Parent Coping Support Interventions During Acute Pediatric Hospitalizations: A Meta-Analysis.

Autor:	Doupnik SK; Division of General Pediatrics, doupniks@chop.edu.; Center for Pediatric Clinical Effectiveness and PolicyLab, and.; Leonard Davis Institute of Health Economics and., Hill D; Division of General Pediatrics.; Pediatric Advanced Care Team, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania., Palakshappa D; Division of General Pediatrics.; Center for Pediatric Clinical Effectiveness and PolicyLab, and., Worsley D; Division of General Pediatrics.; Center for Pediatric Clinical Effectiveness and PolicyLab, and., Bae H; Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, Illinois., Shaik A; College of Medicine, Drexel University, Philadelphia, Pennsylvania; and., Qiu MK; Biomedical Library, University of Pennsylvania, Philadelphia, Pennsylvania., Marsac M; Department of Pediatrics, Kentucky Children's Hospital and College of Medicine, University of Kentucky, Lexington, Kentucky., Feudtner C; Division of General Pediatrics.; Center for Pediatric Clinical Effectiveness and PolicyLab, and.; Leonard Davis Institute of Health Economics and.; Pediatric Advanced Care Team, The Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Jazyk:	angličtina
Zdroj:	Pediatrics [Pediatrics] 2017 Sep; Vol. 140 (3). Date of Electronic Publication: 2017 Aug 17.
DOI:	10.1542/peds.2016-4171
Abstrakt:	Context: Parents may experience psychological distress when a child is acutely hospitalized, which can negatively affect child outcomes. Interventions designed to support parents' coping have the potential to mitigate this distress. Objective: To describe interventions designed to provide coping support to parents of hospitalized children and conduct a meta-analysis of coping support intervention outcomes (parent anxiety, depression, and stress). Data Sources: We searched Pubmed, Embase, PsycINFO, Psychiatry Online, and Cumulative Index to Nursing and Allied Health Literature from 1985 to 2016 for English-language articles including the concepts "pediatric," "hospitalization," "parents," and "coping support intervention." Study Selection: Two authors reviewed titles and abstracts to identify studies meeting inclusion criteria and reviewed full text if a determination was not possible using the title and abstract. References of studies meeting inclusion criteria were reviewed to identify additional articles for inclusion. Data Extraction: Two authors abstracted data and assessed risk of bias by using a structured instrument. Results: Initial searches yielded 3450 abstracts for possible inclusion. Thirty-two studies met criteria for inclusion in the systematic review and 12 studies met criteria for inclusion in the meta-analysis. The most commonly measured outcomes were parent depression, anxiety, and stress symptoms. In meta-analysis, combined intervention effects significantly reduced parent anxiety and stress but not depression. Heterogeneity among included studies was high. Limitations: Most included studies were conducted at single centers with small sample sizes. Conclusions: Coping support interventions can alleviate parents' psychological distress during children's hospitalization. More evidence is needed to determine if such interventions benefit children. Competing Interests: POTENTIAL CONFLICT OF INTEREST: The authors have indicated they have no potential conflicts of interest to disclose. (Copyright © 2017 by the American Academy of Pediatrics.)
Databáze:	MEDLINE
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