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Procedural Preparation and Support as a Standard of Care in Pediatric Oncology

Stacy R Flowers1, Kathryn A Birnie2,3

  • 1Department of Pediatric Psychology and Neuropsychology, Nationwide Children's Hospital, Columbus, Ohio.

Pediatric Blood & Cancer
|December 25, 2015
PubMed

Insights

Pediatric cancer patients experience distress during medical procedures. Psychological interventions like distraction and hypnosis effectively reduce pain and improve coping in youth with cancer.

Area of Science:

  • Pediatric Oncology
  • Psychological Interventions
  • Pain Management

Background:

  • Youth with cancer face numerous painful and distressing medical procedures.
  • Effective strategies are needed to mitigate procedural distress in pediatric cancer patients.

Purpose of the Study:

  • To systematically review evidence on preparatory information and psychological interventions for medical procedures in pediatric cancer.
  • To identify effective interventions for reducing pain and distress in youth with cancer.

Main Methods:

  • Systematic review of 65 papers published since 1995.
  • Included review articles and empirical studies on interventions for pediatric cancer procedures.

Main Results:

  • Distraction, combined cognitive-behavioral strategies, and hypnosis were effective.
  • These interventions reduced child pain and increased child coping.

Conclusions:

  • Strong evidence supports preparatory information and psychological interventions for pediatric cancer patients.
  • These interventions should be developmentally appropriate for all youth undergoing invasive procedures.

Keywords:
anxietycognitive-behavioraldistractiondistresshypnosisnonpharmacologicalpainpediatric oncologypreparationprocedurepsychological interventionpsychosocialstandards of caresupport

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