[1]张奕a,任锋b,黄彩玲,等.儿童临床检验采血中奖赏缓解疼痛和焦虑的性别差异性研究[J].现代检验医学杂志,2020,35(05):151-153.[doi:10.3969/j.issn.1671-7414.2020.05.039]
　ZHANG Yia,REN Fengb,HUANG Cai-ling,et al.Gender Differences of Modulation of Pain and Anxiety by Cartoon Sticker Rewards in the Blood Collection of Children’s Clinical Examination[J].Journal of Modern Laboratory Medicine,2020,35(05):151-153.[doi:10.3969/j.issn.1671-7414.2020.05.039]
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儿童临床检验采血中奖赏缓解疼痛和焦虑的性别差异性研究()
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《现代检验医学杂志》[ISSN:/CN:]

卷:
第35卷
期数:
2020年05期
页码:
151-153
栏目:
检验与临床
出版日期:
2020-11-01

文章信息/Info

Title:
Gender Differences of Modulation of Pain and Anxiety by Cartoon Sticker Rewards in the Blood Collection of Children’s Clinical Examination
文章编号:
1671-7414（2020）05-151-03
作者:
张奕1a; 任锋1b; 黄彩玲2; 李飞1a; 曹科1a; 杨方华1a; 陈洪谋2; 马东礼1a; 陈运生1a
1. 深圳市儿童医院 a. 检验科；b. 普外一科，广东深圳 518038；2. 嘉应医学院，广东梅州 514031
Author(s):
ZHANG Yi1a; REN Feng1b; HUANG Cai-ling2; LI Fei1a; CAO Ke1a; YANG Fang-hua1a;  CHEN Hong-mou2; MA Dong-li1a; CHEN Yun-sheng1a
1a.Department of Clinical Laboratory；1b.Department of General Surgery，Shenzhen Children’s Hospital，Guangdong Shenzhen 518038，China；2. Medical College of Jiaying University，Guangdong Meizhou 514031，China
关键词:
末梢采血; 奖赏; 疼痛; 焦虑; 性别差异
分类号:
R446.11
DOI:
10.3969/j.issn.1671-7414.2020.05.039
文献标志码:
A
摘要:
目的　探讨在儿童临床检验末梢采血中奖赏缓解焦虑和疼痛的性别差异。方法　选取160 例在门诊检验科采血 的患儿，随机分为男童对照组、女童对照组、男童奖赏组和女童奖赏组。对照组采用常规采血流程，无任何干预手段。 奖赏组在采血前被告知进行采血可被奖励卡通贴纸。观察者使用儿童焦虑和疼痛评估量表（children’s anxiety and pain scales，CAPS）和面部疼痛修订评估量表（faces pain scale-revised，FPS）评估患儿采血前及采血时的焦虑水平以及采 血时的疼痛水平。结果　男童对照组采血前和采血时的CAPS 评分高于女童对照组（2.475±1.28，95%CI =2.07~2.89 vs 1.93±1.12，95%CI= 1.57 ～ 2.28；2.65±1.21，95%CI =2.26~3.04 vs 2.08±0.94，95%CI= 1.77~2.38），差异具有统计学 意义（P ＜ 0.05）。男童对照组采血时的FPS 评分也高于女童对照组（7.18±1.95，95%CI =6.55~7.80 vs 6.28±1.64， 95%CI=5.76~6.81），差异具有统计学意义（P ＜ 0.05）。与对照组相比，卡通贴纸的奖赏显著降低了男童采血时 的CAPS 评分（2.65±1.21，95%CI =2.26~3.04 vs 1.58±0.96，95%CI =1.27~1.88） 和FPS 评分（7.18±1.95，95%CI =6.55~7.80 vs 5.77±1.71，95%CI= 5.22~6.32），差异具有统计学意义（P ＜ 0.05）。但是奖赏不能降低女童的CAPS 评分（2.08±0.94，95%CI= 1.77~2.38 vs 2.13±1.18，95%CI =1.75~2.50）和FPS 评分（6.28±1.64，95%CI =5.76~6.81 vs 6.07±1.90，95%CI =5.46~6.68），差异无统计学意义（P ＞ 0.05）。结论　卡通贴纸作为奖赏对缓解不同性别的儿 童采血时的疼痛和焦虑的效果存在差异。
Abstract:
Objective　To study whether modulation of pain and anxiety by the cartoon sticker rewards after capillary blood collection depending on gender in children. Methods　160 children with blood sample in outpatient were selected from Department of Clinical Laboratory of Shenzhen Children’s Hospital.They were randomly divided into boy control group, girl control group, boy reward group and girl reward group. In the control group, routine blood sampling was used without any intervention.Before blood collection, the reward group was told that blood collection could be rewarded with cartoon stickers. Pre-procedural and procedural anxieties were evaluated using the Children’s Anxiety and Pain Scales (CAPS) by observers. Procedural pain level was assessed using Faces Pain Scale-Revised (FPS) by observers. Results　Pre-procedural and procedural CAPS scores in male control group were higher than those in female control group (2.475±1.28，95%CI =2.07~2.89 vs 1.93±1.12，95%CI= 1.57~2.28；2.65±1.21，95%CI =2.26~3.04 vs 2.08±0.94，95%CI= 1.77~2.38), the difference were statistically significant (P<0.05). Also procedural FPS scores in male control group were higher than those in female control group(7.18±1.95，95%CI =6.55~7.80 vs 6.28±1.64，95%CI =5.76~6.81), the difference were statistically significant (P<0.05). Compared with male control group，the cartoon sticker rewards effectively decreased procedural CAPS and FPS scores among boys(2.65±1.21，95%CI =2.26~3.04 vs 1.58±0.96，95%CI =1.27~1.88；7.18±1.95，95%CI =6.55~7.80 vs 5.77±1.71， 95%CI= 5.22~6.32), the difference were statistically significant (P<0.05). But with or without rewards，there was no significant difference in the change in the anxiety and pain during the procedure among girls (2.08±0.94，95%CI= 1.77~2.38 vs 2.13±1.18，95%CI =1.75~2.50；6.28±1.64，95%CI =5.76~6.81 vs 6.07±1.90，95%CI =5.46~6.68), the difference was not statistically significant(P>0.05). Conclusion　As a reward, cartoon stickers had different effects on relieving pain and anxiety of children of different genders.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：深圳市卫计委临床研究项目 (NO.SZLY2017016）。
作者简介： 张奕（1978?），女，硕士，主管技师，主要从事临床检验研究，E-mail：2444533214@qq.com。
更新日期/Last Update: 2020-10-30