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Référence bibliographique [22478]
Rennick, Janet E., Stremler, Robyn, Horwood, Linda, Aita, Marilyn, Lavoie, Tanya, Majnemer, Annette, Antonacci, Marie, Knox, Alyssa et Constantin, Evelyn. 2018. «A Pilot Randomized Controlled Trial of an Intervention to Promote Psychological Well-Being in Critically Ill Children: Soothing Through Touch, Reading, and Music ». Pediatric Critical Care Medicine, vol. 19, no 7, p. e358-e366.
Fiche synthèse
h2>1. Objectifs
Intentions :
«The objective of this study was to examine the feasibility and acceptability of PICU [Pediatric Intensive Care Unit] Soothing, including study methods, procedures, and outcome measures for later use in a full-scale RCT [randomized controlled trial]. [The authors] also explored group differences on clinically important psychological outcomes, including child distress, anxiety, and sleep, and parent anxiety in the PICU, on hospital wards, and 3 months post discharge.» (p. e359)
Échantillon/Matériau :
L’échantillon est composé de 10 dyades parent-enfant recrutées auprès de l’unité de soins intensifs pédiatriques et de l’unité de soins de médecine-chirurgie d’un hôpital pédiatrique québécois.
Instruments :
- Grille d’observation
- Guide d’entretien semi-directif
- Questionnaires
Type de traitement des données :
Analyse de contenu
Analyse statistique
The results show that parent «trait anxiety was similar across groups, whereas IG [intervention group] state anxiety was higher at PICU enrollment. IG parents’ state anxiety reduced markedly following ward transfer, whereas CG [control group] parents demonstrated little change upon transfer. These findings, combined with parent and nurse interview data, suggest that PICU Soothing may improve parents’ psychological well-being. One mother, whose child was agitated prior to the intervention, was observed to be highly anxious and to have difficulty reading. All parents (including the aforementioned parent) and children responded positively to the music component of the intervention. Furthermore, all parents continued the intervention on the ward and felt their children responded positively. Caregiving approaches developed in partnership with parents, and that mimic home routines, may help alleviate parental anxiety […]. This is important in view of the significant longitudinal relationship between parent and child distress during and following hospitalization […]. [The authors finally] suggest parent anxiety is an important hospital-based indicator of the effectiveness of PICU Soothing. [Overall, the] intervention helped parents soothe their children through touch, reading, and music. It was acceptable to parents, children, and staff and feasible to implement in the PICU and wards. Nurses and parents observed that the intervention was calming for children and parents.» (p. e363)
Intentions :
«The objective of this study was to examine the feasibility and acceptability of PICU [Pediatric Intensive Care Unit] Soothing, including study methods, procedures, and outcome measures for later use in a full-scale RCT [randomized controlled trial]. [The authors] also explored group differences on clinically important psychological outcomes, including child distress, anxiety, and sleep, and parent anxiety in the PICU, on hospital wards, and 3 months post discharge.» (p. e359)
2. Méthode
Échantillon/Matériau :
L’échantillon est composé de 10 dyades parent-enfant recrutées auprès de l’unité de soins intensifs pédiatriques et de l’unité de soins de médecine-chirurgie d’un hôpital pédiatrique québécois.
Instruments :
- Grille d’observation
- Guide d’entretien semi-directif
- Questionnaires
Type de traitement des données :
Analyse de contenu
Analyse statistique
3. Résumé
The results show that parent «trait anxiety was similar across groups, whereas IG [intervention group] state anxiety was higher at PICU enrollment. IG parents’ state anxiety reduced markedly following ward transfer, whereas CG [control group] parents demonstrated little change upon transfer. These findings, combined with parent and nurse interview data, suggest that PICU Soothing may improve parents’ psychological well-being. One mother, whose child was agitated prior to the intervention, was observed to be highly anxious and to have difficulty reading. All parents (including the aforementioned parent) and children responded positively to the music component of the intervention. Furthermore, all parents continued the intervention on the ward and felt their children responded positively. Caregiving approaches developed in partnership with parents, and that mimic home routines, may help alleviate parental anxiety […]. This is important in view of the significant longitudinal relationship between parent and child distress during and following hospitalization […]. [The authors finally] suggest parent anxiety is an important hospital-based indicator of the effectiveness of PICU Soothing. [Overall, the] intervention helped parents soothe their children through touch, reading, and music. It was acceptable to parents, children, and staff and feasible to implement in the PICU and wards. Nurses and parents observed that the intervention was calming for children and parents.» (p. e363)