Rational drug use in pediatric pain management: maternal attitudes and practices


AYDIN B., Demir M., Sarı V.

BMC Pediatrics, vol.26, no.1, 2026 (SCI-Expanded, Scopus) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 26 Issue: 1
  • Publication Date: 2026
  • Doi Number: 10.1186/s12887-026-06633-9
  • Journal Name: BMC Pediatrics
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, EMBASE, MEDLINE, Directory of Open Access Journals
  • Keywords: Child, Drugs, Mothers, Pain management
  • Çanakkale Onsekiz Mart University Affiliated: Yes

Abstract

Background: Pain is a common health problem and a leading reason for hospital admissions in children. Rational drug use is crucial in pediatric pain management, especially for young children who rely on their parents. Purpose: This study aimed to determine the attitudes of mothers of children aged 0–6 years toward rational drug use in pain management. Methods: This descriptive, cross-sectional, and correlational study involved 403 mothers attending pediatric outpatient clinics at a university hospital. Data collection took place between April and June 2024 using a personal information form and the Parental Attitude Scale Towards Rational Drug Use (PASRDU). Data analysis included the Mann-Whitney U test for pairwise comparisons, the Kruskal-Wallis H test for groups larger than two, and Spearman Correlation analysis for variable relationships. Results: The mean age of the mothers was 31.60 (± 5.328) years; 45.4% had one child, and 50.9% held a university degree or higher. The mean PASRDU score was 174.01 ± 17.225. A statistically significant positive attitude towards rational drug use was linked to younger mothers, those with fewer children, and those with higher education and socioeconomic status (p <.005). PASRDU scores were also higher among mothers who reported greater self-efficacy in relieving their child’s pain and those who did not administer non-prescribed analgesics (p <.005). Conclusions: Mothers generally exhibited high attitudes toward rational drug use in pain management. Attitudes varied by age, education, number of children, socioeconomic status, self-perceived competence in pain management, and use of non-prescribed medications. Nurse-led assessment and tailored education may support rational drug use in pediatric pain management. Trial registration: Not applicable.