Public Health Department, Federico II University Hospital, 80131 Naples, Italy.
Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
J Pediatr Nurs. 2024 Sep-Oct;78:e102-e116. doi: 10.1016/j.pedn.2024.06.025. Epub 2024 Jul 16.
Children of different age groups frequently undergo painful procedures involving needles, which can be a source of significant discomfort. Regrettably, this aspect of care often receives insufficient attention from healthcare professionals. The existing literature proposes several methodologies for managing procedural pain, with nonpharmacological techniques being particularly promising. These techniques should be adapted to the patient's age, but literature predominantly emphasizes their use with infants. Thus, it is necessary to evaluate their effectiveness in diverse age groups. Consequently, the purpose of this systematic review is to identify non-pharmacological interventions used to prevent needle-related procedural pain in children (age group 6-12 years).
Primary studies in English language on non-pharmacological interventions in children aged 6-12 years undergoing needle-related procedures found on PubMed, CINAHL and Embase.
A total of 18 studies were included.
The results indicate the potential application of various non-pharmacological techniques, with distraction methods standing out. These techniques include activities like utilizing cards, watching cartoons, employing virtual reality and playing video games.
Children's procedural pain represents a significant challenge in treatment plans. Literature offers several approaches, including nonpharmacologic methods, to control this problem. Prioritizing procedural pain management is critical both at clinical and organizational levels to improve the quality of pediatric care.
These findings offer different options to support clinical practice, holding the potential to enhance the quality of patient care.
不同年龄段的儿童经常需要接受涉及针的痛苦程序，这可能是一个非常不适的来源。遗憾的是，医疗保健专业人员往往对这方面的护理关注不足。现有文献提出了几种管理程序疼痛的方法，其中非药物技术特别有希望。这些技术应根据患者的年龄进行调整，但文献主要强调其在婴儿中的使用。因此，有必要评估它们在不同年龄组中的有效性。因此，本系统评价的目的是确定用于预防儿童（6-12 岁年龄组）与针相关的程序疼痛的非药物干预措施。
在 PubMed、CINAHL 和 Embase 上搜索到的关于 6-12 岁儿童接受与针相关的程序的非药物干预的原始研究，语言为英语。
共纳入 18 项研究。
结果表明，各种非药物技术具有潜在的应用，其中分散注意力的方法尤为突出。这些技术包括使用卡片、观看卡通片、虚拟现实和玩视频游戏等活动。
儿童的程序疼痛在治疗计划中是一个重大挑战。文献提供了几种方法，包括非药物方法，以控制这个问题。在临床和组织层面上，优先考虑程序疼痛管理对于提高儿科护理质量至关重要。
这些发现为支持临床实践提供了不同的选择，有可能提高患者护理质量。
