運用治療性遊戲於學前病童噴霧治療之成效

Effectiveness of Therapeutic Play on Steam Inhalation for Preschool Children

背景：下呼吸道感染是兒科常見的疾病，而為了協助住院兒童濕化痰液以利痰液排出體外，治療醫囑常會有噴霧治療，但兒童常因認知受限與住院壓力因素，以致往往哭鬧而無法配合噴
霧治療。
目的：探討運用治療性遊戲介入對於提升住院學前兒童接受噴霧治療時的正向情緒、認知和技能之成效。
方法：研究設計採綜合研究法，研究對象為4-6歲因呼吸道感染而接受噴霧治療的學前兒童及其父母，隨機分派至實驗組與控制組，實驗組與控制組各20對，控制組只接受常規護理，實
驗組為常規護理再加上治療性遊戲。
結果：治療性遊戲介入後，實驗組與控制組學前兒童在接受噴霧治療情緒表現上，未達統計上的顯著差異（p>.05），但在噴霧治療認知得分上，則達統計上顯著差異（p<.05）。而90%實驗組父母在訪談結果中表示，對於治療性遊戲介入的成效，有8分以上的高滿意度。
結論／實務應用：本研究結果可作為日後兒科臨床照護之本土性、實證性研究與發展無創傷性照護上之參考。

Background: Background: Lower respiratory tract infection is a common disease in pediatrics. In order to help hospitalized children moisturize phlegm to facilitate sputum excretion, steam inhalation is often prescribed. However, children often cry and fail to cooperate with steam inhalation treatment because of recognition limitation and hospitalization stress factors.
Purpose: To explore the effectiveness of therapeutic play-based intervention on emotions, recognition, and skills of hospitalized pre-school children.
Methods: This study used mixed methods research design to enroll 4-6 years old preschool children who received steam inhalation treatment for respiratory infections and their parents as the research subjects. Twenty pairs of preschool children and their parents were random assigned to the experimental group and control group. The control group only received routine care, while the experimental group received routine care in combination with therapeutic play-based intervention.
Results: After the intervention of therapeutic play, there was no statistically significant difference between the experimental group and the control group in the children’s Emotional Manifestation Scale (CEMS) (p>.05), but there was a statistically significant difference in the recognition scores of the steam inhalation treatment (p<.05) between the experimental group and the control group . Ninety percent of the parents of the experimental group expressed high satisfaction of more than 8 points toward the effectiveness of the therapeutic play intervention.
Conclusions/Implications for Practice: The results of this study may serve as a reference for development of non-invasive care in pediatric clinical care in the future.