Impact of Facility Dog and Certified Child Life Specialist Dyad on Children's Pain and Anxiety During Needlestick Procedures in a Pediatric Hematology Oncology Clinic Setting

被引：3

作者：

Spikestein, Ali ^{[1
,2
]}

Musante, Jordan ^{[1
]}

Huang, Hsin-Hui ^{[1
]}

Stojanowski, Morgan ^{[1
]}

Rode, Diane ^{[1
]}

Pillai, Pallavi ^{[1
]}

Crouch, Gary D. ^{[1
]}

机构：

[1] Mt Sinai Kravis Childrens Hosp, Dept Child Life & Creat Arts Therapy, New York, NY USA

[2] Mt Sinai Kravis Childrens Hosp, Dept Child Life & Creat Arts Therapy, Box 1153,1184 Fifth Ave, New York, NY 10029 USA

来源：

JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY | 2024年 / 46卷 / 01期

关键词：

animal-assisted therapy; child life specialist; facility dog; pediatric pain; procedural support; MANAGEMENT; DISTRESS; THERAPY;

D O I：

10.1097/MPH.0000000000002785

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Background:Pediatric Hematology Oncology patients undergo frequent needlestick procedures, often leading to negative outcomes including pain and anxiety. Animal-assisted therapy has been shown to minimize pediatric patient distress; however, its utilization by a Certified Child Life Specialist (CCLS) to reduce patient distress has not been widely studied.Methods:Pediatric patients receiving needlesticks in the Hematology Oncology Clinic were enrolled between March 2018 and May 2021. Patients who had scheduled visits when the facility dog was present were assigned to the intervention group. Patients were assigned to the control group if the facility dog was not present. The primary objective was to use the Children's Anxiety and Pain Scale to determine whether the CCLS and facility dog dyad minimized patient pain and anxiety during procedures.Results:A total of 285 patients, 5 to 17 years of age, were enrolled. One hundred forty-three patients were assigned the intervention and received procedural support from the CCLS and facility dog; 142 patients were assigned the control group and received support from the CCLS only. Patient-reported pain scores were significantly lower among patients who received the intervention (P=0.033).Conclusions:Utilization of a CCLS and facility dog dyad during painful needlestick procedures decreases patient-reported pain compared with utilization of CCLS support alone.

引用

页码：51 / 56

页数：6