Greenbaum P E, Lumley M A, Turner C, Melamed B G
Department of Child and Family Studies/Department of Psychology, University of South Florida.
Pediatr Dent. 1993 Jan-Feb;15(1):20-4.
Physical contact with patients by health care providers has been found to benefit the patients by reducing their fearful or avoidant reactions. This study tested whether a reassuring touch could be used during a routine pediatric dental examination to reduce children's anxiety and improve their behavior. Thirty-eight children between 3.5 and 10 years of age were randomly assigned to one of two experimental conditions. Children assigned to the touch condition were patted on the upper arm or shoulder on two separate occasions by the dentist during the examination while simultaneously receiving verbal reassurance and descriptions of the upcoming procedures. Children in the no-touch control condition received only the reassuring verbal descriptions without contact. Results indicated that touched children between the ages of 7 and 10 years (but not children aged 3.5 to 7 years) displayed less fidgeting behavior than their no-touch counterparts (P < 0.05). Post-treatment, children who were touched tended to report greater pleasure (P < 0.06) but less dominance (P < 0.10) than children not touched.
医疗保健人员与患者的身体接触已被发现有助于患者减少恐惧或回避反应。本研究测试了在常规儿科牙科检查中是否可以通过安慰性触摸来减轻儿童的焦虑并改善他们的行为。38名年龄在3.5至10岁之间的儿童被随机分配到两种实验条件之一。被分配到触摸组的儿童在检查期间由牙医在两个不同的场合轻拍上臂或肩膀,同时接受言语上的安慰以及对即将进行的程序的描述。无触摸对照组的儿童只接受安慰性的言语描述,没有身体接触。结果表明,7至10岁的受触摸儿童(但3.5至7岁的儿童不是)比未受触摸的儿童表现出更少的坐立不安行为(P < 0.05)。治疗后,受触摸的儿童比未受触摸的儿童倾向于报告更高的愉悦感(P < 0.06),但支配感更低(P < 0.10)。