人信息表”、“面部、腿部、活动、哭泣、可安慰性(FLACC)疼痛量表”、“视觉模拟量表(VAS)焦虑量表”和“父母满意度量表-VAS”获取数据。在设计前从对照组和设计后从干预组收集数据。在采血过程中,干预组儿童的 VAS 焦虑评分为 3.17 ± 1.44,对照组为 7.00 ± 2.51( = 246.500, <.001)。干预组的 FLACC 评分为 3.94 ± 1.65,对照组为 7.32 ± 2.51( = 915.000, <.001)。干预组父母对接受医疗服务环境的平均满意度评分为 10.00 ± 0.00,对照组为 4.85 ± 1.68(检验 = -11.561, <.001)。儿童友好型设计有效降低了儿童采血时的疼痛和焦虑水平,提高了父母对接受医疗服务环境的满意度。建议在采血单元实施儿童友好型设计,以减轻儿童采血时的疼痛和焦虑,从而提高父母对所提供护理的满意度。