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首页> 外文学位 >A randomized controlled trial of storytelling as a communication tool aimed at parents of children presenting to the emergency department with croup.
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A randomized controlled trial of storytelling as a communication tool aimed at parents of children presenting to the emergency department with croup.

机译：作为一种交流工具的叙事叙事的随机对照试验，针对的是儿童家长，他们向急诊科提出了臀部病。

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Background. Stories may be an effective tool to communicate with and influence patients because of their ability to engage the reader.;Methods. A systematic process was followed to develop and pilot-test the story booklets. Parents were randomized to receive story booklets or standard information sheets during their ED visit. The primary outcome of change in anxiety during the ED visit was assessed using the State Trait Anxiety Inventory, which was completed upon recruitment and at discharge. Follow-up telephone interviews were conducted at 1 and 3 days post-ED visit to gather information on secondary outcomes: symptoms, expected anxiety for future croup, satisfaction, regret, knowledge, return for medical care, and resource use. Telephone interviews were conducted every other day until symptoms resolved or until day 9. Outcomes were compared using independent-groups t-tests, Mann Whitney tests, or Chi-square tests.;Results. There was no significant difference in the primary outcome of change in parental anxiety between recruitment and ED discharge. The story group (n=129) showed significantly greater decision regret regarding their decision to go to the ED than the comparison group (n=126) (p0.001). The story group reported quicker resolution of symptoms: median days to no symptoms 3 versus 5; the survival distributions were significantly different (p=0.032). There were no differences for the remaining outcomes.;Conclusions. This study provides preliminary evidence regarding the use of stories in the ED for an acute, self-limiting condition and contributes to a growing evidence matrix identifying when, where, and for whom storytelling may be most effective. Reasons for lack of significance for the primary and other outcomes may relate to choice of outcome, timing of outcome assessment, or disconnect between the intervention and needs of the end-user. Further research is needed to corroborate the significant findings and examine their underlying mechanism. An examination of risk of bias in a sample of pediatric trials demonstrates that there is room for improvement in the design, conduct, and reporting of research related to child health and provides direction for future research.;Objectives. To develop story booklets and evaluate their effectiveness compared to standard information sheets for parents of children attending the emergency department (ED) with a child with croup.
机译：背景。故事可能是与患者交流和影响患者的有效工具，因为它们具有吸引读者的能力。遵循系统的过程来开发和试点故事手册。家长在进行ED访问时被随机接受故事书或标准信息表。急诊就诊期间焦虑变化的主要结果是使用国家特质焦虑量表评估的，该表在招募和出院时完成。在ED访视后的第1天和第3天进行了后续电话访谈，以收集有关次要结局的信息：症状，对未来病情的预期焦虑，满意度，遗憾，知识，医疗回报和资源使用情况。每隔一天进行一次电话访问，直到症状消失或直到第9天为止。使用独立组t检验，Mann Whitney检验或卡方检验对结果进行比较。招募和ED出院之间父母焦虑变化的主要结果没有显着差异。故事组（n = 129）表现出比决定组（n = 126）更大的决策后悔决定去上急诊室（p <0.001）。故事组报告症状缓解更快：中位数天数无症状3比5；无症状的平均天数为5。生存分布差异显着（p = 0.032）。其余结果无差异。这项研究提供了有关急诊，自我限制病情在急诊室中使用故事的初步证据，并有助于确定证据，何时何地以及对谁讲故事最有效的证据矩阵。对于主要结果和其他结果缺乏重要性的原因可能与结果的选择，结果评估的时机或干预措施和最终用户需求之间的脱节有关。需要进一步的研究来证实重要的发现并检查其潜在机制。对儿科试验样本中偏倚风险的检查表明，与儿童健康有关的研究的设计，实施和报告仍有改进的余地，并为将来的研究提供了方向。与标准信息表相比，本手册旨在开发故事书并评估其有效性，该标准书适用于患有病的儿童参加急诊室（ED）的孩子的父母。

著录项

  • 作者

    Hartling, Lisa.;

  • 作者单位

    University of Alberta (Canada).;

  • 授予单位 University of Alberta (Canada).;
  • 学科 Speech Communication.;Health Sciences Medicine and Surgery.;Health Sciences Nursing.
  • 学位 Ph.D.
  • 年度 2010
  • 页码 307 p.
  • 总页数 307
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 老年病学;
  • 关键词

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