| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 92 === A cross-over experimental design was carried out to investigate pain physiological parameters with palm operated games as the distractor. Eleven school-aged children with leukemia, receiving lumbar punctures from the outpatient hematology-oncology clinic or in-patient oncology unit in three medical centers were selected to participate in this study. Before lumbar puncture, Philips M1205A monitor was used to collect subjects’ heart rate and systolic blood pressure as baseline data. The palm operated game was employed from 2 minutes before implementing the lumbar puncture till the finish of puncture and then subjects naturally removed game by themselves. During the lumbar puncture procedure, the same physiological parameters were recorded every minute to analyze the influence of palm operated game as the distractor.
Major findings of this study were as follows：1. The heart rate was higher than the baseline while puncture, and when the child received the palm operated game, the heart rate returned to baseline level was faster than that did not received（P＜0.01）.2. The systolic blood pressure was higher than the baseline while puncture and the systolic blood pressure of children received the palm operated game changed less than these did not received. Even though there were no significant differences, the experimental group still had smaller change than the control group.
In sum, palm operated games as the distraction intervention may stabilize pain physiological reaction when children underwent lumbar puncture. Thus, it is hoped that using appropriate palm operated games as distraction intervention while implementing frequent punctures may provide better supportive care for not only cancer children but also other pediatric patients to distract pain sensation.
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