11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 ePosters 76 427 EFFECTIVENESS OF PSYCHOSOCIAL INTERVENTIONS IN CHILDREN WITH BURNS AND CAREGIVERS -SYSTEMATIC REVIEW Foteini-Christina Konstantinopoulou1, Aphrodite Zartaloudi2, Mixalis Kourakos3, Maria Polikandrioti2, Georgios Vasilopoulos2, Kyriakos Kritikopoulos1, Ioannis Koutelekos2 1General Hospital Nikaias “San Panteleimon”, 2University of West Attica, 3University of Ioannina Background: Paediatric burns are very painful and traumatic injuries. The pain management of children with burns is very poor, with the result that both children and their caregivers have increased stress and distress. Non-pharmacological psychosocial interventions have been suggested to be effective in reducing pain and psychological illness. Objectives: The aim of this study was to evaluate the effectiveness of each psychosocial intervention in reducing pain and psychological trauma, distress and / or stress in children with burns and their caregivers. Methods: It is a systematic review of the literature. The literature review was done through the Pubmed database. Keywords used: Paediatric burns, Psychosocial interventions, Pain, Anxiety, Distress, Psychological trauma. Included were studies that were published in the last decade, were written in English or Greek, were performed on minor patients with burns of any degree and in any anatomical area, and were randomized and non-randomized controlled clinical trials. Results: Of the 122 references found in the literature, 10 were included. These include distraction-based techniques, hypnosis / familiar images, therapeutic approaches, and patient preparation for the procedure. Distraction techniques that incorporate preparation for the procedure reduced pain, while increased “patient control” reduced patient and caregiver stress. Online Cognitive Behavioral Therapy reduced the symptoms of post-traumatic stress disorder in the short term but not in the long term. Conclusion: The effects of psychosocial interventions on children with burns should be further investigated in other areas of health care settings. 428 ATTITUDES AND VIEWS OF MEDICAL AND NURSING STAFF REGARDING THE PARENTAL PRESENCE DURING VENIPUNCTURE OF PEDIATRIC PATIENTS Jasmina Abdel Moety1, Eleni Evagelou2, Evangelia Charmandari1, Maria Polikandrioti2, Evaggelos Dousis2, Georgios Vasilopoulos2, Ioannis Koutelekos2 1University of Athens, 2University of West Attica Background: Venipuncture is a common practice in health care that most pediatric patients will need to undergo at some point. Studies show that parental presence during invasive procedures significantly diminishes children’s distress, while improves cooperation with the healthcare team. Objectives: This research study focuses on exploring the views of medical and nursing staff regarding parental presence during venipuncture. Additional objectives are the assessment of the degree of parental presence, as well as evaluating the information that is offered to them. Methods: This cross-sectional study was done using data from medical and nursing staff of the Pediatric Hospitals “Agia Sofia” and “Panagioti & Aglaia Kyriakou”. A specifically designed questionnaire was distributed from May to July 2020 to 360 doctors and nurses, with a return rate of 82%. Data processing was done with the statistical analysis software IBM® SPSS®. Results: From the statistical data analysis emerged that doctors (50.6%) more highly perceived the positive psychological effect of parental presence during child venipuncture, compared to the nurses (12.6%), making them more willing to encourage parents to stay. Variables that increased the positive response to parental presence were female sex, higher nursing education level, personality traits such as emotionality and patience as well as the degree of emphasis given to patient’s rights. At the same time, all medical and nursing staff mentioned use of helping practices, mostly immobilization of the child (48.8%) and distraction, while the use of local anesthetic wasn’t favored. Conclusion: In conclusion, the majority of doctors and nurses don’t seem to recognize the benefits and don’t encourage parental presence during venipuncture. Change in their behavior could improve pediatric patient care, via the achievement of a trusting and respectful relationship between child-parent and medical- nursing staff, so that possible physical and emotional repercussions of this painful procedure can be smoothed out.
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