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Using non-pharmacological interventions to manage medical procedure-induced anxiety in children: a framework to guide
Garry Ming Heng Goh1, Liza Edmonds2
1paediatric unit, Te Whatu Ora - Health New Zealand Southern, Dunedin, New Zealand.
Insights
Non-pharmacological interventions effectively manage medical procedure anxiety in children. This review proposes a six-strategy framework to help healthcare providers reduce children
Area of Science:
- Pediatric Psychology
- Child Health Management
- Behavioral Medicine
Background:
- Medical procedures can induce significant anxiety in children, impacting their short- and long-term well-being.
- Children's anxiety is influenced by various factors, including non-pharmacological interventions and adult behavior.
- Effective management strategies are crucial for improving pediatric patient experiences.
Purpose of the Study:
- To conduct a scoping review of non-pharmacological interventions for managing medical procedure-induced anxiety in children.
- To develop a practical framework based on existing literature to guide clinicians.
- To provide evidence-based strategies for reducing pediatric anxiety during medical procedures.
Main Methods:
- A comprehensive scoping review of peer-reviewed literature was performed.
- Studies focusing on non-pharmacological interventions for pediatric procedural anxiety were systematically identified and analyzed.
- A synthesis of findings was conducted to identify common themes and effective strategies.
Main Results:
- Multiple non-pharmacological interventions demonstrate efficacy in reducing children's anxiety during medical procedures.
- Key strategies include preparation, distraction, relaxation techniques, and parental involvement.
- A six-component framework for managing pediatric procedural anxiety was developed.
Conclusions:
- Non-pharmacological interventions are vital for addressing medical procedure-induced anxiety in children.
- The proposed framework offers a structured approach for healthcare professionals to implement effective anxiety management strategies.
- Further application and validation of the framework are recommended to enhance pediatric care.
Abstract:
Medical procedure-induced anxiety in children can have short- and long-term negative effects. Research shows that children's anxiety can be affected by non-pharmacological interventions and adults' behaviours in a complex manner. This article presents a scoping review of the literature on non-pharmacological interventions to manage medical procedure-induced anxiety in children. Based on this review, the authors propose a framework comprising six strategies for effective non-pharmacological management of medical procedure-induced anxiety in children. A real-life, and anonymised, example is used to illustrate this framework in practice.
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