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The Acceptability of Imagery-Hypnosis for Management of Pain, Anxiety, and Distress Related to Needle Procedures in Pediatric Oncology-Hematology Patients.

机译:影像催眠治疗小儿肿瘤血液学患者的与针头手术相关的疼痛,焦虑和困扰的可接受性。

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摘要

This pilot trial used a repeated-measures, small n design to evaluate the acceptability and general effectiveness of imagery-hypnosis for management of pain, anxiety, and distress related to needle procedures in pediatric oncology-hematology patients. A systematic review of the literature was conducted. Previous studies reported imagery and hypnotic interventions as effective in reducing pain, distress, and anxiety related to painful and distressful medical procedures. Huth and Moore's (1998) Theory of Acute Pain Management in Infants and Children provided the framework for this project. A convenience sample of 20 pediatric oncology-hematology patients was taught imagery-hypnosis that was then employed during needle procedures. Assessments of procedure-related pain, anxiety, and distress were conducted with a standard Visual Analogue Scale at baseline, immediately following the procedure to measure the same dimensions experienced during the procedure, and again in the same fashion with a similar subsequent procedure. Parental assessments of anxiety were obtained at the same intervals as those of the children using the same scale. Demographic and qualitative data were elicited from children, parents, and healthcare staff using questionnaires. The data were analyzed using descriptive and inferential statistical techniques. Content analysis was used for qualitative data. Group mean scores for distress and anxiety in children and parental anxiety diminished over time. Group mean scores for pain did not reveal an appreciable effect, but median scores showed a downward trend. The imagery-hypnosis experience was enjoyable for children. Parents and healthcare staff revealed favorable perceptions. Imagery-hypnosis was found to be acceptable for the management of pain, anxiety, and distress related to needle procedures.
机译:该试验性试验采用重复测量,小设计,以评估图像催眠治疗小儿肿瘤血液学患者与针刺相关的疼痛,焦虑和困扰的可接受性和总体有效性。对文献进行了系统的回顾。先前的研究报道影像和催眠干预措施可有效减轻与痛苦和痛苦的医疗程序有关的疼痛,困扰和焦虑。 Huth和Moore(1998)的婴幼儿急性疼痛管理理论为该项目提供了框架。为20名儿科肿瘤-血液学患者提供了一个方便样本,教他们进行图像催眠,然后在针刺过程中使用。在基线之后,立即使用标准的视觉模拟量表对与过程相关的疼痛,焦虑和痛苦进行评估,以立即测量该过程中经历的相同尺寸,并以相同的方式通过类似的后续过程进行评估。父母对焦虑的评估与儿童的评估间隔相同,采用相同的量表。使用调查表从儿童,父母和医护人员中获取人口统计和定性数据。使用描述性和推断性统计技术分析数据。内容分析用于定性数据。随着时间的推移,儿童的窘迫和焦虑和父母焦虑的小组平均得分下降。小组的疼痛平均评分未显示明显的作用,但中位评分显示下降趋势。图像催眠的经验对于儿童来说是令人愉快的。父母和医护人员对此表示赞同。影像催眠被认为可以治疗与针头手术相关的疼痛,焦虑和困扰。

著录项

  • 作者

    Kashlak, Nancy Lynn.;

  • 作者单位

    University of Virginia.;

  • 授予单位 University of Virginia.;
  • 学科 Health Sciences Nursing.;Psychology Clinical.
  • 学位 D.N.P.
  • 年度 2012
  • 页码 199 p.
  • 总页数 199
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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