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Open Access The Effect of Music on Parental Participation During Pediatric Laceration Repair L'effet de la musique sur la participation parentale dans le cadre de réparations pédiatriques de déchirures

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Abstract:

The purpose of this quasi-experimental study was to test an intervention on the use of music during simple laceration repair to promote parent-led distraction in children aged 1 to 5. Children's songs were broadcast via speakers during laceration repair and parents were encouraged to participate in distracting their child. The proportion of parental participation was determined. Laceration procedures were videotaped and objectively scored using the Procedure Behavior Check List. A total of 57 children participated in the study. There was no difference in parental involvement between the control and intervention groups. When age, sex, and condition were controlled for, distress scores were significantly higher if the father was present in the procedure room than if only the mother was present (43.68 vs. 23.39, (54) 4.296, = < 0.001). It was concluded that distress varies with the age of the child and the parent who is present during the procedure. Providing music during simple laceration repair did not increase the proportion of parents who were involved in distraction.

French
Cette étude quasi-expérimentale a pour objectif d'évaluer une intervention utilisant la musique pendant de simples réparations de déchirures avec l'intention de favoriser la participation de parents d'enfants âgées de un an à cinq ans. Des haut-parleurs ont diffusé des chansons pour enfants pendant la réparation de déchirures et les parents étaient invités à participer à l'intervention en distrayant leur enfant. Le taux de participation parentale a été déterminé et les procédures entourant la réparation ont été filmées sur vidéo et soumises à un pointage objectif à l'aide d'une liste de contrôle des comportements pendant les procédures. Au total, 57 enfants ont participé à l'étude. Aucune différence n'a été notée entre le groupe de contrôle et le groupe d'intervention en ce qui a trait à la participation parentale. Pour ce qui est des contrôles fondés sur l'âge, le sexe et l'état, les taux de détresse étaient significativement plus élevés lorsque les pères étaient présents dans la salle de soins, comparativement aux cas où seules les mères étaient présentes (43,68 contre 23,39, t(54) 4,296, p = <0,0001). Les auteurs ont conclu que les taux de détresse varient selon l'âge de l'enfant et le parent présent pendant la prestation de soins. La présence de musique pendant de simples réparations de déchirures n'a pas favorisé de plus grands taux de participation parentale aux efforts de distraction.

Keywords: INTERVENTION STUDIES; LACERATIONS; MUSIC; PAIN; PEDIATRICS

Document Type: Research Article

Publication date: December 1, 2009

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