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Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion
Grace Yuliona Sirtin Tumakaka1,2, Nani Nurhaeni1, Dessie Wanda1
1Faculty of Nursing, Universitas Indonesia.
Insights
Distraction techniques, like squeezing a squishy object, significantly reduce pediatric pain during intravenous catheter insertion. This simple method offers effective pain management for children in hospital settings.
Area of Science:
- Pediatric Nursing
- Pain Management
- Child Psychology
Background:
- Intravenous catheter insertion is a common yet painful procedure for children.
- Effective pain management strategies are crucial in pediatric healthcare.
- Distraction techniques show promise in mitigating procedural pain in pediatric patients.
Purpose of the Study:
- To evaluate the efficacy of a squishy object distraction technique on pain reduction in children undergoing intravenous catheter insertion.
- To compare pain levels between children using a distraction technique and those receiving standard care.
Main Methods:
- A posttest-only quasiexperimental design was employed with 50 pediatric participants (aged 3-15 years).
- Participants were randomized into an intervention group (squishy object distraction) or a control group (standard care).
- Pain was assessed using age-appropriate scales: Wong-Baker Faces Scale (3-8 years) and Visual Analog Scale/Numeric Rating Scale (>8 years).
Main Results:
- Mann-Whitney analysis indicated a statistically significant difference in pain levels between groups (P<0.001).
- The intervention group, utilizing the squishy object distraction, reported significantly lower pain scores.
- The distraction technique proved effective in reducing pain during the procedure.
Conclusions:
- Squeezing a squishy object serves as an effective distraction technique to alleviate pain in children during intravenous catheter insertion.
- This method is a recommended, non-pharmacological pain management strategy for pediatric nursing care.
- Integrating simple distraction tools can enhance patient comfort and improve the healthcare experience for children.
Abstract:
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.
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