社交机器人在改善住院儿童心理健康方面的有效性：系统回顾和荟萃分析

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-02-17 DOI:10.1016/j.pedn.2025.01.032

Xin Yi Or , Yu Xuan Ng , Yong Shian Goh

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引用次数: 0

摘要

目的评价社交机器人在减轻住院儿童疼痛、压力和焦虑方面的有效性。儿童在住院期间经常遭受痛苦的医疗程序，导致疼痛、压力和焦虑。这可能对孩子的心理和整体健康产生重大影响。因此，缓解住院儿童的这些情绪是至关重要的。方法本综述纳入了1-12岁住院儿童的研究，这些儿童接受了任何医疗程序并接受了涉及社交机器人的干预。在6个数据库中检索了发表在综述主题上的文章。搜索时间从2013年1月到2024年1月。纳入的研究需要评估机器人在改善疼痛、压力、痛苦或焦虑水平等主要结果方面的有效性。对这些变量进行荟萃分析。结果对313名参与者进行的荟萃分析发现，社交机器人在减轻疼痛方面的标准化平均差异（SMD）为- 0.10 (95% CI: - 0.41至0.22,P = 0.54)，表明没有显著效果。对于压力和痛苦，共有309名参与者，SMD为- 0.33 (95% CI: - 0.62至- 0.03,P = 0.003)，对于焦虑，包括335名参与者，SMD为- 0.42 （95% CI: - 0.73至- 0.10,P = 0.09）。这些发现表明，虽然社交机器人在减轻疼痛方面没有效果，但它们在减轻住院儿童的压力和焦虑水平方面是有效的，因为他们正在接受痛苦的医疗过程。结论：这篇综述强调了社交机器人对正在经历痛苦医疗过程的住院儿童的疗效。护士可以考虑将社交机器人整合到病人护理协议中，这将为焦虑的幼儿及其父母带来好处，因为社交机器人有助于改善儿童在医疗过程中的心理和整体健康状况。

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Effectiveness of social robots in improving psychological well-being of hospitalised children: A systematic review and meta-analysis

Aim

To evaluate the effectiveness of social robots in reducing pain, stress, and anxiety among hospitalised children.

Background

Children are often subjected to painful medical procedures during hospitalisation, resulting in pain, stress and anxiety. This can have significant implications for a child's psychological and overall well-being. Therefore, it is essential to alleviate these emotions among hospitalised children.

Methods

The review included studies involving hospitalised children ages 1–12 who underwent any medical procedure and received interventions involving social robots. Six databases were searched for articles published on the review topic. The search timeline was from January 2013 to January 2024. The included studies need to assess the effectiveness of the robots in improving primary outcomes such as pain, stress, distress, or anxiety levels. A meta-analysis of these variables was conducted.

Results

The meta-analysis of 313 participants found that social robots had a standardised mean difference (SMD) of −0.10 (95 % CI: −0.41 to 0.22, P = 0.54) in reducing pain, indicating no significant effect. For stress and distress, with a total of 309 participants, the SMD was −0.33 (95 % CI: −0.62 to −0.03, P = 0.003), and for anxiety, including 335 participants, the SMD was −0.42 (95 % CI: −0.73 to −0.10, P = 0.09). These findings suggest that while social robots are not effective in reducing pain, however, they are effective in lowering stress and anxiety levels in hospitalised children undergoing painful medical procedures.

Conclusion

This review highlights the efficacy of social robots when introduced to hospitalised children who are undergoing painful medical procedures. Nurses could consider integrating social robots into patient care protocols, which would yield advantages for anxious young children and their parents, as social robots help improving the child's psychological and overall well-being during medical procedures.

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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.