Use of Non Pharmacological Therapies for Pain Management in Children: A Survey of Pediatric Healthcare Provides

Introduction. Pediatric pain management is a complex challenge, particularly in settings such as intensive care units and in postoperative care, where the use of analgesic drugs can result in significant side effects. The use of non-pharmacological therapies (NPTs) has been shown to be effective in reducing both pain and anxiety. Since they are safe and free of side effects, they are therefore suitable for reducing the adverse effects of pharmacotherapy and improving the compliance of pediatric patients. Methods. A descriptive survey was carried out by means of an ad hoc questionnaire with multiple-choice questions and was open to 202 voluntary healthcare personnel of pediatric departments of a Tuscany pediatric health agency with non-probability convenience sampling. The questionnaire assessed knowledge, skills and attitudes toward NPTs, with a statistical analysis of qualitative and quantitative variables. Results. Forty-six percent of participants considered NPTs effective for pain control, but a significant proportion (54%) remained skeptical. Pediatric nurses demonstrated greater expertise in the use of NPTs, with 91% showing sufficient knowledge compared to 63% in other professions (Odds Ratio = 6.1; CI: 2.8–13; p < 0.0001). Conclusions. The study highlights the need for specific and ongoing educational programs on provision NPTs for healthcare personnel. Integration of NPTs into care plans could reduce dependence on analgesics, helping both to significantly reduce pain and to ensure a more holistic approach.