Comparing the use of colored Trace Images in Kids' Books with passive distractions to decrease pain and fear during cannulation in children: A randomized clinical trial

IF 1.9 4区医学 Q3 INTEGRATIVE & COMPLEMENTARY MEDICINE

European Journal of Integrative Medicine Pub Date : 2024-06-21 DOI:10.1016/j.eujim.2024.102379

Sherzad Khudeida Suleman , Nizar BakirYahya , Stefan Nilsson , Karin Enskär

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引用次数: 0

Abstract

Introduction

Cannulation can be frightening and a source of pain and fear for pediatric patients. The study evaluated the effectiveness of Trace Image and Coloring for Kids-Book (TICK-B) as active distraction with two passive distractions in reducing children's pain and fear during cannulation.

Methods

This study employed a prospective, controlled, randomized experiment conducted from January 2023 to April 2023 at Heevi Pediatric hospital in the Kurdistan region of Iraq. A total of 176 participants were randomly assigned in to one of four study groups, with 44 participants assigned to each group. The interventions were administered 2–3 min before continued until the cannulation procedure finished. Data were collected through interviews conducted before and after the procedure. Children reported pain using Wong-Baker FACES® scale, and fear evaluated with the Child Fear Scale as an outcome after the cannulation procedure. Children's outcomes during and after procedure were measured 2–3 min after completed procedure.

Results

All distraction methods significantly reduced children's pain and fear compared to the control group. TICK-B showed large effects in reducing average pain (mean difference = -4.65, 95 % CI: -5.67 to -3.65) and fear (mean difference = -2.18, 95 % CI: -2.67 to -1.69) during cannulation. Post-procedure, TICK-B maintained large pain relief (mean difference = -4.10, 95 % CI: -4.98 to -3.22) and fear reduction (mean difference = -1.89, 95 % CI: -2.39 to -1.39) effects. Music listening and cartoon watching both showed improvements compared to the control group, with minimal differences between them in terms of pain and fear during the procedure. Also, the differences were the same after the procedure. No adverse events were reported.

Conclusion

All distraction techniques effectively and safely decreased children's pain and fear during cannulation. The TICK-B technique most effectively reduced children's pain and fear during cannulation procedures compared to music-listening and cartoon-watching techniques.

Trial registration

NCT04977323.

查看原文本刊更多论文

比较使用儿童读物中的彩色追踪图像和被动分散注意力法来减轻儿童插管时的疼痛和恐惧：随机临床试验

引言插管可能会让儿童患者感到恐惧、疼痛和恐惧。本研究评估了《儿童追踪图像和着色书》（TICK-B）作为主动分散注意力的方法与两种被动分散注意力的方法在减少儿童插管时的疼痛和恐惧方面的效果。共有 176 名参与者被随机分配到四个研究组中的一组，每组 44 人。干预措施在插管前 2-3 分钟进行，直至插管过程结束。数据通过手术前后的访谈收集。插管过程结束后，儿童使用 Wong-Baker FACES® 量表报告疼痛情况，并使用儿童恐惧量表评估恐惧程度。与对照组相比，所有分散注意力的方法都能显著减轻儿童的疼痛和恐惧感。TICK-B 在减少插管过程中的平均疼痛（平均差异 = -4.65，95 % CI：-5.67 至 -3.65）和恐惧（平均差异 = -2.18，95 % CI：-2.67 至 -1.69）方面显示出巨大的效果。手术后，TICK-B 仍能保持较大的缓解疼痛（平均差异 = -4.10，95 % CI：-4.98 至 -3.22）和减少恐惧（平均差异 = -1.89，95 % CI：-2.39 至 -1.39）效果。与对照组相比，听音乐和看动画片的效果都有所改善，但在手术过程中的疼痛和恐惧方面，两者之间的差异很小。此外，手术后的差异也相同。结论所有分散注意力的技术都能有效、安全地减轻儿童在插管过程中的疼痛和恐惧。与听音乐和看动画片的技术相比，TICK-B 技术能最有效地减轻儿童在插管过程中的疼痛和恐惧感。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

European Journal of Integrative Medicine INTEGRATIVE & COMPLEMENTARY MEDICINE-

CiteScore

4.70

自引率

4.00%

发文量

102

审稿时长

33 days

期刊介绍： The European Journal of Integrative Medicine (EuJIM) considers manuscripts from a wide range of complementary and integrative health care disciplines, with a particular focus on whole systems approaches, public health, self management and traditional medical systems. The journal strives to connect conventional medicine and evidence based complementary medicine. We encourage submissions reporting research with relevance for integrative clinical practice and interprofessional education. EuJIM aims to be of interest to both conventional and integrative audiences, including healthcare practitioners, researchers, health care organisations, educationalists, and all those who seek objective and critical information on integrative medicine. To achieve this aim EuJIM provides an innovative international and interdisciplinary platform linking researchers and clinicians. The journal focuses primarily on original research articles including systematic reviews, randomized controlled trials, other clinical studies, qualitative, observational and epidemiological studies. In addition we welcome short reviews, opinion articles and contributions relating to health services and policy, health economics and psychology.