University of Oulu

Kerimaa, H., Ruotsalainen, H., Kyngäs, H., Miettunen, J., & Pölkki, T. (2021). Effectiveness of interventions used to prepare preschool children and their parents for day surgery: A systematic review and meta-analysis of randomised controlled trials. Journal of Clinical Nursing, 00, 1– 18. https://doi.org/10.1111/jocn.16156

Effectiveness of interventions used to prepare preschool children and their parents for day surgery : a systematic review and meta-analysis of randomised controlled trials

Saved in:
Author: Kerimaa, Heli1,2; Ruotsalainen, Heidi3; Kyngäs, Helvi1,4,5;
Organizations: 1Research Unit of Nursing Science and Health Management, University of Oulu, Oulu, Finland
22Centre of Excellence, The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute, Helsinki, Finland
3Oulu University of Applied Sciences, Oulu, Finland
4Oulu University Hospital, Oulu, Finland
5Medical Research Center Oulu, Oulu University Hospital and University of Oulu, Oulu, Finland
6Center for Life Course Health Research, University of Oulu, Oulu, Finland
7Centre of Excellence, The Finnish Centre for Evidence-Based Health Care: A Joanna Briggs Institute, Helsinki, Finland
Format: article
Version: accepted version
Access: embargoed
Persistent link: http://urn.fi/urn:nbn:fi-fe2022012610384
Language: English
Published: John Wiley & Sons, 2021
Publish Date: 2022-12-05
Description:

Abstract

Background: To evaluate how effective preparatory interventions for paediatric day surgery are at reducing parents’ anxiety and stress and children’s pain and fear.

Methods: A systematic review was conducted according to Joanna Briggs Institute (JBI) guidelines and reported using the PRISMA 2020 checklist. PubMed, CINAHL (EBSCO), Scopus, Medic and Web of Science were screened for original research published up until December 2020, while Mednar and EBSCO Open Dissertations were used to identify any relevant grey literature. The methodological quality and risks of bias were evaluated according to JBI guidelines by two authors. The eligibility criteria were parents of a preschool (2- to 6-year-old) child going through day surgery with preparatory interventions, outcomes measured anxiety, stress (parent), fear and pain (child), and randomised controlled trial (RCT).

Results: Two thousand and three hundred and fourteen RCTs were screened. Fifteen studies (including 1514 participants) were chosen for narrative synthesis of parental anxiety and stress and children’s fear and pain. Nine studies underwent a meta-analysis of parental anxiety (n = 970). The interventions were categorised as functional, informative or a combination of both. Four interventions reduced parents’ anxiety while two significantly alleviated children’s postoperative pain. The interventions found to be effective combined various ways of providing information. The meta-analysis did reveal a statistically significant impact on parents’ anxiety (SMD =0.22, 95% Cl [0.03, 0.41], z = 2.28, p = .023). None of the studies dealt with parental stress or fear in children.

Conclusions: The studied interventions used various preparatory approaches, some of which were effective at reducing parental anxiety. More RCT studies are needed to find the most effective methods for preparing parents and their children for day surgery.

Relevance to Clinical Practice: Preparation for day surgery through appropriate interventions can reduce anxiety among parents and postoperative pain in children.

see all

Series: Journal of clinical nursing
ISSN: 0962-1067
ISSN-E: 1365-2702
ISSN-L: 0962-1067
Volume: In press
DOI: 10.1111/jocn.16156
OADOI: https://oadoi.org/10.1111/jocn.16156
Type of Publication: A2 Review article in a scientific journal
Field of Science: 316 Nursing
Subjects:
Funding: This research has received grants from the Research Foundation of the Mannerheim Child Protection Union and the Society for Research in Nursing Sciences.
Copyright information: © 2021 John Wiley & Sons Ltd. This is the peer reviewed version of the following article: Kerimaa, H., Ruotsalainen, H., Kyngäs, H., Miettunen, J., & Pölkki, T. (2021). Effectiveness of interventions used to prepare preschool children and their parents for day surgery: A systematic review and meta-analysis of randomised controlled trials. Journal of Clinical Nursing, 00, 1– 18, which has been published in final form at https://doi.org/10.1111/jocn.16156. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Use of Self-Archived Versions. This article may not be enhanced, enriched or otherwise transformed into a derivative work, without express permission from Wiley or by statutory rights under applicable legislation. Copyright notices must not be removed, obscured or modified. The article must be linked to Wiley’s version of record on Wiley Online Library and any embedding, framing or otherwise making available the article or pages thereof by third parties from platforms, services and websites other than Wiley Online Library must be prohibited.