Evidence summary of procedural pain management for pediatric patients over three years old

Abstract

Objective To search and summarize the best evidence of nursing management of procedural pain in pediatric patients so as to provide guidance for clinical nursing staff in the standardized prevention and management of procedural pain. Methods The Cochrane Database of Systematic Reviews, JBI Database of Systematic Reviews, National Guideline Clearinghouse (NGC) , the National Institute for Health and Care Excellence (NICE) and Scottish Intercollegiate Guideline Network (SIGN) were searched on computer to collect literature including clinical practice guidelines, evidence summary and systemic reviews about the management of procedural pain among children 3 years old above. Two researchers independently assessed the quality and extracted data and conducted evidence extraction from the articles that met the standard of quality. Results Totally eleven articles were enrolled including three best practice guidelines, three systematic reviews and five evidence summaries. Conclusions Cognitive behavioral intervention, topical application of epidermal anesthetics or local cold compress, and combined operation of distraction can effectively reduce the pain and anxiety caused by procedures. The knowledge and skills of procedural pain management should be included in the education and training courses of medical institutions. Evidence should be selected pertinently to participate in the management of procedural pain in the mode of multidisciplinary cooperation. Key words: Child; Evidence-based nursing; Procedural pain; Pain management