A Pilot Randomized Controlled Trial of an Intervention to Promote Psychological Well-Being in Critically Ill Children: Soothing Through Touch, Reading, and Music.
Pediatr Crit Care Med
; 19(7): e358-e366, 2018 07.
Article
en En
| MEDLINE
| ID: mdl-29659416
ABSTRACT
OBJECTIVES:
To examine the feasibility and acceptability of a PICU Soothing intervention using touch, reading, and music.DESIGN:
Nonblinded, pilot randomized controlled trial.SETTING:
The PICU and medical-surgical wards of one Canadian pediatric hospital. PATIENTS Twenty PICU patients age 2-14 years old and their parents, randomized to an intervention group (n = 10) or control group (n = 10). INTERVENTION PICU Soothing consisted of 1) parental comforting (touch and reading), followed by 2) a quiet period with music via soft headbands, administered once daily throughout hospitalization. MEASUREMENTS AND MAINRESULTS:
Acceptability and feasibility of the intervention and methods were assessed via participation rates, observation, measurement completion rates, semistructured interviews, and telephone calls. Psychological well-being was assessed using measures of distress, sleep, and child and parent anxiety in the PICU, on the wards and 3 months post discharge. Forty-four percent of parents agreed to participate. Seventy percent and 100% of intervention group parents responded positively to comforting and music, respectively. Most intervention group parents (70%) and all nurses felt children responded positively. All nurses found the intervention acceptable and feasible. Measurement completion rates ranged from 70% to 100%. Pilot data suggested lower intervention group child and parent anxiety after transfer to hospital wards.CONCLUSIONS:
PICU Soothing is acceptable and feasible to conduct. Results support the implementation of a full-scale randomized controlled trial to evaluate intervention effectiveness.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Padres
/
Actitud del Personal de Salud
/
Enfermedad Crítica
/
Comodidad del Paciente
Tipo de estudio:
Clinical_trials
/
Qualitative_research
Límite:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Idioma:
En
Año:
2018
Tipo del documento:
Article