Hummel Julia, Coenen Michaela, Voigt-Blaurock Varinka, Klein Christoph, Jung-Sievers Caroline
Institut für Medizinische Informationsverarbeitung Biometrie und Epidemiologie, Lehrstuhl für Public Health und Versorgungsforschung, Ludwig-Maximilians-Universität München, Deutschland.
Pettenkofer School of Public Health, Lehrstuhl für Public Health und Versorgungsforschung, Ludwig-Maximilians-Universität München, Deutschland.
Gesundheitswesen. 2023 Jan;85(1):39-47. doi: 10.1055/a-1676-3852. Epub 2021 Dec 14.
Hospital stays can lead to psychological stress in children, which is often not sufficiently addressed in standard care. A new approach is to involve specialized psychosocial professionals, designated as Child Life Specialists (CLS), in clinical care in order to strengthen the child's perspective, to cushion burdens through targeted interventions and to promote the well-being of the patients. The aim of this work is to analyze the effects of CLS interventions on fear, pain and stress of children in a clinical context.
A systematic literature search was performed in the databases Medline, Embase and PsycINFO. The results are presented in tabular and graphical form.
Four randomized controlled trials (RCTs) were analyzed to investigate the effects of CLS interventions in 459 children aged 0-15 years. Significant improvement in each of the outcome criteria was reported in at least one study. All studies were expected to have a medium to high risk of bias.
The included RCTs report positive effects of CLS interventions on outcome variables of mental health of children in the clinical setting. Due to the small number of studies and their heterogeneity and quality, further research is needed.
住院可能会给儿童带来心理压力，而这在标准护理中往往未得到充分解决。一种新方法是让被指定为儿童生活专家（CLS）的专业心理社会专业人员参与临床护理，以强化儿童的视角，通过有针对性的干预减轻负担，并促进患者的福祉。这项工作的目的是分析在临床环境中CLS干预对儿童恐惧、疼痛和压力的影响。
在Medline、Embase和PsycINFO数据库中进行了系统的文献检索。结果以表格和图表形式呈现。
分析了四项随机对照试验（RCT），以研究CLS干预对459名0至15岁儿童的影响。至少有一项研究报告了每个结局标准都有显著改善。所有研究预计存在中度至高度偏倚风险。
纳入的随机对照试验报告了CLS干预对临床环境中儿童心理健康结局变量的积极影响。由于研究数量少、异质性和质量问题，需要进一步研究。
