儿科急诊室采血过程中三种不同方法对儿童疼痛和焦虑的影响：手指木偶、阿贝斯朗拼图和风车。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-11-01 DOI:10.1016/j.pedn.2024.10.023

Fatma Dinç, Aylin Kurt, Emine Güneş Şan

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引用次数: 0

摘要

目的：本研究的主要目的是评估手指木偶、abeslang 拼图和风车在儿科急诊室抽血过程中减轻 4-6 岁儿童疼痛和焦虑的效果：本研究采用四臂平行分组随机对照试验设计，于 2023 年 6 月至 2024 年 6 月期间在土耳其西部一家儿童医院的儿科急诊室进行。儿童（n = 160）按 1:1:1:1 的比例被随机分配到四组。干预组由 4-6 岁儿童组成，分别为手指木偶组（40 人）、阿贝斯朗拼图组（40 人）、风车组（40 人）和对照组（40 人）。使用人员信息表、Wong-Baker FACES 疼痛评定量表和儿童焦虑量表收集数据。参与者本人、家长、护士和研究人员对采血过程中的疼痛和焦虑程度进行评分。这些试验已在 ClinicalTrials.gov (NCT05904483) 上注册：采用方差分析比较了各组的 Wong-Baker FACES 疼痛评分量表平均得分。根据所有评分者（儿童、家长、护士和研究人员）的评分，手指木偶组的平均得分最低，其次是风车组、阿贝斯朗拼图组和对照组（P 结论：手指木偶、风车和阿贝斯朗拼图组的平均得分最低，其次是风车组、阿贝斯朗拼图组和对照组：指偶、风车和阿贝斯朗拼图法能有效减轻儿童在抽血过程中的疼痛和焦虑：实践启示：儿科护士可以安全地使用指偶、风车和阿贝斯朗拼图法来减轻学龄前儿童在抽血过程中的疼痛和焦虑。

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The effect of three different methods on pain and anxiety in children during blood sampling procedure in pediatric emergency department: Finger puppet, abeslang puzzle, pinwheel

Purpose

The primary objective of this study is to evaluate the effectiveness of finger puppets, abeslang puzzles, and pinwheels in reducing pain and anxiety in children aged 4–6 years during blood sampling procedures in a pediatric emergency department.

Design and methods

This study was a four-arm parallel group randomised controlled trial design conducted in the pediatric emergency department of a children's hospital in Western Türkiye between June 2023 and June 2024. Children (n = 160) were randomly assigned into four groups in a 1:1:1:1 ratio. The intervention groups consisted of children aged 4–6 years as finger puppet (n = 40), abeslang puzzle (n = 40), pinwheel (n = 40) and control group (n = 40). Data were collected using Personnel Information Form, Wong-Baker FACES Pain Rating Scale, and the Children's Anxiety Meter-State. The participants themselves, their parents, the nurse and the researcher rated the pain and anxiety levels associated with the blood sampling procedure. These trials are registered with ClinicalTrials.gov (NCT05904483).

Results

ANOVA was used to compare the mean Wong-Baker FACES Pain Rating Scale scores among the groups. According to all raters (child, parent, nurse, and researcher), the finger puppet group had the lowest mean score, followed by the pinwheel, abeslang puzzle, and control groups (p < 0.05). According to the nurse and researcher evaluations after the procedure, the finger puppet group had the lowest mean score on The Children's Anxiety Meter-State, followed by the abeslang, pinwheel and control groups (p < 0.05).

Conclusion

Finger puppet, pinwheel and abeslang puzzle methods were effective in reducing pain and anxiety during blood sampling procedure in children.

Practice implications

Pediatric nurses can safely use finger puppet, pinwheel and abeslang puzzle methods to reduce pain and anxiety during blood sampling procedure in preschool children.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.