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Updated: May 9, 2026

An Experimental Paradigm for the Prediction of Post-Operative Pain (PPOP)
Published on: January 27, 2010
Parental presence and distraction during painful childhood procedures
Vasiliki Matziou1, Anthi Chrysostomou, Efrosyni Vlahioti
1Faculty of Nursing, National and Kapodestrian University of Athens.
Insights
Parental presence significantly reduces pain and distress in children during medical procedures. This study highlights the importance of a parent
Area of Science:
- Pediatric Psychology
- Pain Management
- Child Health
Background:
- Painful procedures in children can cause significant distress and anxiety.
- Understanding factors that mitigate pain and anxiety is crucial for pediatric care.
Purpose of the Study:
- To evaluate the impact of parental presence versus a toy distraction on children's pain and anxiety during painful procedures.
- To compare these interventions against a control group with no intervention.
Main Methods:
- A randomized controlled trial involving 130 children aged 7-10 years.
- Participants were assigned to a parent presence group, a toy distraction group, or a control group.
- Pain, vital signs, and anxiety were assessed using validated scales.
Main Results:
- Parental presence was associated with significant reductions in pain, anxiety, respiratory rate, blood pressure, and pulse.
- The toy distraction group did not show statistically significant differences compared to the control group in most measures.
- Children with parents present reported less pain and distress.
Conclusions:
- Parental presence is a highly effective strategy for alleviating pain and distress in children undergoing invasive procedures.
- It is recommended to facilitate parental presence during pediatric medical interventions.
- Further research could explore the optimal ways to integrate parental support in clinical settings.
Aim:
To investigate the effect of parental presence and the distraction of the attention by a toy in children undergoing a painful procedure.
Methods:
A randomised study with two experimental groups and one control group-130 children (64 girls and 66 boys), mean age 8.3 years (range 7-10 years) were randomly assigned to one of the three groups from September 2006 to March 2007: the parent presence group, the toy group, the control group. The verbal rating scale of pain, the assessment of vital signs before and after the procedure and the State-Trait Anxiety Inventory for Children were used.
Results:
Children who had their parent close to them showed a reduction in breaths (95% confidence interval (CI) for gradient of regression line): -4.20 to -2.80, p<0.001), mean blood pressure (95% CI: -4.88 to -2.99, p<0.001) and pulse (95% CI: -8.76 to -5.68, p<0.001) compared to the children whose parents were absent. They also felt less pain (95% CI: -4.40 to -2.71, p<0.001) and they were less distressed (95% confidence interval for A-State tool (CIA-State): -10.46 to -6.49, p<0.001 and 95% confidence interval for A-Trait tool (CIA-Trait): -5.71 to -2.13, p<0.001).
Conclusion:
Parental presence is considered to be important in decreasing children's pain, stress and their negative behaviour in general during invasive procedures.
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