有目的的玩耍:住院期间治疗性娱乐的影响。

IF 1 4区 医学 Q3 NURSING
Jennifer A Hoag, Kristin Bingen, Jeffrey Karst, Akasha Palou, Ke Yan, Jian Zhang
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引用次数: 0

摘要

背景:接受癌症治疗和造血干细胞移植(HSCT)的青少年花费大量时间在医院,这对他们的身体、社会和情感发展是破坏性的。治疗性娱乐(TR)可以帮助患有疾病的个体维持或改善他们的健康、生活质量和身体功能。TR是一种未充分研究的干预措施,特别是对医院环境中的青少年。方法:49名因癌症治疗或HSCT住院的儿童(中位年龄12岁,四分位间距[IQR] 11-15岁)被分配参加历史对照或TR干预。参与者佩戴Fitbit充电HR三天来测量运动。在参与研究结束时,他们完成了情绪、社会联系和健康相关生活质量的自我报告。结果:与历史对照组比较,TR干预组患者积极情绪改善,情绪障碍减少(p = 0.03);睡眠质量较好(p = 0.003);对医院提供的休闲活动更满意(p = 0.01)。在每天走的步数、身体痛苦、与护理人员的合作或与医务人员或护理人员的互动方面没有差异。两组人都报告同伴的可用性和支持都很差。讨论:TR是增加休闲活动和积极影响情绪的一种途径。我们需要更多地考虑如何利用TR计划来增加身体活动和社会联系。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Playing With a Purpose: The Impact of Therapeutic Recreation During Hospitalization.
Background: Youth undergoing cancer treatment and hematopoietic stem cell transplant (HSCT) spend significant time in the hospital, which is disruptive to their physical, social, and emotional development. Therapeutic recreation (TR) can help individuals with an illness maintain or improve their health, quality of life, and physical functioning. TR is an understudied intervention, particularly with youth in the hospital setting. Methods: Forty-nine children (median age = 12 years, interquartile range [IQR] 11–15 years) hospitalized for cancer treatment or HSCT were assigned to participate in either the historical control or TR intervention. Participants wore a Fitbit charge HR for three days to measure movement. At the end of the study participation, they completed self-report measures of mood, social connectedness, and health-related quality of life. Results: Compared with historical controls, the TR intervention group had improved positive affect and decreased mood disturbance (p = 0.03); had better sleep quality (p = 0.003); and was more satisfied with the leisure activities offered in the hospital (p = 0.01). There were no differences in the number of steps taken per day, somatic distress, cooperation with cares, or interaction with medical personnel or caregivers. Both groups reported poor availability and support of peer companions. Discussion: TR is one avenue to increase leisure activities and positively impact mood. More thought needs to be given to how TR programs can be leveraged to increase physical activity and social connectedness.
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CiteScore
3.30
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