{"title":"儿童卫生服务中故事书使用对儿童恐惧和焦虑水平的影响：一项荟萃分析研究。","authors":"Gamze Akay, Sevda Uzun, Hatice Oğuzhan, Fatma Güdücü Tüfekci","doi":"10.1016/j.pedn.2024.12.006","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method.</p><p><strong>Objectives: </strong>This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services.</p><p><strong>Methods: </strong>For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April-June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.</p><p><strong>Findings: </strong>In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: -4.412, 95 % CI: -7.727 to -1.097; Z = -2.608, p = 0.009; I<sup>2</sup> = 99.890 %) and fear (SMD: -1.13, 95 % CI: -1.71 to -0.54; Z = -3.78, p = 0.000; I<sup>2</sup> = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels.</p><p><strong>Conclusion: </strong>The use of story books in children's health services reduces the level of fear and anxiety in children.</p>","PeriodicalId":48899,"journal":{"name":"Journal of Pediatric Nursing-Nursing Care of Children & Families","volume":" ","pages":""},"PeriodicalIF":2.1000,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study.\",\"authors\":\"Gamze Akay, Sevda Uzun, Hatice Oğuzhan, Fatma Güdücü Tüfekci\",\"doi\":\"10.1016/j.pedn.2024.12.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method.</p><p><strong>Objectives: </strong>This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. 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引用次数: 0
摘要
背景：有创性手术在儿科医疗中常用，故事书可作为一种辅助镇痛方法。目的：本研究旨在评估在儿科医疗保健中使用故事书作为一种分散注意力的技术来减少恐惧和焦虑的有效性。本研究的目的是揭示故事书的使用对儿童恐惧和焦虑水平的影响程度。方法：本荟萃分析研究通过检索PubMed、Web of Scıence、Scopus、EBSCOhost、谷歌Scholar和YÖK Thesis Center数据库，检索时间为2024年4 - 6月，无年份限制。回顾后，15项研究被纳入本研究。采用元分析和叙述方法对数据进行综合。结果：在本荟萃分析中，发现在儿科卫生服务中使用故事书对儿童焦虑有效(SMD: -4.412, 95% CI: -7.727至-1.097；Z = -2.608, p = 0.009；I2 = 99.890%)和恐惧(SMD: -1.13, 95%置信区间CI: -1.71 - -0.54;Z = -3.78, p = 0.000；I2 = 83.065%)水平。此外，还确定了干预组的特征、年龄组、故事书的特征和内容、干预的持续时间和干预的时间对儿童健康服务中故事书使用干预对儿童焦虑和恐惧水平的有效性起作用。结论：在儿童保健服务中使用故事书可以降低儿童的恐惧和焦虑程度。
The Effect of storybook use in pediatric health services on children's fear and anxiety levels: A meta-analysis study.
Background: Invasive procedures are commonly used in pediatric healthcare, and storybooks can be used as an adjunct analgesic method.
Objectives: This study was conducted to evaluate the effectiveness of using storybooks as a distraction technique to reduce fear and anxiety in pediatric healthcare. This study was conducted with the aim of revealing the level of effect of storybook use on children's fear and anxiety level in pediatric health services.
Methods: For this meta-analysis study, the studies were obtained by searching PubMed, Web of Scıence, Scopus, EBSCOhost, Google Scholar and YÖK Thesis Center databases in April-June 2024 without any year limitation. After the reviews, 15 studies were included in the study. The data were synthesized by meta-analysis and narrative methods.
Findings: In this meta-analysis, it was found that storybook use in pediatric health services was effective on children's anxiety (SMD: -4.412, 95 % CI: -7.727 to -1.097; Z = -2.608, p = 0.009; I2 = 99.890 %) and fear (SMD: -1.13, 95 % CI: -1.71 to -0.54; Z = -3.78, p = 0.000; I2 = 83.065 %) levels. In addition, it was determined that the characteristics of the intervention group, age group, the characteristics and content of the storybook, the duration of the intervention and the time of the intervention played a role in the effectiveness of the storybook use intervention in pediatric health services on children's anxiety and fear levels.
Conclusion: The use of story books in children's health services reduces the level of fear and anxiety in children.
期刊介绍：
Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS)
The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief.
Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.
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