Non-pharmacological interventions to reduce anxiety among children undergoing surgery: A systematic review.

IF 1.3 4区 医学 Q3 NURSING
Edlin Glane Mathias, Mamatha Shivananda Pai, Vasudeva Guddattu, Ann-Cathrine Bramhagen
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引用次数: 4

Abstract

A hospitalized child experiences anxiety more frequently as compared to non-hospitalized children. Surgery can be emotionally distressing for children, and subsequently their parents and caregivers, this distress can cause profound adverse impacts on children. We aimed to identify the effect of non-pharmacological interventions on children's (1-18 years) anxiety undergoing surgery. The following databases: Medical Literature Analysis and Retrieval System Online (MEDLINE), Cumulative Index of Nursing and Allied Health Literature (CINAHL), Proquest, Web" of Science, and Cochrane Central Register of Controlled Trials were systematically searched for full-text articles. The review included 15 randomized controlled trials. The risk of bias was assessed using Cochrane Risk of Bias tool. The interventions included in the study were preoperative education, puppet play, therapeutic play, distraction activities, parental presence, and clown therapy. The review presents a narrative reporting of the findings. This review identifies that non-pharmacological interventions are effective in reducing anxiety among children undergoing surgery. There are a limited number of studies from developing countries. Further research is required to underpin the use of these interventions with children before surgery.

非药物干预以减少手术儿童的焦虑:系统回顾。
住院儿童比非住院儿童更频繁地经历焦虑。手术可能会给孩子带来情绪上的痛苦,随后他们的父母和照顾者,这种痛苦会对孩子造成深远的不利影响。我们的目的是确定非药物干预对儿童(1-18岁)手术焦虑的影响。系统检索以下数据库:医学文献分析与检索系统在线(MEDLINE)、护理与相关健康文献累积索引(CINAHL)、Proquest、Web“of Science和Cochrane中央对照试验注册库。该综述包括15个随机对照试验。使用Cochrane风险偏倚工具评估偏倚风险。本研究的干预措施包括术前教育、木偶戏、治疗性游戏、分散注意力活动、父母在场和小丑治疗。这篇综述对研究结果进行了叙述性的报道。本综述确认非药物干预在减少手术儿童的焦虑方面是有效的。来自发展中国家的研究数量有限。需要进一步的研究来支持在手术前对儿童使用这些干预措施。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Child Health Care
Journal of Child Health Care NURSING-PEDIATRICS
CiteScore
4.10
自引率
15.80%
发文量
60
审稿时长
>12 weeks
期刊介绍: Journal of Child Health Care is a broad ranging, international, professionally-oriented, interdisciplinary and peer reviewed journal. It focuses on issues related to the health and health care of neonates, children, young people and their families, including areas such as illness, disability, complex needs, well-being, quality of life and mental health care in a diverse range of settings. The Journal of Child Health Care publishes original theoretical, empirical and review papers which have application to a wide variety of disciplines.
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