Parental presence and distraction during painful childhood procedures

Vasiliki Matziou1, Anthi Chrysostomou, Efrosyni Vlahioti

  • 1Faculty of Nursing, National and Kapodestrian University of Athens.

British Journal of Nursing (Mark Allen Publishing)
|August 3, 2013
PubMed

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.
Abstract

Related Concept Videos

Parenteral Anesthetics: Overview01:24

Parenteral Anesthetics: Overview

Intravenous anesthetics are drugs administered parenterally to induce anesthesia or sedation. Propofol is a widely used agent formulated as a 1% emulsion in soybean oil, glycerol, and egg phosphatide. It induces rapid anesthesia primarily due to its rapid distribution from the bloodstream to target tissues and is metabolized in the liver. However, it can cause significant pain on injection and hypertriglyceridemia. Fospropofol, a water-based prodrug of propofol, lacks these adverse effects.
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Skeletal Muscle Relaxants: Therapeutic Uses01:31

Skeletal Muscle Relaxants: Therapeutic Uses

Skeletal muscle relaxants are used to relax muscle tone and alleviate painful muscle contractions. However, the choice of skeletal muscle relaxants depends on the duration of the surgical procedure in order to minimize potential side effects. Skeletal muscle relaxants like neuromuscular blocking agents [NMBAs] are commonly employed as adjuvants alongside general anesthetics in clinical settings. NMBAs are also used to maintain controlled ventilation during surgery of the larynx or pharynx as...
Analgesia and Pain Management01:25

Analgesia and Pain Management

Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...