診療器具玩具化應用在兒童診療焦慮改善之研究

Abstract

玩具遊戲可以促進兒童醫病關係建立，本研究進行文獻分析，歸納兒科診療器具玩具化設計原則，並完成七款玩具化診療器具，用以類似角色扮演的互動遊戲於實際門診之實驗。本研究進行80位3-8歲兒童門診實驗，實驗組採玩具化診療器具與控制組採傳統式診療器具，由護士評估與兒童自陳診療焦慮，分析結果有：一、組別與性別在診療焦慮之二因子變異數分析顯示，性別在診療焦慮並無顯著差異，而組別中之診療焦慮，實驗組顯著低於控制組。二、組別與年齡組在診療焦慮存在交互作用，單純主要效果分析中，控制組之低年齡組顯著高於高年齡組；且各年齡組中，實驗組顯著低於控制組。三、年齡愈小診療焦慮平均值愈大。四、護士評估和兒童自我評估焦慮是高度相關。

Toys and games can promote the relationship between children and health care workers. The study is to survey relevant researches that support the idea of combining toys with clinic apparatuses. Based on these principles, the research team has completed the design of seven pediatric clinic apparatuses. The design of apparatuses can use for interactive games like role-playing scenarios to apply to the experiment of the actual outpatient. The research team observed a total of 80 children patients from age three to eight. The experiment group was serviced the design clinic apparatuses while the control group was treated by traditional clinic apparatuses. The assessment of anxiety was done by the child himself or herself and a nurse, and then process the analysis of group, gender and age on the anxiety, the team has come to the following conclusion: (1) When analyzing the relationship between group and gender using two-way ANOVA, the anxiety level was apparently significant lower in the experiment group than the control group, regardless of gender. (2) When analyzing the relationship between group and age using two-way ANOVA, there was an interaction effects on anxiety. It was found that control group anxiety level presented in subgroup 1 was higher than the subgroups 2, and both the age subgroups anxiety level presented in the control group was higher than the experiment group. (3) In the both groups, there are the younger the greater average anxiety. (4) The nurse assessment of anxiety and children self-assessment anxiety is highly relevant.