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三种不同分散注意力方法在减少儿童采血时疼痛和焦虑的效果比较:一项随机对照研究。

Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study.

机构信息

Burdur Mehmet Akif Ersoy University, Bucak School of Health, Department of Nursing, Department of Pediatric Nursing, Burdur, Turkey.

Karamanoglu Mehmetbey University Health Science Faculty, Nursing Department, Karaman, Turkey.

出版信息

J Pediatr Nurs. 2024 Nov-Dec;79:225-233. doi: 10.1016/j.pedn.2024.09.009. Epub 2024 Sep 19.

Abstract

BACKGROUND

Healthcare professionals need to use effective pain and anxiety-relieving methods during blood drawing in children.

AIM

This study aimed to compare the effects of three different distraction methods (Virtual Reality Glasses, Kaleidoscope, and Distraction Cards) in reducing pain and anxiety during blood drawing in children.

METHODS

This study was a randomized controlled study. The research was conducted on 400 children between the ages of 7 and 11 years who required blood for routine check-ups upon the doctor's request and who met the sample selection criteria. Children were randomized into four groups: Virtual Reality Glasses, Kaleidoscope, Distraction Cards, and Control Group. Data were collected using the Interview and Observation Form, Wong-Baker FACES Pain Rating Scale, and Children's Fear Scale. Wong-Baker FACES and Children's Fear Scale were assessed and reported by children, parent, and observer.

FINDINGS

Pain assessments of the child, parent, and observer after the procedure, and anxiety assessments of the parent, and observer after the procedure in the Virtual Reality Glasses, Kaleidoscope, and Distraction Cards Group were significantly lower than the Control Group (p < 0.001).

CONCLUSIONS

All three methods applied to the child during blood drawing were effective in reducing the child's pain and anxiety level. However, it was found that the most effective method to relieve pain and anxiety is virtual reality glasses.

PRACTICE IMPLICATIONS

These results contribute to the pain and anxiety management of children during blood drawing.

CLINICAL TRIAL REGISTRATION NUMBER

NCT06192498.

摘要

背景

医疗保健专业人员在为儿童采血时需要使用有效的止痛和缓解焦虑的方法。

目的

本研究旨在比较三种不同分散注意力方法(虚拟现实眼镜、万花筒和分心卡片)在减轻儿童采血时疼痛和焦虑的效果。

方法

这是一项随机对照研究。研究对象为 400 名 7 至 11 岁的儿童,这些儿童因医生要求进行常规检查需要采血,且符合样本选择标准。儿童被随机分为四组:虚拟现实眼镜组、万花筒组、分心卡片组和对照组。使用访谈和观察表、Wong-Baker FACES 疼痛评分量表和儿童恐惧量表收集数据。Wong-Baker FACES 和儿童恐惧量表由儿童、家长和观察者进行评估和报告。

结果

与对照组相比,程序后儿童、家长和观察者的疼痛评估,以及程序后家长和观察者的焦虑评估,虚拟现实眼镜、万花筒和分心卡片组均显著降低(p<0.001)。

结论

在采血过程中应用于儿童的三种方法都能有效降低儿童的疼痛和焦虑水平。然而,发现虚拟现实眼镜是缓解疼痛和焦虑最有效的方法。

实践意义

这些结果有助于管理儿童采血时的疼痛和焦虑。

临床试验注册号

NCT06192498。

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