McCullough Amy, Ruehrdanz Ashleigh, Jenkins Molly A, Gilmer Mary Jo, Olson Janice, Pawar Anjali, Holley Leslie, Sierra-Rivera Shirley, Linder Deborah E, Pichette Danielle, Grossman Neil J, Hellman Cynthia, Guérin Noémi A, O'Haire Marguerite E
1 American Humane, Washington, DC, USA.
2 Vanderbilt University School of Nursing, Nashville, TN, USA.
J Pediatr Oncol Nurs. 2018 May;35(3):159-177. doi: 10.1177/1043454217748586. Epub 2017 Dec 21.
This multicenter, parallel-group, randomized trial examined the effects of an animal-assisted intervention on the stress, anxiety, and health-related quality of life for children diagnosed with cancer and their parents.
Newly diagnosed patients, aged 3 to 17 years (n = 106), were randomized to receive either standard care plus regular visits from a therapy dog (intervention group), or standard care only (control group). Data were collected at set points over 4 months of the child's treatment. Measures included the State-Trait Anxiety Inventory™, Pediatric Quality of Life Inventory, Pediatric Inventory for Parents, and child blood pressure and heart rate. All instruments were completed by the child and/or his/her parent(s).
Children in both groups experienced a significant reduction in state anxiety ( P < .001). Parents in the intervention group showed significantly decreased parenting stress ( P = .008), with no changes in stress among parents in the control group. However, no significant differences between groups over time on any measures were observed.
Animal-assisted interventions may provide certain benefits for parents and families during the initial stages of pediatric cancer treatment.
这项多中心、平行组、随机试验研究了动物辅助干预对被诊断患有癌症的儿童及其父母的压力、焦虑和与健康相关的生活质量的影响。
将106名年龄在3至17岁的新诊断患者随机分为两组,一组接受标准护理加治疗犬定期探访(干预组),另一组仅接受标准护理(对照组)。在儿童治疗的4个月内的设定时间点收集数据。测量指标包括状态-特质焦虑量表™、儿童生活质量量表、父母儿童量表以及儿童血压和心率。所有问卷均由儿童和/或其父母完成。
两组儿童的状态焦虑均显著降低(P <.001)。干预组的父母养育压力显著降低(P =.008),而对照组父母的压力没有变化。然而,随着时间的推移,两组在任何测量指标上均未观察到显著差异。
在儿童癌症治疗的初始阶段,动物辅助干预可能会为父母和家庭带来一定益处。