Brazilian Journal of Pain
Brazilian Journal of Pain
Review Article

Non-pharmacological interventions in painful needle procedures in children: integrative review

Intervenções não farmacológicas em procedimentos dolorosos com agulha em crianças: revisão integrativa

Bárbara Vitória Mendes; Maryana da Silva Furlan; Mariana Bucci Sanches

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BACKGROUND AND OBJECTIVES: The World Health Organization recommends that pain in children should be treated as a fundamental human right. Children in health services are exposed to numerous painful procedures as part of their treatment, for instance, immunization and blood testing. Painful experiences during such procedures can cause extreme anxiety in future conducts, making children more vulnerable to pain. The present study’s objective was to examine the non-pharmacological interventions most described in the literature for pain management during painful procedures with needles in children above the age of one.

CONTENTS: Integrative literature review from CINAHL, Embase, Scopus, Web of Science and Pubmed databases. The publications researched were from between 2010 and 2020. The leading question was “Which are the non-pharmacological interventions most described in the literature for pain control in children undergoing needle procedures”? The database search found 252 articles, six were included in the review and distraction was the most observed strategy for non-pharmacological intervention.

CONCLUSION: The results of this study indicate that the most used strategy for pain relief was distraction, in special the audiovisual distraction.


Child, Pain management, Pain procedural


JUSTIFICATIVA E OBJETIVOS: A Organização Mundial da Saúde preconiza que a dor na criança seja tratada como um direito humano fundamental. Crianças em serviços de saúde são expostas a diversos procedimentos dolorosos como parte do seu tratamento, a exemplo de imunizações e exames de sangues. Experiências dolorosas durante estes procedimentos podem causar consequências negativas como ansiedade extrema em procedimentos futuros, tornando a criança mais vulnerável à dor. Este estudo teve como objetivo investigar quais são as intervenções não farmacológicas mais descritas na literatura para o controle da dor em procedimentos dolorosos com agulha em crianças acima de um ano.

CONTEÚDO: Trata-se de uma revisão integrativa, utilizando as bases de dados CINAHL, Embase, Scopus, Web of Science e Pubmed. O recorte das publicações foi entre 2010 e 2020. A questão norteadora foi “Quais são as intervenções não farmacológicas mais descritas na literatura para o controle da dor em crianças sob procedimentos com agulha”? Foram encontrados 252 artigos, incluídos seis artigos para análise e a distração foi a estratégia mais observada para intervenção não farmacológica.

CONCLUSÃO: Os resultados deste estudo indicam que a estratégia mais utilizada para o alívio da dor foi a distração, sobressaindo a distração audiovisual.


Criança, Dor processual, Manejo da dor


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