Child Health Nursing Research

Korean Academy of Child Health Nursing (한국아동간호학회)
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An Integrative Literature Review on Pain Alleviation Interventions for Hospitalized Children

입원 아동 대상 통증 완화 중재에 대한 통합적 고찰

  • Cho, Haeryun (Department of Nursing, Wonkwang University) ;
  • Lee, Jungmin (Graduate Student, School of Nursing, University of North Carolina at Greensboro) ;
  • Kim, Shin-Jeong (School of Nursing, Research Institute of Nursing Science, Hallym University)
  • 조해련 (원광대학교 간호학과) ;
  • 이정민 (노스캐롤라이나 간호대학교 대학원) ;
  • 김신정 (한림대학교 간호대학.간호학연구소)
  • Received : 2020.03.04
  • Accepted : 2020.03.25
  • Published : 2020.04.30
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Abstract

Purpose: The purpose of this study was to review pain alleviation intervention for Korean pediatric inpatients with reference to Kolcaba's Theory of Comfort. Methods: Whittemore and Knafl's integrative review methods were used. Articles published in Korean or English were identified through electronic search engines and scholarly web sites. Scientific, peer-reviewed articles published between 2006 and 2019 were included in this review. Twenty-seven articles that met the inclusion criteria were analyzed. Results: Among the 27 selected studies, three were descriptive, while 24 were interventional studies related to pain alleviation interventions. Pain alleviation interventions showed three attributes: identifying pain triggers and the child's response to pain, effective strategies for pain relief, and nurses' competence in pain management. Conclusion: The three attributes of pain alleviation interventions using the theory of comfort shown in this study were identified as important factors for obtaining evidence-based data on how to enhance the comfort of hospitalized pediatric patients. In addition, the attributes of pain alleviation interventions should be considered for hospitalized pediatric patients and their family members.

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References

  1. Cramton REM, Gruchala NE. Managing procedural pain in pediatric patients. Current Opinion in Pediatrics. 2012;24(4):530-538. https://doi.org/10.1097/MOP.0b013e328355b2c5
  2. Lee GY, Yamada J, Kyololo O, Shorkey A, Stevens B. Pediatric clinical practice guidelines for acute procedural pain: A systematic review. Pediatrics. 2014;133(3):500-515. https://doi.org/10.1542/peds.2013-2744
  3. Ha YS, Lee JH, Kim SH, Kim SH, Kim SJ, Kim YY, et al. Child and adolescent health nursing. Seoul: Shinkwang Pub; 2019. p. 13-346.
  4. Kim EH, Choi MY. Factors affecting nursing interventions for pain among nurses in neonatal intensive care unit. Child Health Nursing Research. 2017;23(2):179-189. https://doi.org/10.4094/chnr.2017.23.2.179
  5. Jang G, Jeon E, Lee E. Effect of vapocoolant spray and EMLA cream upon DPT vaccination pain in infants. Journal of the Korean Data and Information Science Society. 2014;25(4):705-714. https://doi.org/10.7465/jkdi.2014.25.4.705
  6. Montirosso R, Casini E, Del-Prete A, Zanini R, Bellu R, Borgatti R, et al. Neonatal developmental care in infant pain management and internalizing behaviours at 18 months in prematurely born children. European Journal of Pain. 2016;20(6):1010-1021. https://doi.org/10.1002/ejp.826
  7. Petovello K. Pediatric procedural pain management: A review of the literature. International Journal of Child, Youth and Family Studies. 2012;3(4.1):569-589. https://doi.org/10.18357/ijcyfs34.1201211563
  8. Kolcaba KY. A theory of holistic comfort for nursing. Journal of Advanced Nursing. 1994;19(6):1178-1184. https://doi.org/10.1111/j.1365-2648.1994.tb01202.x
  9. Kolcaba K, DiMarco MA. Comfort theory and its application to pediatric nursing. Pediatric Nursing. 2005;31(3):187-194.
  10. Kolcaba K, Tilton C, Drouin C. Comfort theory: A unifying framework to enhance the practice environment. The Journal of Nursing Administration. 2006;36(11):538-544. https://doi.org/10.1097/00005110-200611000-00010
  11. Krinsky R, Murillo I, Johnson J. A practical application of Katharine Kolcaba's comfort theory to cardiac patients. Applied Nursing Research. 2014;27(2):147-150. https://doi.org/10.1016/j.apnr.2014.02.004
  12. Statistics Korea. Health insurance statistical data in 2018 [Internet]. Daejeon: Statistics Korea; 2019 [cited 2020 February 25]. Available from: http://kosis.kr/statHtml/statHtml.do?orgId=350&tblId=TX_35001_A047&vw_cd=MT_ZTITLE&list_id=350_35001_3&seqNo=&lang_mode=ko&language=kor&obj_var_id=&itm_id=&conn_path=MT_ZTITLE
  13. Heo SJ, Kim JS, Kim H. Factors influencing pain management practice in pediatric nurses. Child Health Nursing Research. 2016;22(4):279-288. https://doi.org/10.4094/chnr.2016.22.4.279
  14. Olsen K, Weinberg E. Pain-less practice: Techniques to reduce procedural pain and anxiety in pediatric acute care. Clinical Pediatric Emergency Medicine. 2017;18(1):32-41. https://doi.org/10.1016/j.cpem.2017.01.007
  15. Kim Y, Park HR. Effects of topical anesthetic cream on pain at venipuncture in children. Child Health Nursing Research. 2014;20(3):142-148. https://doi.org/10.4094/chnr.2014.20.3.142
  16. Kim JM, Park HJ, Yang YO. Effects of distraction by a smart phone on pain and fear during venipunture for hospitalized preschool children. Journal of the Korean Data Analysis Society. 2013;15(3):1391-1402.
  17. Ghabeli F, Moheb N, Hosseini-Nasab SD. Effect of toys and preoperative visit on reducing children's anxiety and their parents before surgery and satisfaction with the treatment process. Journal of Caring Sciences. 2014;3(1):21-28. https://doi.org/10.5681/jcs.2014.003
  18. Seo HY, Kim YH. Effects of EMLA cream application on pain perception and pain response of children with cancer during implanted venous access port needle insertion. Child Health Nursing Research. 2016;22(1):21-28. https://doi.org/10.4094/chnr.2016.22.1.21
  19. Koller D, Goldman RD. Distraction techniques for children undergoing procedures: A critical review of pediatric research. Journal of Pediatric Nursing. 2012;27(6):652-681. https://doi.org/10.1016/j.pedn.2011.08.001
  20. Bukola IM, Paula D. The effectiveness of distraction as procedural pain management technique in pediatric oncology patients: A meta-analysis and systematic review. Journal of Pain and Symptom Management. 2017;54(4):589-600. https://doi.org/10.1016/j.jpainsymman.2017.07.006
  21. Johnson A, Hong H, Groth M, Parker SK. Learning and development: Promoting nurses' performance and work attitudes. Journal of Advanced Nursing. 2011;67(3):609-620. https://doi.org/10.1111/j.13652648.2010.05487.x
  22. Im ES, Kim JS. Distraction techniques for children undergoing procedures: A critical review of Korean intervention research. Child Health Nursing Research. 2014;20(4):340-349. https://doi.org/10.4094/chnr.2014.20.4.340
  23. Whittemore R, Knafl K. The integrative review: Updated methodology. Journal of Advanced Nursing. 2005;52(5):546-553. https://doi.org/10.1111/j.1365-2648.2005.03621.x
  24. Gough D. Weight of evidence: A framework for the appraisal of the quality and relevance of evidence. Research Papers in Education. 2007;22(2):213-228. https://doi.org/10.1080/02671520701296189
  25. Hassler B, Major L, Hennessy S. Tablet use in schools: A critical review of the evidence for learning outcomes. Journal of Computer Assisted Learning. 2016;32(2):139-156. https://doi.org/10.1111/jcal.12123
  26. Hogan ME, Smart S, Shah V, Taddio A. A systematic review of vapocoolants for reducing pain from venipuncture and venous cannulation in children and adults. The Journal of Emergency Medicine. 2014;47(6):736-749. https://doi.org/10.1016/j.jemermed.2014.06.028
  27. Cho SM, Ahn HY. Effect of distraction on hospitalized children's fear of hospital and needle-related pain. The Journal of Korean Academic Society of Nursing Education. 2013;19(4):684-692. https://doi.org/10.5977/jkasne.2013.19.4.684
  28. Jeong KI, Bae YS, Lee JW. Effects of distraction by an animation on pain and fear during venepuncture of hospitalized preschool children. Journal of The Korean Data Analysis Society. 2010;12(2):865-875.
  29. Im H, Kim E, Park E, Sung K, Oh W. Pain reduction of heel stick in neonates: Yakson compared to non-nutritive sucking. Journal of Tropical Pediatrics. 2008;54(1):31-35. https://doi.org/10.1093/tropej/fmm083