降低學齡前期住院病童焦慮之改善專案

Project to Improve Medical Team Resources to Reduce Anxiety of Preschool-Aged Sick Children

背景：醫院及醫療人員對病童來說容易造成恐懼及焦慮，其情緒連帶影響家庭運作，引發照顧者緊張，降低病童自尊心及情緒健康，導致焦慮，為降低病童在醫療經驗上的負向情緒，故成立此專案。
目的：本專案目的為降低學齡前期住院病童之焦慮，預設目標為調降病童焦慮程度50%。
解決方案：運用病房軟硬體設備改善，靜脈點滴注射設備改良，運用多媒體互動裝置及互動式團體聚會，同步配合節慶，舉辦醫病角色扮演活動，讓病童感受平等相待的互動模式，以降低病童焦慮的程度。
結果：「學齡前期焦慮量表」得分1.43分，與改善前2.94分相較，降低1.51分，且達目標值1.47分；「病童焦慮行為產生觀察量表」得分為1.67分，與改善前3.53分相較，降低1.86分，且達目標值1.77分。
結論：藉此次專案改善，對未來兒科照護過程更順利，減少病童焦慮，縮短護理人員無效工時，除善加運用多項對策外，亦建議將擬人化童具設備融入衛教過程，吸引病童注意，吸收正確疾病預防觀念外，更能增進護理人員執行護理衛教之效益。

Background: Hospitals and healthcare providers often evoke fear and anxiety in young children. These emotions can significantly impact the dynamics within families, increase caregiver stress, diminish a child's self-esteem and mental well-being, ultimately culminating in heightened anxiety. To address these challenges and enhance the overall medical experience for patients, this project was initiated.
Purpose: The primary objective of this project is to alleviate anxiety among preschool children undergoing hospitalization. Our predetermined target is to reduce children's anxiety levels by 50%.
Resolution: We have adopted a multifaceted approach involving strategic and interactive elements to create an environment where children feel respected and equal. This includes enhancing both the hardware and software aspects of the ward, improving intravenous droplet injection equipment, incorporating multimedia interactive devices, fostering interactive group activities, celebrating festivals, and organizing medical role-playing sessions—all aimed at alleviating the anxiety experienced by young patients.
Results: The ''Preschool Anxiety Scale'' yielded a score of 1.43 points, which represents a significant reduction of 1.51 points from the pre-improvement score of 2.94 points, successfully meeting our target of 1.47 points. Furthermore, the score on the ''Observation Scale of Anxiety Behavior in Sick Children'' reached 1.67 points, marking an impressive decrease of 1.86 points from the pre-improvement score of
3.53 points, surpassing our target of 1.77 points.
Conclusion: The improvement promised a more successful pediatric care process, decreased patient anxiety, and reduced inefficiencies among nursing personnel. Additionally, we recommend the integration of anthropomorphic child-friendly equipment into healthcare procedures, as this captivates the attention of sick children and facilitates the absorption of essential disease prevention concepts. This approach enhances the effectiveness of nursing education and contributes to the overall well-being of our young patients.