诊室喉科操作期间的治疗犬：一项初步研究。

文献信息

中文摘要

目的： 评估在清醒状态下进行诊室喉科操作前与认证治疗犬互动与标准护理相比，与患者报告的焦虑、抑郁和疼痛之间的关联。
方法： 这是一项针对接受诊室喉科操作的成年患者的前瞻性初步研究。参与者完成了焦虑、抑郁和疼痛的操作前和操作后评估。与认证治疗犬一起就诊的患者组成犬组，并与未与治疗犬一起就诊的对照组患者进行比较。组间差异使用独立样本t检验或非参数数据的Mann-Whitney U检验进行评估。组内变化使用配对t检验或Wilcoxon符号秩检验进行分析。组×时间交互作用使用混合双因素ANOVA进行评估。
结果： 共纳入50名患者（犬组31名，对照组19名）。两组之间的基线人口统计学特征相似。在犬组中，操作后焦虑和抑郁显著降低，而疼痛显示出非显著性减少。在对照组中，焦虑显著降低，但疼痛和抑郁没有显著变化。与对照组相比，犬组操作后的疼痛和抑郁显著更低。在焦虑、疼痛和抑郁方面观察到显著的组×时间交互作用。
结论： 与治疗犬互动的患者与较低的患者报告焦虑和抑郁相关，支持使用治疗犬项目来改善诊室操作期间的患者体验。这些发现支持使用随机研究设计和经过验证的结果测量进一步研究动物辅助干预。

英文摘要

OBJECTIVE: To evaluate the association between interaction with a certified therapy dog prior to awake, in-office laryngologic procedures and patient-reported anxiety, depression, and pain compared with standard care.
METHODS: This was a prospective pilot study of adult patients undergoing in-office laryngologic procedures. Participants completed pre- and post- assessments of anxiety, depression, and pain. Patients who were seen with certified therapy dogs comprised the canine group and were compared with a control group of patients who were not seen with therapy dogs. Group differences were assessed using independent-samples t tests or Mann-Whitney U tests for nonparametric data. Within-group changes were analyzed with paired t tests or Wilcoxon signed-rank tests. Group × time interactions were assessed using mixed two-way ANOVA.
RESULTS: Fifty patients were included (31 canine, 19 control). Baseline demographics were similar between groups. In the canine cohort, anxiety and depression decreased significantly following the procedure, while pain showed a nonsignificant reduction. In the control group, anxiety decreased significantly, but pain and depression did not change significantly. Post-procedure pain and depression were significantly lower in the canine group compared with controls. "Significant group × time interactions were observed for anxiety, pain, and depression."
CONCLUSION: Patients who interacted with therapy dogs was associated with lower patient-reported anxiety and depression, supporting the use of therapy dog programs to improve patient experience during in-office procedures. These findings support further investigation of animal-assisted interventions using randomized study designs and validated outcome measures.