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Assess the Effect of Detract Technique among Post-operative Toddlers with Cleft Lip and Cleft Palate
Linda Xavier1, Sowndariya Velmurugan2
1Department of Child Health Nursing, Saveetha College of Nursing, Saveetha Institute of Medical and Technical Science, Thandalam, Tamil Nadu, India.
Insights
Distraction techniques, like using a tactile ball, did not significantly reduce postoperative pain in infants with cleft lip and palate. Further research is needed to explore effective pain management strategies for pediatric surgical patients.
Area of Science:
- Pediatric Surgery
- Pain Management
- Child Psychology
Background:
- Postoperative pain (POP) is a common and distressing experience for children undergoing surgery.
- Effective pain management is crucial for children's recovery and can impact hospital stay duration.
- Distraction techniques are explored as non-pharmacological methods to alleviate pediatric surgical pain.
Purpose of the Study:
- To evaluate the effectiveness of a distraction technique on postoperative pain in infants aged 1-3 years with cleft lip and palate.
- To assess the impact of tactile stimulation as a distraction method on pain perception in young surgical patients.
Main Methods:
- A quantitative, pre-experimental study was conducted at Saveetha Medical College and Hospital.
- Sixty infants (1-3 years) with cleft lip and palate were recruited using convenience sampling.
- Participants were randomized into an intervention group (tactile ball distraction) and a control group (standard analgesic care).
Main Results:
- The intervention group received tactile ball play for 30 days, starting 20 minutes pre-operation.
- The control group received standard care, including acetaminophen analgesia.
- Descriptive analysis showed no statistically significant differences in pain outcomes between the distraction and control groups (P > 0.05).
Conclusions:
- The tactile ball distraction technique, as implemented, did not demonstrate a significant effect on reducing postoperative pain in infants with cleft lip and palate.
- Standard analgesic medication remains a primary approach for pain management in this population.
- Further investigation into optimized distraction strategies and multimodal pain relief for pediatric surgical patients is warranted.
Background:
Children who undergo surgery frequently experience postoperative pain or POP. Pain experienced by children can be addressed as a basic human right. Because hospitals can be extremely stressful places for families and their children, pain, and discomfort associated with intrusive techniques can lengthen hospital stays for children and lead them to heal more slowly than they would have otherwise. Engaging the kids in intellectual pursuits is one way to use distraction techniques to take their minds off unpleasant stimuli and lessen their suffering.
Purpose:
The current study's goal was to evaluate the impact of the distract technique on postoperative infants with cleft lip and palate who were between the ages of 1 and 3 years old.
Materials And Methods:
The Saveetha Medical College and Hospital served as the host institution for the quantitative method with a preexperimental investigation.
Sampling Method:
Convenience sampling was used to select 60 postoperative children with cleft lip and palate who were between the ages of one and three.
Interventions:
One intervention group and a control group were randomly assigned to each of the 60 postoperative youngsters. Distract technique (tactile ball) was started for the intervention group 20 min prior to operation day and continued for 30 days. The first group (the control group) received standard care, which included analgesic medication. The second group (the intervention group) received no analgesic medication and was played with a tactile ball by a nurse who happened to be one of the researchers working in the pediatric unit where the study was conducted. Acetaminophen (10-15 mg/kg) was given to the children in the control group as an analgesic.
Results:
The descriptive analysis (P > 0.05) did not reveal any statistically significant differences between the groups.

