题名

情感設計應用在減緩兒童診療焦慮與疼痛之研究

并列篇名

A Study on the Application of Emotional Design on the Anxiety and Pain Alleviation in Pediatric Outpatients

DOI

10.6381/JD.201209.0069

作者

吳正仲(Jeng-Chung Woo)

关键词

情感設計 ; 診療器具 ; 兒童 ; 玩具 ; 焦慮 ; Emotional Design ; Clinic Apparatus ; Children ; Toy ; Anxiety

期刊名称

設計學報

卷期/出版年月

17卷3期(2012 / 09 / 01)

页次

69 - 93

内容语文

繁體中文

中文摘要

兒童接受診療時,在面對陌生環境與醫療人員常會產生恐懼與焦慮的現象,所以,從情感設計的觀點,設計多款的玩具化診療器,探討其減緩兒童診療焦慮與疼痛為本研究的目的。本研究進行文獻分析,歸納玩具化診療器具之情感設計模式,及兒科診療器具玩具化設計原則,並應用在實際門診之實驗以營造類似角色扮演的互動遊戲效果,共進行40位3-8歲兒童門診實驗,實驗組採情感設計之玩具化診療器具(不需預先訓練)與控制組採傳統式診療器具,本研究評估兒童診療焦慮、疼痛,並進行相關統計分析(描述統計、相關性分析、多變量變異數分析)。研究結果顯示實驗組之診療焦慮顯著低於控制組,而兒童診療疼痛的分析中,實驗組與控制組則無顯著差異。本研究之情感設計概念對減緩兒童門診焦慮具成效,期能提供創新兒童醫療產業之設計參考。

英文摘要

When children see doctors, it is very common for them to experience fear and anxiety due to the unfamiliar environment and health-care workers. Therefore, designing a variety of toy clinic apparatuses from the viewpoint of emotional design, and applying on the anxiety and pain alleviation in pediatric outpatients are the purpose of this study. In this case, the study conducts a literature review to conclude the emotional design model of toy clinic apparatus and its design rules. In addition, in order to understand the effects of the emotional design strategy, this study conducts an experiment on 40 children, aged from three to eight, in pediatric outpatients. These children are divided into the experimental group and the control group; the former were given emotionally designed toy therapeutic goods (without pre-training), while the latter were given traditional ones. The study shall assess children's anxiety and pain, and then process the correlation analysis (descriptive statistics, correlation, MANOVA). According to the study results, it is suggested that children in the experimental group experience less hospital anxiety than those in the control group. As for the analysis of hospital pain, there is no significant difference between children in the experimental group and those in the control group. Since this emotional design concept works well on the anxiety alleviation in pediatric outpatients, it is hoped that the study can serve as a reference for designing innovative child health-care products.

主题分类 人文學 > 藝術
社會科學 > 傳播學
参考文献
  1. Chih, H. (2008). Form follows function. Retrieved March 21, 2011, from http://hangxdesign.blogspot.com/2008/01/form-follows-function.html
  2. Lei, L. (2010). Patients preoperative anxiety and postoperative pain of the relationship between. Retrieved July 28, 2011, from http://eng.hi138.com/?i212878_Patients_preoperative_anxiety_and_postoperative_pain_of_the_relationship_between_#
  3. Levenstein, S. (2011). Robotic therapy seal comforts Japanese earthquake survivors. Retrieved August 9, 2011, from http://inventorspot.com/articles/robotic_therapy_seal_comforts_japanese_earthquake_survivors
  4. 中華民國國家標準(2007)。CNS總號:797,類號:7066。Chinese National Standards (2007). CNS general number: 797, category number: 7066. [in Chinese, semantic translation]。
  5. Adelson, B.(2010).The emotional design of everyday things: The 2006 Benjamin Franklin Medal in computer and cognitive science presented to Donald A. Norman.Journal of the Franklin Institute-Engineering and Applied Mathematics,347(4),681-687.
  6. Artacho, M. A.,Ballester, A.,Alcantara, E.(2010).Analysis of the impact of slight changes in product formal attributes on user's emotions and configuration of an emotional space for successful design.Journal of Engineering Design,21(6),693-705.
  7. Berlyne, D. E.(1974).Studies in the new experimental aesthetics: Steps toward an objective psychology of aesthetic appreciation.Washington, DC:Hemisphere.
  8. Blakemore, J. E. O.,Centers, R. E.(2005).Characteristics of boys' and girls' toys.Sex Roles,53(9-10),619-633.
  9. Bringuier, S.,Dadure, C.,Raux, O.,Dubois, A.,Picot, M. C.,Capdevila, X.(2009).The perioperative validity of the visual analog anxiety scale in children: A discriminate and useful instrument in routine clinical practice to optimize postoperative pain management.Anesthesia & Analgesia,109(3),737-744.
  10. Buchanan, H.(2010).Assessing dental anxiety in children: The revised smiley faces program.Child Care Health and Development,36(4),534-538.
  11. Cai, H.,Lin, Y.(2011).Modeling of operators' emotion and task performance in a virtual driving environment.International Journal of Human-Computer Studies,69(9),571-586.
  12. Chapman, J.(2009).Design for (emotional) durability.Design Issues,25(4),29-35.
  13. Cohen, L. L.,Blount, R. L.,Cohen, R. J.,Johnson, V. C.(2004).Dimensions of pediatric procedural distress: Children's anxiety and pain during immunizations.Journal of Clinical Psychology in Medical Settings,11(1),41-47.
  14. Cohen, L. L.,Blount, R. L.,Panopoulos, G.(1997).Nurse coaching and cartoon distraction: An effective and practical intervention to reduce child, parent, and nurse distress during immunizations.Journal of Pediatric Psychology,22(3),355-370.
  15. Cushman, W. H.、Rosenberg, D. J.、蔡登傳譯、宋同正譯(1996)。產品設計的人因工程。台北市=Taipei:六合=Liuho。
  16. Dahlquist, L. M.,Weiss, K. E.,Clendaniel, L. D.,Law, E. F.,Ackerman, C. S.,McKenna, K. D.(2009).Effects of videogame distraction using a virtual reality type head-mounted display helmet on cold pressor pain in children.Journal of Pediatric Psychology,34(5),574-584.
  17. Demir, E.(2008).The field of design and emotion: Concepts, arguments, tools, and current issues.Journal of the Faculty of Architecture,25(1),135-152.
  18. Desmet, P. M. A.(2003).A multilayered model of product emotions.The Design Journal,6(2),4-13.
  19. Desmet, P. M. A.,Hekkert, P.(2002).The basis of product emotions.Pleasure with products, beyond usability,London, England:
  20. Desmet, P. M. A.,Hekkert, P.(2009).Special issue editorial: Design & emotion.International Journal of Design,3(2),1-6.
  21. Dreger, V. A.,Tremback, T. F.(2006).Management of preoperative anxiety in children.AORN Journal,84(5),778-804.
  22. Edwards, S. L.,Rapee, R. M.,Kennedy, S. J.,Spence, S. H.,Spence, S. H.(2010).The assessment of anxiety symptoms in preschool-aged children: The revised preschool anxiety scale.Journal of Clinical Child and Adolescent Psychology,39(3),400-409.
  23. Essau, C. A.,Anastassiou-Hadjicharalambous, X.,Munoz, L. C.(2011).Psychometric properties of the spence children's anxiety scale (SCAS) in cypriot children and adolescents.Child Psychiatry & Human Development,42(5),557-568.
  24. Faber, R. J.,Christenson, G. A.(1996).In the mood to buy: Differences in mood states experienced by compulsife buyers and other consumers.Psychology and Marketing,13(8),803-819.
  25. Fernandez, E.(1986).A classification system of cognitive coping strategies for pain.Pain,26(2),141-151.
  26. Golan, G.,Tighe, P.,Dobija, N.,Perel, A.,Keidan, I.(2009).Clowns for the prevention of preoperative anxiety in children: A randomized controlled trial.Paediatr Anaesth,19(3),262-266.
  27. Grolnick, W. S.,McMenamy, J. M.,Kurowski, C. O.(1999).Emotional self-regulation in infancy and toddlerhood.Child psychology: A handbook of contemporary issues,Philadelphia, PA:
  28. Hirschman, E. C.,Holbrook, M. B.(1982).Hedonic consumption: Emerging concepts, methods and propositions.Journal of Marketing,46(3),92-101.
  29. Jiao, J.,Zhang, Y.,Helander, M.(2006).A kansei mining system for affective design.Expert Systems with Applications,30(4),658-673.
  30. Ju, W.,Takayama, L.(2009).Approachability: How people interpret automatic door movement as gesture.International Journal of Design,3(2),77-86.
  31. Justus, R.,Wyles, D.,Wilson, J.,Rode, D.,Walther, V.,Lim-Sulit, N.(2006).Preparing children and families for surgery: Mount sinai's multidisciplinary perspective.Pediatric Nurs,32(1),35-43.
  32. Khalid, H. M.,Helander, M. G.(2006).Customer emotional needs in product design.Concurrent Engineering-Research and Applications,14(3),197-206.
  33. Kiche, M. T.,Almeida, F. D.(2009).Therapeutic toy: Strategy for pain management and tension relief during dressing change in children.Acta Paulista De Enfermagem,22(2),125-130.
  34. Kirk, J.,Jahoda, A.(2009).The role of emotional imagery and somatosensory amplification in atypical chest pain in patients with angina pectoris: A single-case experimental design.Journal of Cardiopulmonary Rehabilitation and Prevention,29(2),121-125.
  35. Kleiber, C.,Harper, D. C.(1999).Effects of distraction on children's pain and distress during medical procedures: A meta-analysis.Nursing Research,48(1),44-49.
  36. Landreth, G. L.(2002).Play therapy: The art of the relationship.New York, NY:Brunner-Routledge.
  37. Markussen, T.(2009).Bloody robots as emotional design: How emotional structures may change expectations of technology use in hospitals.International Journal of Design,3(2),27-39.
  38. McCaul, K. D.,Malott, J. M.(1984).Distraction and coping with pain.Psychological Bulletin,95(3),516-533.
  39. McGrath, P. J.,Johnson, G.,Goodman, J. T.,Schillinger, J.,Dunn, J.,Chapman, J. A.(1985).CHEOPS: A behavioral scale for rating postoperative pain in children.Advances in Pain Research and Therapy,9,395-402.
  40. Michaud, F.,Duquette, A.,Nadeau, I.(2003).Characteristics of mobile robotic toys for children with pervasive developmental disorders.IEEE International Conference on Systems, Man and Cybernetics
  41. Milton, I.,MacPhail, J.(1985).Dolls and toy animals for hospitalized elders-infantilizing or comforting?.Geriatric Nursing,6(4),204-206.
  42. Miniussi, C.,Rao, A.,Nobre, A. C.(2002).Watching where you look: Modulation of visual processing of foveal stimuli by spatial attention.Neuropsychologia,40(13),2448-2460.
  43. Nakajima, K.,Nakamura, K.,Yonemitsu, S.,Oikawa, D.,Ito, A.,Higashi, Y.,Fujimoto, T.,Nambu, M.,Tamura, T.(2001).Animal-shaped toys as therapeutic tools for patients with severe dementia.Proceedings of 23rd Annual EMBS International Conference,Istanbul, Turkey:
  44. Norman, A. D.(2004).Emotional design: Why we love (or hate) everyday things.New York, NY:Basic Books.
  45. Odom, R. D.,Lemond, C. M.(1972).Developmental differences in the perception and production of facial expressions.Child Development,43(2),359-369.
  46. Okie, S.(2010).Form follows function: A redesigned pediatric office.Health Affairs,29(5),979-981.
  47. Olson, C. L.(1976).On choosing a test statistic in multivariate analysis of variance.Psychological Bulletin,83(4),579-586.
  48. Osgood, C. E.,Suci, C. J.,Tannenbaum, P. H.(1957).The measurement of meaning.Urbana:University of Illinois Press.
  49. Page, M. G.,Campbell, F.,Isaac, L.,Stinson, J.,Martin-Pichora, A. L.,Katz, J.(2011).Reliability and validity of the child pain anxiety symptoms scale (CPASS) in a clinical sample of children and adolescents with acute postsurgical pain.Pain,152(9),1958-1965.
  50. Piaget, J.(1972).The psychology of the child.New York, NY:Basic Books.
  51. Pringle, B.,Hilley, L.,Gelfand, K.,Dahlquist, L.,Switkin, M.,Diver, T.,Sulc, W.,Eskenazi, A.(2001).Decreasing child distress during needle sticks and maintaining treatment gains over time.Journal of Clinical Psychology in Medical Settings,8(2),119-30.
  52. Rassin, M.,Gutman, Y.,Silner, D.(2004).Developing a computer game to prepare children for surgery.AORN Journal,80(6),1095-1102.
  53. Robinson, C. C.,Morris, J. T.(1986).The gender-stereotyped nature of Christmas toys received by 36-, 48-, and 60-month-old children: A comparison between nonrequested vs. requested toys.Sex Roles,15(1-2),21-32.
  54. Roseman, I. J.,Smith, G. A.(2001).Appraisal theory: Assumptions, varieties, controversies.Appraisal processes in emotion,Oxford, England:
  55. Schwartz, M. B.,Chen, E. Y.,Brownell, K. D.(2003).Trick, treat, or toy: Children are just as likely to choose toys and candy on Halloween.Journal of Nutrition Education and Behavior,35(4),207-209.
  56. Servin, A.,Bohlin, G.,Berlin, L.(1999).Sex differences in 1-, 3-, and 5-year-olds' toy-choice in a structured play-session.Scandinavian Journal of Psychology,40(1),43-48.
  57. Squires, V. L.(1995).Child-focused perioperative education: Helping children understand and cope with surgery.Seminars in Perioperative Nursing,4(2),80-87.
  58. Tyler, D.,Tu, A.,Douhit, J.,Chapman, C.(1993).Toward the validation of pain measurement tools for children: A pilot study.Pain,52(3),301-309.
  59. Vagnoli, L.,Caprilli, S.,Robiglio, A.,Messeri, A.(2005).Clown doctors as a treatment for preoperative anxiety in children: A randomized, prospective study.Pediatrics,116(4),563-567.
  60. Varni, J. W.,Walco, G. A.,Katz, E. R.(1989).A cognitive-behavioral approach to pain associated with pediatric chronic diseases.Journal of Pain and Symptom Management,4(4),238-241.
  61. Warner, R. M.(2008).Applied statistics: From bivariate through multivariate techniques.Thousand Oaks, CA:Sage.
  62. Weber, F. S.(2010).The influence of playful activities on children's anxiety during the preoperative period at the outpatient surgical center.Journal de Pediatria,86(3),209-214.
  63. Wetton, B.(2007).Robots: Blood. A methodology.
  64. Wolitzky, K.,Fivush, R.,Zimand, E.,Hodges, L.,Rothbaum, B.(2005).Effectiveness of virtual reality distraction during a painful medical procedure in pediatric oncology patients.Psychology & Health,20(6),817-824.
  65. Yau, Y. J.,Chao, C. J.,Hwang, S. L.(2008).Optimization of Chinese interface design in motion environments.Displays,29(3),308-315.
  66. Yu, H.,Liu, Y.,Li, S.,Ma, X.(2009).Effects of music on anxiety and pain in children with cerebral palsy receiving acupuncture: A randomized controlled trial.International Journal of Nursing Studies,46(11),1423-1430.
  67. Zilliacus, K.,Enberg, S.(1980).Play therapy in the pediatric out-patient department.Pediatrician,9(3-4),224-230.
  68. 石定鑫(2007)。台南市,台灣=Tainan, Taiwan,國立成功大學工業設計研究所=National Cheng Kung University。
  69. 吳明隆(2003)。SPSS統計應用實務。台北=Taipei:文魁=Kings Information。
  70. 林秉宏(2010)。新北市,台灣=New Taipei, Taiwan,華梵大學工業設計學系碩士班=Huafan University。
  71. 原研哉、張英裕譯(2010)。現代設計進行式:設計中的設計。台北=Taipei:磐築創意有限公司=Pan Zhu Creative Co. Ltd.。
  72. 徐偉忠(2005)。高雄市,台灣=Kaohsiung, Taiwan,樹德科技大學應用設計研究所=Shu-Te University。
  73. 郭春在(2006)。從幼兒身心發展觀點探討幼兒玩具設計要素之研究。應用藝術與設計學報,1,53-62。
  74. 蔡宗勳(2007)。雲林縣,台灣=Yunlin, Taiwan,國立雲林科技大學工業設計系碩士班=National Yunlin University of Science and Technology。
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