Miller Kyle J, Georgiadis Andrew G, Laine Jennifer C
Gillette Children's Specialty Healthcare, St. Paul, MN, USA.
University of Minnesota Department of Orthopedic Surgery, Minneapolis, MN, USA.
J Pediatr Soc North Am. 2025 Jul 3;12:100243. doi: 10.1016/j.jposna.2025.100243. eCollection 2025 Aug.
The casting process can produce anxiety and sometimes discomfort for both patients and caregivers. Proper preparation and education are essential for a successful casting experience. The teaching process should begin as early as possible before cast placement. Strategies to enhance the patient experience include pain management, environmental controls, and distraction techniques. Tailoring the experience to the child's developmental stage is crucial. By implementing these strategies, healthcare professionals can enhance the experience for patients and caregivers, making the process more efficient and less traumatic for everyone involved. The purpose of this chapter is to detail evidence-based strategies, along with insights and challenges from pediatric orthopaedic experts, in preparing patients and caregivers for cast and splint immobilization.
(1)Successful pediatric orthopaedic cast and splint application relies on clear, compassionate communication and education for patients and caregivers.(2)When preparing patients and families for the casting and splinting process, the approach should be customized to the child's age and developmental stage.(3)Adequate pain management, environmental controls, and distraction techniques can be helpful in alleviating discomfort and anxiety during the placement and removal of casts and splints.(4)The placement of the cast marks the beginning of a typically much longer process, making proper preparation and education vital for a successful casting or splinting outcome.
石膏固定过程可能会给患者和护理人员带来焦虑，有时还会带来不适。适当的准备和教育对于成功的石膏固定体验至关重要。教学过程应在石膏固定前尽早开始。增强患者体验的策略包括疼痛管理、环境控制和分散注意力技巧。根据孩子的发育阶段调整体验至关重要。通过实施这些策略，医护人员可以提升患者和护理人员的体验，使整个过程对所有相关人员更高效且创伤更小。本章的目的是详细介绍基于证据的策略，以及儿科骨科专家的见解和挑战，帮助患者和护理人员为石膏和夹板固定做好准备。
（1）成功的儿科骨科石膏和夹板应用依赖于与患者及护理人员进行清晰、富有同情心的沟通和教育。（2）在为患者及其家庭准备石膏和夹板固定过程时，方法应根据孩子的年龄和发育阶段进行定制。（3）适当的疼痛管理、环境控制和分散注意力技巧有助于减轻石膏和夹板放置及拆除过程中的不适和焦虑。（4）石膏的放置标志着一个通常更长过程的开始，因此适当的准备和教育对于成功的石膏或夹板固定结果至关重要。
