Objective: In this study review, the relationship between observed parental behavior and the observed symptoms of distress in pediatric patients, as well as the subjective experiences of pain in pediatric patients undergoing painful medical procedures, was analyzed. Method: A systematic search of articles using PsycARTICLES, PsycINFO, PubMed, MEDLINE, Scopus, Cochrane, and DARE was performed. The risk of bias and the level of evidence were assessed. Meta-analyses were performed for the selected variables. Results: Twenty-nine relevant publications were selected. The results of the analyses showed that apology, giving control to the child, empathy, and criticism were most strongly associated with children’s distress and pain during painful medical procedures in the group of patients aged 2 to 18 years. In the case of patients below the age of 2, insensitive behaviors were positively related to the level of distress. Conclusions: The lack of tender, physical closeness with the parent increases distress in children under 2 years of age during painful medical procedures, and adults drawing their attention to the threatening aspects of a medical situation produces this effect in older children.
Surgery is usually a difficult experience for pediatric patients and their accompanying parents. One of the problems that occur when the child wakes from anesthesia is a condition referred to as emergence delirium. This condition consists in hallucinations and disorientation, loud crying, involuntary physical activity, anxiety, and thrashing around in bed. It may result in physical harm, dislocation of catheters, a prolonged hospital stay, and maladaptive behavioral changes. 1,2 The Pediatric Anesthesia Emergence Delirium Scale (PAED) 3 is the most commonly used instrument to assess emergence delirium in children.Parents' behavior when their child is undergoing stressful medical procedures has an influence on the level of distress experienced by the child. 4 Blount and colleagues developed an observational measure, the Child-Adult Medical Procedure Interaction Scale
Background: The aim of this study was to predict children’s postsurgical pain, emergence delirium and parents’ posttraumatic stress disorder symptoms after a child’s surgery based on the parents’ time perspective. Method: A total of 98 children, aged 2 to 15, and their accompanying parents participated in this study. Measures of parents’ time perspective and posttraumatic stress disorder symptoms were obtained based on questionnaires. The level of children’s postsurgical pain and delirium were rated by nurses and anaesthesiologist. Results: Parents’ future-negative perspective was a predictor of emergence delirium in the group of children aged 8–15 years. Low parents’ past-positive perspective turned out to be a predictor of parents’ posttraumatic stress disorder symptoms after child’s surgery. Conclusions: The results provide evidence for associations between parents’ time perspective with child’s emergence delirium and parents’ posttraumatic stress disorder symptoms after child’s surgery.
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