比较芳香疗法和分散治疗对住院儿童静脉穿刺疼痛的影响:来自临床试验研究的证据

Shiva Karimi Afshar, F. Ghaljaei, N. Mahmoodi, A. Payandeh
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摘要

背景:疼痛被定义为与身体组织的实际或潜在损伤相关的一种不愉快的感觉体验。治疗过程会引起儿童的恐惧,从而导致身体和精神上的压力。目的:本研究旨在探讨和比较芳香疗法和分心治疗对住院儿童静脉穿刺疼痛的影响。方法:对2018年在扎黑丹Ali-Ebne-Abitaleb医院儿科病房住院的90名儿童进行临床试验研究。采用方便抽样技术选择符合条件的儿童,采用分层排列块随机法分为三组(n = 30)。在分散注意力组,一个红帽木偶在静脉穿刺前和穿刺期间与孩子们一起玩耍。芳香疗法组在静脉穿刺开始前20分钟使用薰衣草香精。对照组不进行干预。静脉穿刺结束后10分钟,采用欧彻(OUCHER)标准仪器测量患儿疼痛强度。数据分析采用SPSS version 24,采用描述性统计、单因素方差分析、Kruskal-Wallis和事后检验分析。结果:干预组与对照组比较差异有统计学意义。因此,两种干预措施均能显著降低疼痛强度(P < 0.001)。然而,干预对疼痛强度的影响在两个干预组之间没有显著差异。结论:干预组与对照组比较差异有统计学意义。因此,两种干预措施均能显著降低疼痛强度(P < 0.001)。然而,干预对疼痛强度的影响在两个干预组之间没有显著差异。
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Comparing the Effect of Aromatherapy and Distraction on the Pain Caused by Venipuncture in Hospitalized Children: Evidence from a Clinical Trial Study
Background: Pain is defined as an unpleasant sensory experience associated with actual or potential damage to body tissues. Therapeutic procedures cause fear in children, which in turn leads to physical and mental stress. Objectives: This study aimed to investigate and compare the effects of aromatherapy and distraction on the pain caused by venipuncture among hospitalized children. Methods: In this clinical trial study, 90 children hospitalized in the pediatric ward of Ali-Ebne-Abitaleb Hospital in Zahedan in 2018 are examined. The eligible children were selected using the convenience sampling technique and were divided into three groups (n = 30) using stratified permuted block randomization. In the distraction group, a Kolah Ghermezi (Red Hat) puppet was used to play with the children before and during venipuncture. In the aromatherapy group, lavender essence was used 20 minutes before the beginning of venipuncture. No intervention was provided in the control group. The children’s pain intensity was measured using OUCHER standard instrument 10 minutes after the end of venipuncture. Data were analyzed by SPSS version 24 using descriptive statistics, one-way ANOVA, Kruskal-Wallis, and post-hoc tests analyses. Results: A significant difference was found between the two intervention groups and the control group. Accordingly, both interventions could significantly decrease the pain intensity (P < 0.001). However, there was no significant difference between the two intervention groups concerning the impacts of interventions on the pain intensity. Conclusions: A significant difference was found between the two intervention groups and the control group. Accordingly, both interventions could significantly decrease the pain intensity (P < 0.001). However, there was no significant difference between the two intervention groups concerning the impacts of interventions on the pain intensity.
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