Effects of therapeutic play on children undergoing cast-removal procedures: A randomised controlled trial
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摘要Objectives To examine (1) the effectiveness of therapeutic play in reducing anxiety and negative emotional manifestations among children undergoing cast-removal procedures and (2) the satisfaction of parents and cast technicians with cast-removal procedures. Design A randomised controlled trial. Setting An orthopaedic outpatient department of a regional teaching hospital in Hong Kong. Participants Children (n=208) aged 3-12 undergoing cast-removal procedure were invited to participate. Interventions Eligible children were randomly allocated to either the intervention (n=103) or control group (n=105) and stratified by the two age groups (3-7 and 8-12 years). The intervention group received therapeutic play intervention, whereas the control group received standard care only. Participants were assessed on three occasions: Before, during and after completion of the cast-removal procedure. Outcome measures Children's anxiety level, emotional manifestation and heart rate. The satisfaction ratings of parents and cast technicians with respect to therapeutic play intervention were also examined. Results Findings suggested that therapeutic play assists children aged 3-7 to reduce anxiety levels with mean differences between the intervention and control group was 20.1 (95% CI 35.3 to 4.9; p=0.01). Overall, children (aged 3-7 and 8-12) in the intervention groups exhibited fewer negative emotional manifestations than the control group with a mean score difference 2.2 (95% CI 3.1 to 1.4; p<0.001). Parents and technicians in the intervention group also reported a higher level of satisfaction with the procedures than the control group with a mean score difference of 4.0 (95% CI 5.6 to 2.3; p<0.001) and 2.6 (95% CI 3.7 to 1.6; p<0.001), respectively. Conclusion Therapeutic play effectively reduces anxiety and negative emotional manifestations among children undergoing cast-removal procedures. The findings highlight the importance of integrating therapeutic play into standard care, in particular for children in younger age.
出版社接受日期17.05.2018
著者Wong C. L., Ip W. Y., Kwok B. M. C., Choi K. C., Ng B. K. W., Chan C. W. H.
期刊名稱BMJ Open
出版年份2018
月份9
卷號8
期次7
出版社BMJ PUBLISHING GROUP
文章號碼e021071
國際標準期刊號2044-6055
語言英式英語

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