3 ~ 6岁儿童吸入药物治疗中，讲故事和绘画对儿童恐惧水平和父母保健满意度的影响：随机对照研究

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2025-04-26 DOI:10.1016/j.pedn.2025.04.014

Nuray Macuncu , Melahat Akgun Kostak

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引用次数: 0

摘要

目的探讨3 ~ 6岁儿童吸入器药物治疗中，讲故事和绘画对儿童恐惧水平和父母保健满意度的影响。方法随机对照研究于2023年9月15日~ 2024年1月20日在某公立医院儿科门诊首次使用带口罩吸入器用药的3 ~ 6岁儿童及其父母99例。采用信息表、儿童恐惧量表（CFS）、儿童情绪表现量表（CEMS）、PedsQL卫生保健满意度量表（PHSS）进行数据收集。结果故事组和绘画组患儿吸入器给药过程中CFS和CEMS平均得分均低于对照组(p <；0.001)。在吸入器给药期间，讲故事组和绘画组的CFS和CEMS平均得分低于手术前(p <；0.001)。结果表明，绘画组和讲故事组家长的心理健康量表平均得分高于对照组家长(p <；0.001)。结论3 ~ 6岁儿童吸入剂用药过程中进行讲故事和绘画治疗可降低儿童的恐惧水平和负面情绪指标，家长满意度高于标准治疗组。建议采用讲故事和绘画的方法，这是一种简单、廉价、有效的方法。

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The effect of storytelling and painting on children's fear level and parental health care satisfaction in children aged 3–6 years administered inhaler medication: Randomized controlled study

Purpose

The aim of this study was to determine the effect of storytelling and painting on children's fear level and parental health care satisfaction in children aged 3–6 years receiving inhaler medication.

Methods

The randomized controlled study was conducted between 15.09.2023–20.01.2024 with 99 children aged 3–6 years and their parents who were hospitalized in the Pediatrics Clinic of a state hospital and who received inhaler medication with a mask for the first time. Information Form, Child Fear Scale (CFS), Children's Emotional Manifestation Scale (CEMS), PedsQL Health Care Satisfaction Scale (PHSS) were used for data collection.

Results

The mean scores of the CFS and CEMS during inhaler medication administration of the children in the storytelling and painting group were found to be lower than the children in the control group (p < 0.001). The mean scores of the CFS and the CEMS during inhaler medication administration were found to be lower in the storytelling and painting groups than before the procedure (p < 0.001). It was determined that the mean scores of the PHSS of the parents in the painting and storytelling group were higher than those of the parents in the control group (p < 0.001).

Conclusion

It was found that storytelling and painting during inhaler medication administration in children aged 3–6 years decreased children's fear levels, negative emotional indicators while parents' satisfaction levels were higher compared to those receiving standard care.

Practice implications

It is recommended to use storytelling and painting, which are easy, inexpensive, effective methods during inhaler medication administration with mask in 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.