目的:评估数字图画书对术前焦虑的影响,接受心导管插入术的幼儿的疼痛和睡眠质量以及其家庭护理人员的焦虑。
方法:随机,单盲,双臂,平行组对照试验。
方法:参与者是2-7岁患有先天性心脏病并计划进行心导管插入术的幼儿及其家庭照顾者。他们于2022年9月至2023年7月在福建医科大学协和医院注册。他们被随机分为接受常规护理的对照组或接受数字图画书课程的干预组。使用标准化量表评估焦虑和疼痛水平,睡眠质量是使用肌动描记术测量的。
结果:该研究包括64对幼儿和家庭照顾者。数字图画书可显着减少儿童的术前焦虑和绷带去除疼痛以及家庭护理人员的焦虑。然而,干预组与对照组的睡眠质量无统计学差异。
结论:数字图画书被证明是一种有效的干预措施,可以减轻儿科心导管插入术患者的焦虑和疼痛以及家庭护理人员的焦虑。干预没有影响睡眠质量,建议需要额外的策略来解决这方面的医院经验。
■这项研究证明了数字插图书籍在减轻幼儿术前焦虑和疼痛以及家庭护理人员焦虑方面的有效性。数字图画书提供了一种创造性和引人入胜的方式来帮助儿童及其家庭应对与医疗程序相关的压力和焦虑。该领域的进一步研究可能会导致为儿科患者及其家庭护理人员开发更多创新和有效的干预措施。
结论:这项研究的影响在于其创新的方法来解决幼儿及其家庭照顾者在心导管插入术的压力过程中面临的心理和情感挑战。通过展示数字图画书在显著减少术前焦虑和术后疼痛方面的功效,这项研究提出了一种非药理学,可访问且引人入胜的干预措施,可以无缝集成到现有的医疗保健实践中。这些发现有可能通过提供安全的儿科护理来改变儿科护理,发展适当和具有成本效益的方法,以支持儿童及其家庭的情感福祉,从而提高患者的整体体验和临床结果。此外,该研究强调家庭护理人员的参与,强调了整体护理方法的重要性,该方法考虑了患者及其支持系统的需求。
■儿童和他们的家庭照顾者被邀请提供宝贵的意见,这对干预措施的发展至关重要。参与者信息表和同意书,以及同意/招聘过程,由试点研究的消费者顾问倡导者审查。
■CONSORT.
背景:中国临床试验注册:ChiCTR2200063973.2022年9月22日注册,https://www。chictr.org.cn/showproj.html?proj=132833。
OBJECTIVE: To assess the impact of digital picture books on preoperative anxiety,
pain and sleep quality in young children undergoing cardiac catheterisation and the anxiety of their family caregivers.
METHODS: A randomised, single-blinded, two-arm, parallel-group controlled trial.
METHODS: Participants are young children aged 2-7 years with congenital heart disease scheduled for cardiac catheterisation and their family caregivers. They were enrolled at Fujian Medical University Union Hospital between September 2022 and July 2023. They were randomised to either a control group receiving usual care or an intervention group receiving digital picture book sessions. Anxiety and
pain levels were assessed using standardised scales, and sleep quality was measured using actigraphy.
RESULTS: The study included 64 pairs of young children and family caregivers. Digital picture books significantly reduced preoperative anxiety and bandage removal
pain in children and anxiety in family caregivers. However, there was no statistical difference in sleep quality between the intervention group and the control group.
CONCLUSIONS: Digital picture books prove to be an effective intervention for reducing anxiety and
pain in paediatric cardiac catheterisation patients and anxiety of their family caregivers. The intervention did not affect sleep quality, suggesting the need for additional strategies to address this aspect of the hospital experience.
UNASSIGNED: This study demonstrated the effectiveness of digitally illustrated books in reducing preoperative anxiety and
pain in young children and anxiety in family caregivers. Digital picture books offer a creative and engaging way to help children and their families cope with the stress and anxiety associated with medical procedures. Further research in this area may lead to the development of more innovative and effective interventions for paediatric patients and their family caregivers.
CONCLUSIONS: The study\'s impact lies in its innovative approach to addressing the psychological and emotional challenges faced by young children and their family caregivers during the stressful experience of cardiac catheterisation. By demonstrating the efficacy of digital picture books in significantly reducing preoperative anxiety and postoperative pain, the research presents a non-pharmacological, accessible and engaging intervention that can be seamlessly integrated into existing healthcare practices. The findings have the potential to transform paediatric care by offering a safe, developmentally appropriate and cost-effective method to support the emotional well-being of children and their families, thereby enhancing the overall patient experience and clinical outcomes. Moreover, the study\'s emphasis on family caregiver involvement underscores the importance of a holistic approach to care that considers the needs of both the patient and their support system.
UNASSIGNED: Children and their family caregivers were invited to provide valuable input which has been critical to the development of the intervention. The participant information sheet and consent form, as well as the consent/recruitment process, were reviewed by a consumer advisor advocate from the pilot study.
UNASSIGNED: CONSORT.
BACKGROUND: Chinese clinical trial registry: ChiCTR2200063973. Registered on 22 September 2022, https://www.chictr.org.cn/showproj.html?proj=132833.