Case study: videogame distraction reduces behavioral distress in a preschool-aged child undergoing repeated burn dressing changes: a single-subject design.
Case study: videogame distraction reduces behavioral distress in a preschool-aged child undergoing repeated burn dressing changes: a single-subject design.
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案例研究：视频游戏分散注意力可减少反复更换烧伤敷料的学龄前儿童的行为困扰：单受试者设计。
DOI：
10.1093/jpepsy/jss128
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发表时间：
2013
影响因子：
3.6
通讯作者：
Burns,AndrewJ
中科院分区：
文献类型：
--
作者：
Sil,Soumitri;Dahlquist,LynndaM;Burns,AndrewJ
目的这项单受试者设计研究评估了被动和交互式视频游戏分散注意力对接受反复更换烧伤敷料的学龄前儿童行为困扰的可行性和有效性。方法一名 4 岁女孩使用限制性交替治疗设计进行了 3 次基线和 10 次视频游戏分散注意力课程（5 次被动和 5 次互动）。观察到的行为困扰被编码，家长和护士对孩子的困扰和合作行为进行评分。结果相对于基线，在视频游戏分心开始后，行为困扰立即减少，合作行为增加。单例随机化测试显示，相对于被动视频游戏分心，交互式视频游戏分心过程中的行为困扰显着降低，合作性更强。结论对于经历重复痛苦医疗程序的学龄前儿童来说，交互式视频游戏分心似乎是一种可行且有效的疼痛管理策略。
ObjectiveThis single-subject design study evaluated the feasibility and efficacy of passive and interactive videogame distraction on behavioral distress for a preschool-aged child receiving repeated burn dressing changes.MethodA 4-year-old girl underwent 3 baseline and 10 videogame distraction sessions (5 passive and 5 interactive) using a restricted alternating treatments design. Observed behavioral distress was coded, and parents and nurses rated the child’s distress and cooperative behavior.ResultsRelative to baseline, behavioral distress decreased and cooperative behavior increased immediately after the onset of videogame distraction. Single Case Randomization Tests revealed significantly lower behavioral distress and greater cooperation during interactive videogame distraction relative to passive videogame distraction.ConclusionsInteractive videogame distraction appears to be a feasible and effective pain management strategy for a preschool-aged child undergoing repeated painful medical procedures.