Percorrer por autor "Martins Esteves, Ines"
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- Effectiveness of family-centred educational interventions in the anxiety, pain and behaviours of children/adolescents and their parents’ anxiety in the perioperative period: a systematic review and meta-analysisPublication . Martins Esteves, Ines; Silva Coelho, Marcia; Neves, Hugo; Pestana-Santos, Marcia; Reis Santos, MargaridaAim: To evaluate the effectiveness of family-centred educational interventions on the anxiety, pain and behaviours of children and adolescents (three to 19 years old) and their parents’ anxiety during the perioperative journey. Design: Systematic review of effectiveness and meta-analysis. Data sources: MEDLINE, CINAHL, PsycINFO, Cochrane Central Register of Controlled Trials, SciELO and Sources of unpublished studies OpenGrey, Open Access Theses and Dissertations, and RCAAP – Portugal were systematically searched from January 2007 to April 2021 for available articles in English, Spanish and Portuguese. Review methods: This review followed the methodology for systematic reviews of effectiveness from Joanna Briggs Institute (JBI). Included studies were critically appraised using JBI Critical Appraisal Checklist for Randomised Controlled Trials and JBI Critical Appraisal Checklist for Quasi-Experimental Studies. Data was synthesised through meta-analysis, using a random-effects model in the Stata Statistical Software 16.0, and narrative synthesis. Two independent reviewers performed the selection process, critical analysis, and data extraction. Results: Twenty-eight studies (26 randomised controlled trials (RCTs) and two quasi-randomised controlled trials) were included with a total of 2516 families. In a meta-analysis of ten RCTs with 761 participants, pre‑operative anxiety management was more effective in children and adolescents who received educational interventions (SMD = -1.02; SE = 0.36; 95% CI [-1.73; -0.32]). At the induction of anaesthesia, children and adolescents were significantly less anxious (SMD = -1.54; SE = 0.62; 95% CI [-2.72; -0.36]) and demonstrated better compliance than controls (SMD = -1.40; SE = 0.67; 95% CI [-2.72; -0.09]). Post‑operative pain (SMD = -0.43; SE = 0.33; 95% CI [-1.05; 0.19]) and pre‑operative parental anxiety (SMD = -0.94; SE = 1.00; 95% CI [-2.87; 0.99]) were reduced in favour of the educational interventions. Conclusion: Family-centred educational interventions probably lead to a considerable reduction of paediatric and parental anxiety and improve paediatric behaviours at induction of anaesthesia. The evidence is very uncertain regarding the effectiveness of these interventions on post‑operative paediatric maladaptive behaviours and pain intensity or parental anxiety levels at the induction of anaesthesia.
- Effectiveness of perioperative family-centered educational interventions in the anxiety, pain and behaviors of children/adolescents and their parents: Systematic Review ProtocolPublication . Martins Esteves, Ines; Coelho, Márcia Silva; Cardoso, Daniela; Prata, Ana Paula; Pestana-Santos, Marcia; Reis Santos, MargaridaIntroduction: Every year, millions of children and adolescents undergo surgery, 50%-75% of them experience fear and anxiety. Children are particularly susceptible to stress and anxiety surrounding surgery as a result of their cognitive development, previous experiences, and knowledge about healthcare;this leads to additional interventions to prevent and reduce these symptoms.Objective: To evaluate the effectiveness of family-centered educational interventions in the children’s and adolescents’ anxiety, pain,and behaviors and their parents’ anxiety during the perioperative period. Methods: This review will follow the Joanna Briggs Institute guidelines for systematic reviews of effectiveness and will consider those studies (experimental and quasi-experimental) in which perioperative educational interventions have been applied to children and adolescents and their parents; these studies measuredchildren and adolescents’ pain, anxiety,and behaviors, as well astheirparent’s anxiety.An initial search of MEDLINE and CINAHLwill be followed by a second search for published and unpublished studies from January 2007 on, available in English, Spanish and Portuguese. After all full texts are retrieved, the methodological quality assessment and data extraction will be independently and critically evaluated by two reviewers, and the data will then be presented in a tabular format. An explanatorysynthesis will accompany the results. Wheneverpossible, a meta-analysis will be performed, and a Grading of Recommendations, Assessment, Development,and Evaluation Summary of Findings will be presented. Expected Results: This review will provideguidance on how family-centred educational interventions can be used as a resource to manage anxiety, pain, and behavior in children, adolescents and their relatives during the perioperative processes.