Impact of the ICU on pediatric patients and their families: a scoping review
DOI:
https://doi.org/10.55892/jrg.v8i19.2757Keywords:
Psychology, Intensive Care Unit, PediatricsAbstract
Introduction: Hospitalization in a Pediatric Intensive Care Unit (PICU) generates an intense emotional and psychosocial impact on children and their families, making the presence and practice of Psychology fundamental in this critical care environment. Objective: To map and analyze research on the role of Psychology in Pediatric Intensive Care Units (PICU), exploring the scientific production regarding the emotional and psychosocial impacts of hospitalization. Methodology: This is a scoping review, with analysis of studies published in Portuguese, English, and Spanish. The bibliographic survey was conducted on the BVS and PubMed platforms, focusing on articles that address the interface between Psychology and PICU. Results: The relevance of psychological support in the intensive care setting was identified, with emphasis on the need for a biopsychosocial approach that addresses both the physical and emotional dimensions of the patient and their family. Despite the limited number of studies on the topic, psychological interventions capable of minimizing the negative effects of hospitalization, promoting psychological and emotional well-being in a critical context, were found. Final Considerations: The scarcity of literature reflects the complexity of practice in the PICU, but underlines the need for further research in the area to consolidate the importance of Psychology and the development of intervention strategies that promote comprehensive care.
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References
BARROS, R. S.; BONFIM, R. A. Atuação do psicólogo em Unidade de Terapia Intensiva: um olhar para o cuidado humanizado. Revista da Sociedade Brasileira de Psicologia Hospitalar (RSBPH), 2023.
BROERING, M. S.; CREPALDI, M. A. Psicologia em UTI Pediátrica: intervenções precoces para a promoção de resiliência. Estudos e Pesquisas em Psicologia, Rio de Janeiro, v. 19, n. 4, p. 1195-1215, 2019.
CÂNDIDO, T. M. Impactos psicológicos da internação em Unidade de Terapia Intensiva Pediátrica. Revista de Psicologia Hospitalar, Rio de Janeiro, v. 18, n. 1, p. 45-58, 2020.
CAPPELLETTI, M. et al. The post-intensive care syndrome in pediatric patients and current therapeutic options: a narrative review of the literature. Intensive Care Medicine, 2024.
DEVOS, M. et al. Pós-intensive care syndrome in pediatric patients: A narrative review of physical, cognitive, emotional, and social impacts. Critical Care Clinics, 2024.
ELSHERIF, M. et al. Is malnutrition associated with worse outcomes in the pediatric intensive care unit? A systematic review and meta-analysis. Clinical Nutrition, 2024.
FERREIRA, C. D. et al. O processo de adaptação familiar à hospitalização infantil em unidade de terapia intensiva. Revista da Escola de Enfermagem da USP, São Paulo, v. 57, 2023.
GORDON, A. et al. The sound environment in the pediatric intensive care unit: a scoping review of sound levels, interventions, and impacts on patients. Pediatric Critical Care Medicine, 2024.
HALL, E. F. et al. Survival in the pediatric intensive care unit: factors affecting study feasibility and cohort retention in a long-term outcomes study. Pediatric Critical Care Medicine, 2024.
HARO, J. A. et al. Pediatric intensive care unit patients: sedation, monitoring, and neurodevelopmental outcomes. Current Opinion in Pediatrics, 2024.
HAUSER, R. F.; LAGO, A. Manejo da dor e sedação em pediatria. Revista de Medicina de São Paulo, v. 82, n. 2, p. 57-65, 2003.
HSU, S. K. et al. Special considerations for the management of pediatric patients with COVID-19 in the operating room and pediatric intensive care unit in a tertiary hospital in Singapore. Pediatric Anesthesia, 2023.
LINO, A.; SILVA, F. História das Unidades de Terapia Intensiva no Brasil. Jornal Brasileiro de Medicina Intensiva, Rio de Janeiro, v. 13, n. 1, p. 6-12, 2001.
RAMELET, A.; BARNES, A.; SHANNON, D. Impact of pediatric critical illness and injury on families: An updated systematic review. JAMA Pediatrics, 2024.
SARTORI, P. D. et al. Sleep efficiency and quality of post-ICU life in infants and young children with acquired brain injury. JAMA Neurology, 2024.
TAKEUCHI, A. K. et al. Increased pediatric intensive care unit admissions due to toxic ingestions during the COVID-19 pandemic. Pediatric Emergency Care, 2024.
TANG, R. Y. et al. Parental post-traumatic stress symptoms in the context of the pediatric post-intensive care syndrome: family impact and intervention opportunities. Pediatric Critical Care Medicine, 2024.
TUERK, P. A. et al. Consensus among professionals on risk and protective factors for adverse psychosocial outcomes after pediatric intensive care unit discharge: A modified Delphi study. Pediatric Critical Care Medicine, 2024.
ÜÇOK, G. et al. Unveiling the psychosocial impact: pediatric organ transplantation and post-traumatic stress disorders - a systematic review. Transplantation Proceedings, 2024.
VIEIRA, M. F.; WAISCHUNNG, G. O sofrimento da tríade paciente-família-equipe na UTI: atuação da psicologia. Revista da Sociedade Brasileira de Psicologia Hospitalar, v. 21, n. 1, p. 1-13, 2018.
WOODLEY, S. T. et al. Music therapy in the pediatric intensive care unit: An integrated literature synthesis and recommendations. JAMA Pediatrics, 2024.
YOUSAFZAI, F. et al. Physical, cognitive, emotional, and social outcomes for parents in the first six months following pediatric critical illness: A single-center prospective study. Pediatric Critical Care Medicine, 2024.
ZANINI, D. et al. A adaptação da psicologia hospitalar na pandemia de COVID-19. Revista de Psicologia Hospitalar, 2021.
ZHANG, L. et al. Evaluation and management of delirium in the pediatric intensive care unit: A review. Translational Pediatrics, 2024.
