CHILD DISTRESS DURING PROCEDURES--A NURSING INTERVENTION

手术过程中的儿童痛苦——护理干预

• 批准号: 2460429
• 负责人: CHARMAINE KLEIBER
• 金额: $ 1.55万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 1997
• 资助国家: 美国
• 起止时间: 1997-08-01 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/2460429
• 关键词: anxiety; behavioral /social science research tag; child (0-11); child behavior; clinical research; human subject; nursing intervention; nursing skill /technique; pain; parent offspring interaction; pediatric nursing; physiologic stressor; psychological stressor; satisfaction; urinary catheterization; videotape /videodisc

Five million children undergo invasive medical procedures each year. Parents frequently stay with their children during procedures, but little research exists on teaching parents how to help their children while in attendance. Distraction is an intervention that has been shown to reduced child distress behavior during medical procedures. The purpose of this study is to test an educational intervention that shows parents how to use distraction with their children undergoing urinary catheterization. The effects of parental use of distraction on child distress behavior will be tested using a double-blind quasi-experimental design. Forty sets of children (ages 3 to 7 years) and their parents will be randomized into experimental and control conditions, with experimental parents viewing a videotape about distraction techniques and control parents viewing a placebo videotape. Video recordings of the catheterization procedures will be analyzed for parent and child behaviors using the Child-Adult Medical Procedure Interaction Scale-Revised. Group means will be compared for parental use of distraction, child distress behavior, and child self- report of pain and anxiety. Other variables to be tested are parent satisfaction with and cost-effectiveness of the intervention. The results of this study will guide the development of research questions for future studies.

每年有500万儿童接受侵入性医疗程序。 在手术过程中，父母经常与孩子呆在一起， 有研究教父母如何帮助他们的孩子， 出席情况.分心是一种干预，已被证明可以减少 儿童在医疗过程中的痛苦行为。这样做的目的 这项研究是为了测试一种教育干预，向父母展示如何使用 让他们的孩子接受导尿术。的 父母使用分心对儿童苦恼行为的影响将是 使用双盲准实验设计进行测试。40套 儿童（3至7岁）及其父母将被随机分配至 实验和对照条件下，实验父母观察 关于分散注意力技巧的录像带， 安慰剂录像带导管插入过程的录像将 使用儿童-成人医学量表分析父母和孩子的行为 程序交互量表-修订版。将比较组平均值， 父母使用分心，儿童苦恼行为，和儿童自我， 疼痛和焦虑的报告。其他要测试的变量是父母 对干预措施的满意度和成本效益。结果 本研究的结论将指导未来研究问题的发展 问题研究