Patient Safety Research Group, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Pediatric Service, Hospital Parc Sanitari Sant Joan de Déu, Sant Boi de Llobregat, 08830 Barcelona, Spain.
Int J Environ Res Public Health. 2021 Jul 11;18(14):7403. doi: 10.3390/ijerph18147403.
The use of restraint in the child-adolescent population is highly controversial due to the consequences it can have for patients and their families, although it is sometimes necessary to employ restraint to perform techniques safely and effectively. Clinical Holding is committed to the involvement of parents during venipuncture in the context of family-centred care. This study assesses levels of distress and pain in children undergoing this procedure, as well as satisfaction in parents and nurses. Parents assist in the restraint of children and provide accompaniment during venipuncture. Levels of distress and pain were not particularly elevated. Satisfaction levels among parents and nurses were high. A positive correlation was found between anticipatory and real distress (r = 0.737, = 0.000), and between real distress and real pain (r = 0.368, = 0.035). A negative correlation was observed between real pain and parent satisfaction (r = -0.497, = 0.003). Parental participation during venipuncture contributed to better management of distress and pain. In the future, it would be advisable to incorporate the other pharmacological and non-pharmacological measures recommended by Clinical Holding to ensure care of the highest quality and safety.
在儿童和青少年人群中使用约束具是极具争议的，因为它可能会对患者及其家属造成影响，尽管有时为了安全有效地实施技术，使用约束具是必要的。临床约束法致力于在以家庭为中心的护理环境中让父母参与到儿童的静脉穿刺过程中。本研究评估了在进行该程序时儿童的痛苦和疼痛程度，以及父母和护士的满意度。父母协助约束儿童，并在静脉穿刺过程中陪伴他们。痛苦和疼痛程度并没有特别高。父母和护士的满意度都很高。预期痛苦和实际痛苦之间存在正相关关系（r = 0.737， = 0.000），实际痛苦和实际疼痛之间存在正相关关系（r = 0.368， = 0.035）。实际疼痛和父母满意度之间存在负相关关系（r = -0.497， = 0.003）。父母在静脉穿刺过程中的参与有助于更好地管理儿童的痛苦和疼痛。在未来，最好将临床约束法推荐的其他药物和非药物措施结合起来，以确保提供最高质量和安全性的护理。
