摘要
Aims:Animal-assisted therapy(AAT)relieves pain by creating a relaxed and comfortable environment to reduce anxiety in children.Yet little is known about its effects on pain in children.This study aims to systematically evaluate the effects of AAT on pain in children.Methods:Eight databases including PubMed,Cochrane Library,Web of Science,CINAHL Complete,Chinese Biomedical Database(CBM),Weipu Database(VIP),China Knowledge Resource Integrated Database(CNKI)and Wanfang Database were retrieved,and all randomized controlled trials or controlled clinical trial using AAT on children’s pain were recruited from inception to October 2019.Two reviewers independently screened literature,extracted data and assessed the risk of bias of the included studies.RevMan 5.3 software was employed for meta-analysis.Results:Seven published studies containing 4 RCTs and 3 CCTs were included for the systematic review.The results of meta-analysis showed that AAT could reduce children’s pain when compared with the control group[MD=-0.53,95%CI(-0.77,-0.30),P<0.00001].Conclusion:Current evidence shows that AAT can relieve pain in children to some extent.Considering the limited quality and quantity of the available studies,more high quality studies should be performed to verify the above conclusion.
目的系统评价动物辅助疗法在儿童疼痛中的应用效果。方法检索PubMed、Cochrane Library、Web of Science、CINAHL、中国生物医学文献数据库、中国知网、维普和万方数据库,搜集有关应用动物辅助疗法对儿童进行干预的随机对照试验(randomized controlled trials,RCT)或类实验(controlled clinical trial,CCT)研究,检索时限均从数据库建库至2019年10月。由2名研究者独立筛选文献、提取资料并评价纳入研究的偏倚风险后,采用RevMan 5.3软件进行Meta分析。结果共纳入7篇文献,包括4篇RCT和3篇CCT。Meta分析结果显示:动物辅助疗法能够减轻儿童疼痛,差异有统计学意义。结论现有证据表明,动物辅助疗法在一定程度上可以减轻儿童疼痛。受纳入研究数量和质量的限制,上述结论尚待更多高质量研究予以验证。
基金
National Nature Science Foundation of China(grant No.71704071).
