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Technology-Based Interventions for Pain in Children Undergoing Surgery: A Systematic Review and Meta-Analysis
Mustafa Volkan Düzgün1, Cafer Özdemir2, Ayşegül İşler1
1Department of Pediatric Nursing, Faculty of Nursing, University of Akdeniz, Antalya, Turkey.
Insights
Technology-based interventions effectively reduce pain in pediatric surgery patients. This systematic review and meta-analysis confirms their efficacy in managing post-operative discomfort.
Area of Science:
- Pediatric Surgery
- Pain Management
- Health Technology
Background:
- Increasing use of technology-based, multimodal, non-pharmacological pain management in pediatric surgery.
- Need to establish the effectiveness of these emerging interventions.
Purpose of the Study:
- Evaluate the impact of technology-based interventions on pain experienced by pediatric surgery patients.
- Synthesize evidence from randomized controlled trials (RCTs).
Main Methods:
- Systematic review and meta-analysis of RCTs.
- Comprehensive literature search across major scientific databases.
- Data extraction and risk of bias assessment by two independent researchers.
Main Results:
- Meta-analysis of 14 RCTs demonstrated significant pain reduction in pediatric surgery patients using technology-based interventions.
- High heterogeneity was noted among the included studies, indicated by Cochran's Q test.
Conclusions:
- Technology-based interventions are a proven effective strategy for pain reduction in pediatric surgical patients.
- Further research may be needed to address heterogeneity and optimize intervention protocols.
Aim:
This systematic review and meta-analysis aimed to evaluate the effect of technology-based interventions on the pain of paediatric surgery patients.
Background:
Recently, the number of technology-based interventions involving multimodal nonpharmacological methods tailored to pain management in paediatric surgery patients has increased. It is crucial to determine the effectiveness of these interventions.
Design:
A systematic review and meta-analysis of randomized controlled trials following Cochrane methods was conducted.
Review Methods:
We performed a literature search in the Web of Science, PubMed, CINAHL, Science Direct, MEDLINE, ProQuest and Cochrane Library databases. Two independent researchers screened the literature using specific keywords and selected randomized controlled trials based on the inclusion and exclusion criteria. Each researcher extracted data and assessed the risk of bias in the randomized controlled trials using the Cochrane bias risk assessment tool.
Result:
We conducted a meta-analysis on 14 randomized controlled trials included in the study. The results showed that technology-based interventions reduced pain scores in paediatric surgery patients. Cochran's Q test results pointed to a high level of heterogeneity among the randomized controlled trials.
Conclusion:
A meta-analysis result of 14 randomized controlled trials showed that technology-based interventions are effective methods for reducing pain in paediatric surgery patients.
Registration Number:
CRD42021226666.
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