Using Picture and Text Schedules to Inform Children: Effects on Distress and Pain during Needle-Related Procedures in Nitrous Oxide Sedation

Q2 Medicine
Merja Vantaa Benjaminsson, Gunilla C. Thunberg, S. Nilsson
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引用次数: 8

Abstract

During hospital visits, children often undergo examinations and treatments that may involve an experience of pain and distress that is also connected to the staff's treatment. The United Nation's Convention on the Rights of Persons with Disability advocates the use of Universal Design. One way of implementing this idea within paediatric nursing is to increase the use of pictorial supports, and the few studies that have been published show promising results. The aim of this study was to do a comparison between two groups of children in regard to the pre- and postconditions of implementing an intervention including staff instruction and the use of pictorial support. The support consisted of a visual schedule with pictures and text, used both preparatory to and during the hospital visit. One hundred children aged 5–15 (50 children during the preinterventional data collection and 50 children postinterventionally) reported pain intensity and distress during needle-related procedures in nitrous oxide sedation. The results showed that the intervention had a positive effect in significantly lowering the level of preprocedural distress. The results showed that the pain intensity was also lowered however not reaching statistical significance. This confirms other positive research results on the use of visual supports within paediatric care, a topic that has to be further studied.
使用图片和文字时间表来告知儿童:在一氧化二氮镇静针相关过程中对窘迫和疼痛的影响
在医院就诊期间,儿童经常接受检查和治疗,其中可能涉及疼痛和痛苦的体验,这也与工作人员的治疗有关。联合国《残疾人权利公约》提倡使用通用设计。在儿科护理中实施这一想法的一种方法是增加图像支持的使用,已经发表的少数研究显示出有希望的结果。本研究的目的是比较两组儿童在实施包括工作人员指导和使用图像支持在内的干预措施的前后条件。支持包括一份带有图片和文字的可视化时间表,在医院访问前和访问期间都使用。100名5-15岁的儿童(干预前数据收集期间的50名儿童和干预后的50名儿童)报告了在针相关的氧化亚氮镇静过程中的疼痛强度和窘迫。结果表明,干预对显著降低手术前痛苦水平有积极作用。结果显示,疼痛强度也有所降低,但无统计学意义。这证实了在儿科护理中使用视觉支持的其他积极研究结果,这是一个必须进一步研究的主题。
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
Pain Research and Treatment
Pain Research and Treatment Medicine-Anesthesiology and Pain Medicine
CiteScore
3.60
自引率
0.00%
发文量
0
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