Sirtin Tumakaka Grace Yuliona, Nurhaeni Nani, Wanda Dessie
Faculty of Nursing, Universitas Indonesia.
Nursing Department, Prof DR. R. D. Kandou Hospital, Indonesia.
Pediatr Rep. 2020 Jun 25;12(Suppl 1):8692. doi: 10.4081/pr.2020.8692.
This study aimed to identify the effect of distraction technique involving squeezing a squishy object on pain in children during intravenous catheter insertion. In this work, the control group posttest-only quasiexperimental design was used. This study involved 50 participants aged 3-15 years and was assigned into either intervention or control group. The intervention group was provided with a squishy object to squeeze as a form of distraction during intravenous catheter insertion, whereas the control group received the standard intervention. The pain was measured by using the Wong- Baker Faces Scale for 3-8 years old and the Visual Analog Scale or Numeric Rating Scale for children older than 8 years. Mann-Whitney analysis reveals significant difference in pain level between the intervention and control groups (P<0,001; α=0.05). The distraction technique involving squeezing a squishy object effectively reduced pain in children during intravenous catheter insertion and is recommended for pain management in nursing care in the pediatric ward.
本研究旨在确定在儿童静脉导管插入过程中,挤压柔软物体这种分散注意力的技巧对疼痛的影响。在这项研究中,采用了仅对后测的对照组准实验设计。本研究纳入了50名3至15岁的参与者,并将他们分为干预组或对照组。干预组在静脉导管插入过程中被提供一个柔软物体进行挤压,作为一种分散注意力的方式,而对照组接受标准干预。对于3至8岁的儿童,使用面部表情疼痛评分量表(Wong-Baker Faces Scale)测量疼痛;对于8岁以上的儿童,使用视觉模拟评分量表(Visual Analog Scale)或数字评定量表(Numeric Rating Scale)测量疼痛。曼-惠特尼分析显示,干预组和对照组之间的疼痛水平存在显著差异(P<0.001;α=0.05)。在儿童静脉导管插入过程中,挤压柔软物体这种分散注意力的技巧能有效减轻疼痛,建议在儿科病房的护理中用于疼痛管理。