Effect of play activities on hospitalized children's stress: a randomized clinical trial
Effect of play activities on hospitalized children's stress: a randomized clinical trial
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DOI：
10.3109/11038128.2012.729087
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发表时间：
2013-01-01
影响因子：
1.9
通讯作者：
Do Prado, Gilmar Fernandes
中科院分区：
文献类型：
--
作者：
Potasz, Clarisse;Vilela De Varela, Maria Jose;Do Prado, Gilmar Fernandes
目的：在这项随机临床试验中，我们测试了使用非结构化游戏作为干预措施来帮助儿童应对住院期间的压力。研究方法：在一家公立医院，对53名因呼吸系统疾病住院的儿科患者进行了尿皮质醇（一种应激标志物）检查，他们被分为两组，一组玩游戏，另一组不玩。结果：游戏组7-11岁的男孩和女孩在参与游戏活动后皮质醇水平下降。在较年轻的参与者（4 - 7岁）中，干预似乎没有那么有效，可能是因为在这个群体中，成熟度水平可能会影响儿童如何认知地参与游戏作为应对策略。结论：这项研究表明，使用干预措施，考虑到年龄范围和性别在加强应对策略的重要性，以及职业治疗师所采用的技术的重要性，因为他们是专业人士，在使用活动作为治疗工具的专业知识。
Objective: The use of unstructured play as an intervention to help children cope with the stress of a hospitalization period was tested in this randomized clinical trial. Methods: Urinary cortisol (a stress marker) was examined in 53 pediatric patients hospitalized for respiratory diseases in a public hospital, divided into two groups that did or did not play. Results: Boys and girls from the play group, 7-11 years old, showed a decrease in cortisol levels after participating in play activities. In younger participants (4-7 years old) the intervention did not seem as efficient, probably because in this group maturity levels may have influenced how children cognitively engaged in play as a coping strategy. Conclusions: The study showed the importance of using interventions that consider age ranges and gender in enhancing coping strategies, as well as the importance of such techniques that are employed by occupational therapists since they are professionals with expertise in the use of activities as therapeutic instruments.