Effectiveness of Distraction Therapy on Children’s Pain Perceptions During Peripheral Venous Cannulation at Pediatric Teaching Hospital in Erbil City

Authors

  • Norhan Zeki Shaker Department of Nursing, College of Nursing, Hawler Medical University
  • Ari Ahmed Taha Cardiac Center, Erbil Directorate of Health, Ministry of Health

DOI:

https://doi.org/10.15218/ejnm.2018.10

Keywords:

Cannulation, carton, pain perception, preschool, nurse

Abstract

Background and objective: Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply a number of interventions to achieve optimal results. The current study aimed to discover the effects of distraction therapy on children’s pain perception during peripheral venous cannulation.

Methods: A quasi-experimental study was carried out at emergency unit of Raparin       Paediatric Teaching Hospital in Erbil city, Iraq. Data collection occurred from Feb 22, 2016  to May 25, 2016. A non-probability purposive sample of 120 children who were undergoing peripheral venous cannulation are recruited for the study. Data was collected through a questionnaire format and a standard observational checklist Assessments of the face, legs, activity including crying, and the console ability (FLACC) pain rating scale were used to assess the pain perception of child. A cartoon and animation video films were used by the researcher, as distraction therapy for the intervention group, while the control group received traditional routine care by the nurses. The statistical package for social science (SPSS, Version 22) was used for data processing and statistical analysis such as   frequency, percentage, mean, SD, F-test, paired t-test, chi-square and Fisher exact test.

Results: The study found that the majority of children in the intervention group experienced mild discomfort and pain while the majority of children in the control group experienced severe pain or discomfort or both. The results revealed that there were very highly significant differences in the levels of pain perception between intervention and control groups.

Conclusion: Application of distraction therapy could have a positive effectiveness for relieving pain among preschool age children during peripheral venous cannulation.

Metrics

Metrics Loading ...

References

[1] Sadeghi T, Mohammadi N, Shamshiri M, Bagherzadeh R, Hossinkhani N. Effect of Distraction on Children's Pain During Intravenous Catheter Insertion. J Spec Pediatr Nurs. 013; 18(2): 109-10. Available from: DOI: https://doi.org/10.1111/jspn.12018.
[2] Jackson A. Reflecting on the Nursing Contribution to Vascular Access. British journal of nursing. 2003; 12(11): 657. Available from: DOI: https://doi.org/10.12968/bjon.2003.12.11.11315 [Accessed: 30th December 2015].
[3]3 Kaur B, Sarin J, Kumar Y. Effectiveness of Cartoon Distraction on Pain Perception and Distress in Children During Intravenous Injection. Journal of Nursing and Health Science. 2014; 3(3): 8-9, 13.
[4] Abd El-Gawad S M E-K, Elsayed L A. Effect of Interactive Distraction Versus Cutaneous Stimulation for Venipuncture Pain Relief in School Age Children. Journal of Nursing Education and Practice. 2015; 5(4): 32-38. Available from: https://doi.org/10.5430/jnep.v5n4p32 .
[5] Bagheriyan S, Borhani F, Abbaszade A, Tehrani H. Non-Pharmacological Interventions for Needle-Related Procedural Anxiety in Children with Thalassemia. Iranian Journal of Blood and Cancer. 2013; 5(4): 124.
[6] Voepel-Lewis T, Malviya S, Merkel S, Tait A R (2003). Behavioral Pain Assessment and the Face, Legs, Activity, Cry and Consolability Instrument. Expert review of pharmacoeconomics & outcomes research; 3(3): 317-20.
[7] Gupta H V, Gupta V V, Kaur A, Singla R, Chitkara N, Bajaj K V, et al. Comparison between the Analgesic Effect of Two Techniques on the Level of Pain Perception During Venipuncture in Children up to 7 Years of Age: A Quasi-Experimental Study. J Clin Diagn Res. 2014; 8(8): 1-4.
[8] Hua Y, Qiu R, Yao W-Y, Zhang Q, Chen X-L. The Effect of Virtual Reality Distraction on Pain Relief During Dressing Changes in Children with Chronic Wounds on Lower Limbs. Pain Manag Nurs. 2015; 16(5): 685-90.
[9]Canbulat N, Ayhan F, Inal S. Effectiveness of External Cold and Vibration for Procedural Pain Relief During Peripheral Intravenous Cannulation in Pediatric Patients. Pain Manag Nurs. 2015; 16(1): 33-7.
[10] Gandhar S S, Deshpande J, Borude S. Effectiveness of Cartoon Movies as Distracter on Pain among Children Undergoing Venipuncture. International Journal of Science and Research. 2016; 5(6): 2241-2242.
[11] Miguez-Navarro C, Guerrero-Marquez G. Video-Distraction System to Reduce Anxiety and Pain in Children Subjected to Venipuncture in Pediatric Emergencies. Pediatr Emerg Care Med Open Access. 2016; 1(1): 1-4.
[12] James J, Ghai S, Rao K, Sharma N. Effectiveness of” Animated Cartoons” as a Distraction Strategy on Behavioural Response to Pain Perception among Children Undergoing Venipuncture. Nursing and Midwifery Research Journal. 2012; 8(3): 200-07.
[13] Wang Z-X, Sun L-H, Chen A-P. The Efficacy of Non-Pharmacological Methods of Pain Management in School-Age Children Receiving Venepuncture in a Paediatric Department: A Randomized Controlled Trial of Audiovisual Distraction and Routine Psychological Intervention. Swiss medical weekly. 2008; 138(39-40): 579-84.
[14] Aitken J C, Wilson S, Coury D, Moursi A M. The Effect of Music Distraction on Pain, Anxiety and Behavior in Pediatric Dental Patients. Pediatric dentistry. 2002; 24(2): 114-17.
[15] Miller K, Rodger S, Bucolo S, Greer R, Kimble R M. Multi-Modal Distraction. Using Technology to Combat Pain in Young Children with Burn Injuries. Burns. 2010; 36(5): 647-8.
[16] Labo M R, Umarani J (2013). Cartoon Distraction Reduces Venipuncture Pain among Preschoolers – a Quasi Experimental Study. Int J Sci Res; 2(6): 454 - 55.
[17] Cerne D, Sannino L, Petean M. A Randomised Controlled Trial Examining the Effectiveness of Cartoons as a Distraction Technique. Nurs Child Young People. 2015; 27(3): 28-33.
[18] Windich-Biermeier A, Sjoberg I, Dale J C, Eshelman D, Guzzetta C E. Effects of Distraction on Pain, Fear, and Distress During Venous Port Access and Venipuncture in Children and Adolescents with Cancer. J Pediatr Oncol Nurs. 2007; 24(1): 8-19.

Downloads

Published

2018-11-30

How to Cite

1.
Shaker NZ, Taha AA. Effectiveness of Distraction Therapy on Children’s Pain Perceptions During Peripheral Venous Cannulation at Pediatric Teaching Hospital in Erbil City. Erbil j. nurs. midwifery [Internet]. 2018 Nov. 30 [cited 2024 Apr. 26];1(2):75-84. Available from: https://ejnm.hmu.edu.krd/index.php/ejnm/article/view/57

Issue

Section

Original Articles

Most read articles by the same author(s)