CHILD DISTRESS DURING PROCEDURES--A NURSING INTERVENTION

每年有500万儿童接受侵入性医疗程序。 在手术期间，父母经常和孩子呆在一起，但很少 目前已有一项研究是关于教父母如何帮助他们的孩子 出席率。分心是一种干预措施，已被证明减少了 医疗过程中的儿童窘迫行为。这样做的目的是 这项研究是为了测试一种教育干预，向父母展示如何使用 他们的孩子正在接受导尿术，这让他们分心。这个 父母使用分心对儿童痛苦行为的影响将是 试验采用双盲准实验设计。40套 儿童(3至7岁)及其父母将被随机分成 实验和对照条件，实验父母观看 关于分心技巧的录像带和控制父母观看 安慰剂录像带。导尿术的录像将 使用儿童-成人医学分析父母和孩子的行为 程序互动量表--修订版。分组平均数将用于比较 父母对分心、儿童痛苦行为和儿童自我的利用 报告疼痛和焦虑。其他要测试的变量是父变量 对干预措施的满意度和成本效益。结果是 本研究的研究成果将指导今后研究问题的发展 学习。

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.