Department of Pediatric Nursing, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpasa, Istanbul, Turkey.
Department of Nursing, Faculty of Health Sciences, Beykent University, Istanbul, Turkey.
Pain Manag Nurs. 2022 Oct;23(5):682-688. doi: 10.1016/j.pmn.2022.03.011. Epub 2022 May 4.
This systematic review was conducted to determine the effect of parental presence on the child's pain intensity during invasive procedures.
A systematic review.
The systematic review was conducted in July 2019 and updated in December 2020 to include the latest research published during the publication process by scanning the articles in English. Scopus, Pubmed, Cochrane, Science Direct, MedLine databases were used for scanning. The keywords "parental presence", "family presence", "parent involvement", "invasive procedures", "venipuncture", "painful procedures", "child", "children", "pediatric" were used in the scanning. Preferred Reporting Items for Systematic reviews and Meta-Analyses protocol was followed to prepare the study and the report, and the systematic review was created according to the patient, intervention, comparison, outcomes (PICOS) strategy.
A total of 248 articles were reached, and the full texts of 18 articles were evaluated for eligibility. After the articles excluded by the full-text search were eliminated, six studies, involving 730 children with a sample aged between 0-12 years, were included in the analysis. In 4 studies, it was determined that having a parent with the child during the invasive procedure significantly decreased the pain level, and in 2 studies, there was no statistically significant decrease in the pain level of the children.
Parental presence and parental involvement during invasive procedures effectively reduced the children's pain levels. Since the number of studies with a high level of evidence regarding the effect of family participation on pain level is limited, it is recommended to conduct more randomized controlled studies.
本系统评价旨在确定父母在儿童接受有创性操作期间的存在对其疼痛强度的影响。
系统评价。
本系统评价于 2019 年 7 月进行，并于 2020 年 12 月更新，以纳入发表过程中最新的研究，通过扫描英文文章进行检索。使用 Scopus、Pubmed、Cochrane、Science Direct、MedLine 数据库进行扫描。扫描时使用的关键词为“父母的存在”“家庭存在”“家长参与”“有创性操作”“静脉穿刺”“疼痛操作”“儿童”“儿童”“儿科”。采用系统评价和荟萃分析报告的首选报告项目（PRISMA）协议准备研究和报告，并根据患者、干预、比较、结局（PICOS）策略创建系统评价。
共检索到 248 篇文章，对 18 篇文章的全文进行了评估以确定其是否符合纳入标准。在排除了全文检索排除的文章后，纳入了 6 项研究，共涉及 730 名年龄在 0-12 岁之间的儿童。在 4 项研究中，发现有父母在有创性操作期间陪伴儿童可以显著降低疼痛程度，而在 2 项研究中，儿童的疼痛程度没有统计学意义的降低。
父母在有创性操作期间的存在和参与可以有效降低儿童的疼痛程度。由于关于家庭参与对疼痛程度影响的高质量证据研究数量有限，建议进行更多的随机对照研究。
