游戏治疗和故事讲述对住院儿童焦虑水平的影响：一项随机对照试验。
Effect of play therapy and storytelling on the anxiety level of hospitalized children: a randomized controlled trial.
作者信息
Abdi Fatemeh, Karamoozian Ali, Lotfilou Mostafa, Gholami Fatemeh, Shaterian Negin, Niasar Alireza Abasi, Aghapour Ehsan, Jandaghian-Bidgoli Mohammadamin
机构信息
Non-communicable Diseases Research Center, Alborz University of Medical Sciences, Karaj, Iran.
Nursing and Midwifery Care Research Center, Health Management Research Institute, Iran University of Medical Sciences, Tehran, Iran.
出版信息
BMC Complement Med Ther. 2025 Jan 24;25(1):23. doi: 10.1186/s12906-025-04767-4.
BACKGROUND
Children are anxious when hospitalized due to being away from home and undergoing treatment.This anxiety has an effect on their disease process, treatment, growth and development.Children's anxiety has an effect on parents' anxiety and can lead to lower level of cooperation among the children and their parents with the treatment team.the present study aimed to compare the effect of play therapy and storytelling on the anxiety of hospitalized children.
METHODS
A randomized controlled trial study with a three-group design (play therapy, storytelling and control) was conducted in 75 children aged 3 to 10 years admitted to Imam Ali Alborz Hospital of Karaj, Iran between 2022-2023.The data before and after the intervention were collected by the Spence children's anxiety scale and the face tool for anxiety assessment and analyzed by the Mixed effect model statistical method.
RESULTS
There is a statistically significant difference between the anxiety score of the children for whom storytelling was used and control group. Also, among the two therapies of storytelling and play therapy, only storytelling therapy has a significant effect on reducing children's anxiety.Regarding the time of measuring the anxiety score(the first, second, third day after the intervention), it was found that as this time increases, the children's anxiety decreases significantly.morever, the children's gender, age, and history of hospitalization are influencing factors.
CONCLUSION
Play therapy and storytelling play an effective role in controlling the anxiety of hospitalized children, although storytelling had a greater role in reducing the anxiety of hospitalized children than play therapy. It is suggested to provide the necessary conditions and facilities for the implementation of these methods in children's inpatient departments.
TRIAL REGISTRATION
https://irct.behdasht.gov.ir/ ,IRCT20220704055367N1,13/7 /2022.
背景
儿童因离家和接受治疗而住院时会感到焦虑。这种焦虑会影响他们的疾病进程、治疗、生长和发育。儿童的焦虑会影响父母的焦虑，并可能导致儿童及其父母与治疗团队之间的合作水平降低。本研究旨在比较游戏治疗和讲故事对住院儿童焦虑的影响。
方法
在2022年至2023年期间，对伊朗卡拉季伊玛目阿里·阿尔伯兹医院收治的75名3至10岁儿童进行了一项三组设计（游戏治疗、讲故事和对照组）的随机对照试验研究。干预前后的数据通过斯宾斯儿童焦虑量表和焦虑评估面部工具收集，并采用混合效应模型统计方法进行分析。
结果
使用讲故事的儿童与对照组的焦虑得分之间存在统计学上的显著差异。此外，在讲故事和游戏治疗这两种疗法中，只有讲故事疗法对降低儿童焦虑有显著效果。关于焦虑得分的测量时间（干预后的第一天、第二天、第三天），发现随着时间的增加，儿童的焦虑显著降低。此外，儿童的性别、年龄和住院史是影响因素。
结论
游戏治疗和讲故事在控制住院儿童焦虑方面发挥了有效作用，尽管讲故事在降低住院儿童焦虑方面比游戏治疗发挥了更大的作用。建议在儿童住院部提供实施这些方法的必要条件和设施。
试验注册
https://irct.behdasht.gov.ir/ ，IRCT20220704055367N1，2022年7月13日。
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