Abstract:

Objective To explore the effect of multi-component intervention in improving children’s compliance with cranial Magnetic Resonance Imaging（MRI） examination. Methods From March to October 2024，children aged 3-9 years old who underwent their first non-sedative cranial MRI examination in the Radiology Department of Hunan Children’s Hospital were selected as the participants. Children were divided into a control group and an experimental group according to their willingness. The control group received routine nursing care，while the experimental group received differentiated multi-component intervention（including environmental adaptation training，cognitive-behavioral remodeling，immersive interactive games，and audio-visual distraction） based on the children’s age（3-6 years/>6-9 years）. The one-time success rate of the examination，examination duration，and sedation usage rate were compared between the two groups. Results Both the experimental group and the control group included 50 children aged 3-6 years old and 50 children aged >6-9 years old，respectively. For children aged 3-6 years old，the one-time success rate of the examination，examination duration，and sedation usage rate in the experimental group were all better than those in the control group（P<0.05）. For children aged >6-9 years old，the examination duration in the experimental group was shorter than that in the control group（P<0.001）. However，there was no statistically significant difference in the one-time success rate of the examination and sedation usage rate between the two groups（P>0.05）. Conclusion Multi-component intervention can improve the compliance of children aged 3-9 years old undergoing their first non-sedative cranial MRI examination and reduce the need for sedation in children aged 3-6 years old，which holds certain promotion value.

Key words: Children, Cranial MRI, Compliance with examinations, Non-sedation, Multi-component intervention