在儿科肿瘤住院病人中使用探视犬开展动物辅助活动的可行性、有效性和安全性。

IF 6.1 2区 医学 Q1 PEDIATRICS World Journal of Pediatrics Pub Date : 2024-09-01 Epub Date: 2024-08-07 DOI:10.1007/s12519-024-00829-8
Katja Steff, Maximilian Grasemann, Kira Ostermann, Sarah Christina Goretzki, Peter-Michael Rath, Dirk Reinhardt, Michael M Schündeln
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引用次数: 0

摘要

背景:儿童癌症给患者及其家庭带来了沉重的负担。近年来,总体生存率的提高使人们越来越关注长期生活质量。长期以来,人们一直假设动物辅助活动(AAA)可以减轻儿科患者及其同伴在医院环境中的负担。然而,在儿科肿瘤住院病人中使用动物辅助活动一直是个敏感问题,主要原因是担心感染,因此缺乏相关研究。本研究介绍了德国一家中心关于 AAA 的可行性、安全性和有效性的数据:2018 年至 2022 年间,60 名确诊为恶性肿瘤并正在接受治疗的患者(中位年龄 = 10.3 岁)接受了干预犬的探访(总探访次数 = 100 次)。根据医院政策,对患者进行感染筛查,并根据症状进行额外的微生物检测。对狗进行人类病原体和人畜共患病筛查。对首次就诊前两个月至最后一次就诊后两个月的微生物数据和住院情况进行了分析。使用经过验证的视觉模拟量表(0-10)测量了患者对住院的接受程度,包括是否接受计划中的动物辅助干预以及干预前后的状态压力:结果:患者从动物辅助治疗中获益匪浅,他们对住院的接受度有所提高(中位数:7.25 vs. 4.50):中位数:7.25 对 4.50,P在儿科肿瘤住院病人中使用探视犬进行 AAA 是可行和安全的。虽然它们有望提高患者的幸福感,但还需要进一步的前瞻性研究。补充文件 2 (MP4 240076 KB)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Feasibility, efficacy, and safety of animal-assisted activities with visiting dogs in inpatient pediatric oncology.

Background: Childhood cancer entails a heavy burden for patients and their families. Recent advances in overall survival rates have increasingly brought long-term quality of life into focus. Animal-assisted activities (AAAs) have long been hypothesized to alleviate the burden on pediatric patients and their peers in the hospital setting. However, their use in inpatient pediatric oncology has been a sensitive issue mainly due to the fear of infections, resulting in a lack of studies. This study presents data on the feasibility, safety, and efficacy of AAAs from a single German center.

Methods: Between 2018 and 2022, 60 patients (median age = 10.3 years) diagnosed with malignancy and undergoing treatment were visited by an intervention dog (total visits = 100). Patients were screened for infections as per hospital policy, with additional microbiological testing performed based on symptoms. The dog was screened for human pathogens and zoonoses. Microbial data and hospitalizations were analyzed from two months prior to the first visit until two months after the last visit. Acceptance of being in the hospital, both with and without planned animal-assisted interventions and pre- and post-intervention state stress, were measured using a validated visual analogue scale (0-10).

Results: Patients benefited from AAAs, showing increased acceptance of being in the hospital (median: 7.25 vs. 4.50, P < 0.001) and decreased median state stress ratings one hour after the visit compared to one hour before the visit (1.00 vs. 4.25, P < 0.001). The intervention did not result in an increased number of infections or unplanned hospitalizations, and no zoonoses were detected. All microbial screening tests of the dog were negative.

Conclusions: AAAs with visiting dogs in inpatient pediatric oncology are feasible and safe. Although they hold promise for enhancing patients' well-being, further prospective studies are needed. Supplementary file 2 (MP4 240076 KB).

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来源期刊
World Journal of Pediatrics
World Journal of Pediatrics 医学-小儿科
CiteScore
10.50
自引率
1.10%
发文量
592
审稿时长
2.5 months
期刊介绍: The World Journal of Pediatrics, a monthly publication, is dedicated to disseminating peer-reviewed original papers, reviews, and special reports focusing on clinical practice and research in pediatrics. We welcome contributions from pediatricians worldwide on new developments across all areas of pediatrics, including pediatric surgery, preventive healthcare, pharmacology, stomatology, and biomedicine. The journal also covers basic sciences and experimental work, serving as a comprehensive academic platform for the international exchange of medical findings.
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