用多感官型分心装置缓解患儿伤口处理时疼痛的研究

1. 4029 Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, Brisbane, Australia;Bums Research Group, Department of Paediatrics & Child Health, The School of Medicine, The University of Queensland, Brisbane, Australia;Department of Occupational Therapy, The School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia;
2. Department of Occupational Therapy, The School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Australia;
3. Department of Design, Queensland University of Technology, Brisbane, Australia;
4. Bums Research Group, Department of Paediatrics & Child Health, The School of Medicine, The University of Queensland, Brisbane, Australia;
5. 4029 Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital, Brisbane, Australia;Bums Research Group, Department of Paediatrics & Child Health, The School of Medicine, The University of Queensland, Brisbane, Australia

Multimodal distraction to relieve pain in children undergoing acute medical procedures

1. Stuart Pegg Paediatric Burns Centre, Royal Children's Hospital;
2. Department of Paediatrics & Child Health, The School of Medicine;
3. Department of Occupational Therapy, The School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, 4029, Australia

摘要: 目的设计多感官型分心装置（MMD），观察其在烧伤换药和其他医疗过程中减轻患儿焦虑和疼痛的效果。方法设计3项前瞻性、随机对照临床试验。选择澳大利亚布里斯班皇家儿童医院烧伤中心和骨折整形外科患儿182例，共计354个医疗过程，分别应用标准分心法、手握电子游戏机和MMD（前MMD—D型、MMD-D型及MMD-PP型）。采用改良面部表情评分法、面部疼痛评分法、视觉模拟评分法及Wong，Baker面部表情疼痛评分法，记录患儿报告的疼痛分数、父母和护理人员报告的患儿焦虑和疼痛分数以及换药时间。结果与标准分心法组和电子游戏机组[（3．60±O．25）、（3．83±1．49）分]比较，MMD—D组与MMD—PP组患儿首次换药时的疼痛分数[（2．13±0．23）、（2．15±0．17）分]显著降低（P〈0．01），换药时间明显缩短（P〈0．01），且MMD在连续3次换药过程中均能发挥缓解疼痛的作用。此外，MMD-PP组患儿在换药前由焦虑引起的疼痛分数也较其他组显著降低（P〈0．01）。结论MMD较标准分心法和手握电子游戏机更能有效减轻患儿伤口处理过程中的焦虑和疼痛。该装置仍在临床试验中，且继续显示其有效性。
- 镇痛 /
- 儿童 /
- 分心法 /
- 虚拟现实
- Analgesia /
- Child /
- Distraction /
- Virtual reality