Runge Stine Bjerrum, Precht Helle, Jensen Ib Erik, Jensen Kim, Johannesen Tine Abildgaard, Pedersen Malene Roland Vils, Christensen Nicolaj Lyhne
Department of Radiology, Lillebaelt Hospital Kolding, Sygehusvej 24, 6000, Kolding, Denmark.
Department of Regional Health Research, Odense, Denmark.
Pediatr Radiol. 2025 Feb;55(2):334-346. doi: 10.1007/s00247-024-06111-3. Epub 2024 Dec 11.
Anxiety-provoking healthcare procedures require specific child-friendly approaches. Magnetic resonance imaging (MRI) can cause anxiety for children and general anesthesia (GA) is often used. We developed and tested a multi-faceted child-friendly concept, Children Centered Care, for MRI of children without GA.
To investigate children's and parents' individual experiences with the concept using a survey. The main aim was to evaluate comfort for children and sense of security for parents during unsedated MRI.
In this prospective study of 265 children aged 4-10 years enrolled in 2016 and 2017, the Children Centered Care concept is compared to a standard setup. The concept included an interactive app, trained pediatric radiographers, a children's lounge with a toy-scanner, and a child-friendly multimedia environment in the scanner room. A 25-item survey was used including a mix of open and closed questions, free text, and a visual analogue scale to evaluate self-reported child comfort.
A total of 154 children were included in the Children Centered Care group and 111 in the standard group. Overall, the mean age was 8.5 years (range 4.0-10.9 years). With Children Centered Care, child comfort increased (88% vs. 77%), P = 0.02. The app and toy-scanner were popular among children. More parents felt "very much" prepared (80% vs. 57%), P < 0.01, and "very much" secure (92% vs. 79%), P < 0.01.
With the use of a multi-faceted, child-friendly concept, MRI without GA is a feasible first choice for children aged 4-10 years, with high levels of comfort for children and parents.
引发焦虑的医疗程序需要采用特定的儿童友好型方法。磁共振成像（MRI）会使儿童产生焦虑，因此常使用全身麻醉（GA）。我们开发并测试了一种多方面的儿童友好型理念——以儿童为中心的护理，用于在不使用GA的情况下对儿童进行MRI检查。
通过一项调查来探究儿童及其父母对该理念的个人体验。主要目的是评估在未使用镇静剂的MRI检查过程中儿童的舒适度以及父母的安全感。
在这项针对2016年和2017年招募的265名4至10岁儿童的前瞻性研究中，将以儿童为中心的护理理念与标准设置进行比较。该理念包括一个交互式应用程序、经过培训的儿科放射技师、一个设有玩具扫描仪的儿童休息室以及扫描室内适合儿童的多媒体环境。使用了一份包含25个项目的调查问卷，其中包括开放式和封闭式问题、自由文本以及视觉模拟量表，以评估自我报告的儿童舒适度。
以儿童为中心的护理组共纳入154名儿童，标准组纳入111名儿童。总体而言，平均年龄为8.5岁（范围4.0 - 10.9岁）。采用以儿童为中心的护理后，儿童舒适度有所提高（88%对77%），P = 0.02。该应用程序和玩具扫描仪在儿童中很受欢迎。更多父母感觉“准备得非常充分”（80%对57%），P < 0.01，并且“非常有安全感”（92%对79%），P < 0.01。
通过使用多方面的儿童友好型理念，对于4至10岁的儿童而言，不使用GA的MRI检查是一种可行的首选方法，能让儿童和父母都有较高的舒适度。
