Active versus passive distraction for reducing procedural pain and anxiety in children: a meta-analysis and systematic review

Shen, Ting; Wang, Xixi; Xue, Qiaoyun; Chen, Dan

doi:10.1186/s13052-023-01518-4

Cited by 4 publications

(2 citation statements)

References 42 publications

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“…Medical practitioners should clearly and patiently explain the procedure to patients and address their queries and worries, especially when dealing with the child age group. Distracting children by putting child-friendly posters and televisions showing cartoons in the waiting room and clinic can reduce the anxiety that the child faces [ 29 , 30 ]. Keeping the needles outside the field of vision of the patient can also be helpful in reducing stress levels.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, factors associated and management of needle phobia among the general population in Saudi Arabia and Egypt

Alwafi,

Naser,

Alsaleh

et al. 2024

BMC Psychiatry

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Objective This study aims to assess the prevalence of needle phobia among Saudi and Egyptian adult populations. In addition, underlying causes and strategies that can be utilized to address needle fear were investigated. Methods A cross-sectional online survey study was conducted in Saudi Arabia and Egypt between 1 May and 30 June 2023. Participants aged 18 years and above and living in Saudi Arabia and Egypt were eligible to complete the survey. Participants were invited to participate in this study through social media platforms (Facebook, X, Snapchat, and Instagram). A convenience sampling technique was used to recruit the study participants. A 21-item questionnaire consisting of four sections including a Likert scale score was used to answer the research objectives. Numeric data were presented as mean ± SD. For categorical variables, percentages were used. Comparison between groups were made by Student’s t-test or Mann Whitney test according to data distribution. Chi squared tests for categorical values were conducted. A binary logistic regression analysis was conducted to investigate factors associated with needle phobia. Results A total of 4065 participants were involved in this study (Saudi Arabia: 2628 and Egypt: 1437). Around one-third of the study participants (36.5%) confirmed that they have needle phobia. Most of the study participants (81.1%) reported that they have had needle phobia since they were under 18 years of age. Pain, general anxiety, and fear of making a mistake during the procedure were the most commonly reported contributors for fear of needles during or before a medical procedure. Around 15.8% of the study participants reported that they have tried to get rid of phobia from needles. Non-surgical alternatives (such as oral medications and patches) and using smaller/thinner needles were the most commonly reported interventions that reduced fear of needles. Binary logistic regression analysis identified that females, those who are aged (41–50 years), widowed, those with bachelor’s degrees and higher education, and those unemployed were more likely to have needle phobia compared to others. Conclusion Our study highlighted the high prevalence of needle fear within an adult population in Egypt and Saudi Arabia. Females, those who are aged (41–50 years), those widowed, those with higher education degrees, those unemployed, those working in the health sector and people with low income were more likely to have needle phobia compared to others.

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Section: Discussionmentioning

confidence: 99%

Prevalence, factors associated and management of needle phobia among the general population in Saudi Arabia and Egypt

Alwafi,

Naser,

Alsaleh

et al. 2024

BMC Psychiatry

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“…In high-income countries, nursing and therapy staff offer play-and art-based interventions to alleviate the pediatric patient's suffering by distracting them from discomfort and anxiety [5][6][7][8] with simple, play-based activities such as storytelling, singing or coloring. Such interventions utilize processing strategies that allow children to temporarily forget or be distracted from their illness [9,10] and from this, children can learn to develop con dence, socioemotional skills and coping mechanisms for handling stress that could continue beyond the hospital [11]. Play-based interventions can positively in uence children's behaviours, personality, and parent/caregiver interactions, leading to the child's recovery, development and familial cohesion and resilience.…”

Section: Introductionmentioning

confidence: 99%

Maternal cognitive and socioemotional caregiving with young children during hospitalization: a cross-sectional study from Pakistan

Mughis,

Rasheed

2024

Preprint

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Background: In high-income countries, specialized staff effectively use play-based interventions for reducing stress during pediatric hospitalization. However, in settings where skilled professionals are not available, training parents to implement these interventions can be a feasible option. Cultural aspects of caregiving should be considered when designing such interventions in different contexts. Methods: This study was conducted in a private pediatric unit in Pakistan to explore maternal caregiving in cognitive and socioemotional domains with young, hospitalized children as well as its association with different child and family factors. Research assistants administered a cross-sectional survey to 281 mothers of young, hospitalized children aged 7-60 months, collecting information on the child's age, disease group, perceived health status, maternal knowledge of developmental milestones, education status. The Multiple Indicator Cluster Survey Early Childhood Development module, a parent report measure was used to collect data on maternal engagement with caregiving activities in the past 3 days. Results: Mothers reported engaging more in socioemotional caregiving activities (Mean 1.51, SD 1.77) than cognitive (Mean 0.88, SD 1.27). More than half of the mothers reported playing with their children, while less than a third reported telling stories. Mothers with higher education levels and children in better health status showed significantly greater engagement in socioemotional caregiving. However, no child or mother level factor was found to be associated with cognitive caregiving. Conclusion: Caregiving patterns during hospitalization are similar to those reported e in community-based studies suggesting broader cultural influences on maternal caregiving practices.

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Comparing the use of colored Trace Images in Kids' Books with passive distractions to decrease pain and fear during cannulation in children: A randomized clinical trial

Suleman,

BakirYahya,

Nilsson

et al. 2024

European Journal of Integrative Medicine

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Active versus passive distraction for reducing procedural pain and anxiety in children: a meta-analysis and systematic review

Cited by 4 publications

References 42 publications

Prevalence, factors associated and management of needle phobia among the general population in Saudi Arabia and Egypt

Prevalence, factors associated and management of needle phobia among the general population in Saudi Arabia and Egypt

Maternal cognitive and socioemotional caregiving with young children during hospitalization: a cross-sectional study from Pakistan

Comparing the use of colored Trace Images in Kids' Books with passive distractions to decrease pain and fear during cannulation in children: A randomized clinical trial

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