Reducción del miedo al entorno sanitario en niños usando espacios simulados: un ensayo controlado aleatorizado

IF 0.7 Q4 NURSING

Enfermeria Clinica Pub Date : 2025-03-01 DOI:10.1016/j.enfcli.2024.06.006

Nelia Soto-Ruiz , Paula Escalada-Hernández , Cristina García-Vivar , Marta Ferraz-Torres , Amaia Saralegui-Gainza , Leticia San Martín-Rodríguez

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引用次数: 0

Abstract

Purpose

This study aimed to evaluate the effectiveness of an intervention that involved interactions within a simulated health care space to reduce medical fear among children in infant classes.

Methods

An experimental study involving 86 children divided into an intervention group and a control group with pre- and postintervention measurements was undertaken. The intervention, known as the Health-Friendly Program, consisted of showing children various scenarios that simulated different medical contexts so that they could interact in them, experiment with the materials and ask questions. Medical fear was evaluated using the Spanish version of the revised «Child Medical Fear Scale», which provides a score of the medical fear level ranging between 0 and 34 points. The pretest and posttest levels of medical fear in the intervention and control groups were compared with Student's t test.

Results

The children in the intervention group experienced a significant reduction in fear by 3.21 points (SD: 6.50) compared to the children in the control group. This reduction in fear was shown in all four dimensions of the scale: intrapersonal fears, procedural fears, environmental fears and interpersonal fears.

Conclusion

The Health-Friendly Program provides an innovative intervention to reduce medical fear among children based on information, confrontation strategies and simulation scenarios. This study suggests the potential benefit of incorporating educational interventions in schools in collaboration with university and health care simulation centers.

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利用模拟空间减少儿童对健康环境的恐惧：一项随机对照试验

目的本研究旨在评估在模拟医疗空间内进行互动的干预措施对减少婴儿班儿童对医疗的恐惧的效果。方法本研究进行了一项实验研究，将 86 名儿童分为干预组和对照组，并对干预前后进行了测量。干预措施被称为 "健康友好计划"，包括向儿童展示各种模拟不同医疗环境的场景，让他们在其中进行互动、试用材料并提出问题。对医疗恐惧的评估使用的是西班牙文版的修订版 "儿童医疗恐惧量表"，该量表可提供 0 至 34 分的医疗恐惧水平分值。结果与对照组相比，干预组儿童的恐惧感显著降低了 3.21 分（标准差：6.50）。结果干预组儿童的恐惧感比对照组儿童明显降低了 3.21 分（标准差：6.50），恐惧感的降低表现在量表的所有四个维度上：个人恐惧、程序恐惧、环境恐惧和人际恐惧。这项研究表明，与大学和医疗保健模拟中心合作，在学校开展教育干预可能会带来益处。

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

Enfermeria Clinica NURSING-

CiteScore

2.00

自引率

0.00%

发文量

期刊介绍： Enfermería Clínica is a peer-reviewed scientific journal that is a useful and necessary tool for nursing professionals from the different areas of nursing (healthcare, administration, education and research) as well as for healthcare professionals involved in caring for persons, families and the community. It is the only Spanish nursing journal that mainly publishes original research. The aim of the Journal is to promote increased knowledge through the publication of original research and other studies that may help nursing professionals improve their daily practice. This objective is pursued throughout the different sections that comprise the Journal: Original Articles and Short Original Articles, Special Articles, Patient Care and Letters to the Editor. There is also an Evidence-Based Nursing section that includes comments about original articles of special interest written by experts.