Feasibility and acceptability of an animatronic duck intervention for promoting adaptation to the in-patient setting among pediatric patients receiving treatment for cancer.
Feasibility and acceptability of an animatronic duck intervention for promoting adaptation to the in-patient setting among pediatric patients receiving treatment for cancer.
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电子鸭子干预促进接受癌症治疗的儿科患者适应住院环境的可行性和可接受性。
DOI：
10.1002/pbc.27984
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发表时间：
2019
影响因子：
3.2
通讯作者：
Mertens,AnnC
中科院分区：
文献类型：
--
作者：
Miller,TamaraP;Klosky,JamesL;Zamora,Fernanda;Swift,Megan;Mertens,AnnC
背景在癌症治疗期间，儿童会经历潜在的压力住院和手术。动漫设备是一种很有前途的分心干预手段。本研究旨在评估My Special Aflac Duck®(MSAD)干预措施在儿科肿瘤患者和家长中的可接受性和可行性。我们假设MSAD是可行的，有超过50%的接受度，并且是有效的分心方法。这项可行性研究纳入了2018年5月至8月间住进亚特兰大儿童保健中心的3-11岁肿瘤科患者。患者暴露在MSAD中3天，并完成可接受性的定量和定性评估。结果21例符合入选条件的患者中，17例(80.9%)入选，其中7a以上患者占64.7%，女性占47%，白血病患者占52.9%，实体瘤占41.2%，脑肿瘤占5.9%。患者有1-12次住院经历(平均4.8次，标准差3.1次)，约65%的患者计划住院。大约69%的人报告说MSAD有助于减少住院期间的痛苦，93.7%的人总体上对MSAD感到满意。儿童满意度很高。年龄、性别、住院手术次数、既往住院次数或住院原因对MSAD的可接受性或满意度没有显著差异。定性访谈显示，患者喜欢用代币来表达情感，认为MSAD是一种有趣的消遣方式。结论MSAD的实施是可行的，患者和家长的接受度都很高。MSAD显示出很好的分散注意力和交流情感的另一种方式的潜力。未来的研究应该扩大MSAD在减少痛苦方面的有效性。
BackgroundDuring cancer treatment, children undergo potentially stressful hospitalizations and procedures. Animatronic devices are a promising means of distraction intervention. This study aimed to assess acceptability and feasibility of the My Special Aflac Duck® (MSAD) intervention among pediatric oncology patients and parents. We hypothesized that MSAD would be feasible to implement, have greater than 50% acceptance, and be useful distraction.ProceduresThis feasibility study enrolled oncology patients aged 3‐11 years admitted to Children's Healthcare of Atlanta between May and August 2018. Patients were exposed to MSAD for 3 days and completed quantitative and qualitative assessments of acceptability. Patient and hospital data were abstracted.ResultsSeventeen (80.9%) of 21 eligible patients enrolled; 64.7% were <7 years, 47% were female, 52.9% had leukemia, 41.2% had solid tumors, and 5.9% had brain tumors. Patients had 1‐12 previous admissions (mean 4.8, SD 3.1) and approximately 65% were planned hospitalizations. Approximately 69% reported MSAD helped reduce in‐patient distress and 93.7% were satisfied with MSAD overall. Child satisfaction was high. There were no significant differences in acceptability or satisfaction with MSAD based on age, gender, number of inpatient procedures or previous hospitalizations, or hospitalization reason. Qualitative interviews revealed patients liked expressing feelings with tokens and thought MSAD was a fun distraction.ConclusionsMSAD implementation was feasible, and its acceptability was high among both patients and parents. MSAD shows potential as good distraction and an alternative means of communicating feelings. Future research should expand upon the effectiveness of MSAD on reducing distress.