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The effect of colored masks used in pediatric emergency clinics on children's pain perception: Randomized controlled
Eda Gülbetekin1, Fatma Gül Can2, Selahattin Karagöz3
1Department of Nursing, Iğdır University Faculty of Health Sciences, Iğdır, Türkiye.
Insights
Colored surgical masks significantly reduced pain perception in children aged 1-3 years during vascular access procedures. This simple intervention offers a promising approach to improve pediatric patient comfort in emergency settings.
Area of Science:
- Pediatric Emergency Medicine
- Pain Management
- Nursing Interventions
Background:
- Children undergoing procedures in emergency settings often experience significant pain.
- Standard white surgical masks offer no specific comfort measures for pediatric patients.
- Assessing and mitigating procedural pain in young children is a critical aspect of pediatric care.
Purpose of the Study:
- To evaluate the impact of colored surgical masks worn by nurses on pain perception in children aged 1-3 years.
- To compare pain levels in children exposed to nurses wearing colored masks versus standard white masks during vascular access.
- To determine if a visual intervention can reduce procedural pain in a pediatric emergency setting.
Main Methods:
- A randomized controlled trial involving 81 children (aged 1-3 years) in a pediatric emergency clinic.
- Pain was assessed using the Facial Expression, Leg Movement, Activity, Cry, Consolability (FLACC) Pain Assessment Tool.
- Children were randomly assigned to receive care from nurses wearing either colored or white surgical masks during vascular access procedures.
Main Results:
- The mean FLACC pain score was significantly lower in the colored mask group (4.73±2.721) compared to the white mask group (8.92±1.526).
- Demographic distributions showed variations in age and gender between groups, but the primary outcome focused on pain scores.
- The study demonstrated a marked reduction in observed pain behaviors with the use of colored masks.
Conclusions:
- Colored surgical masks used by nurses are effective in reducing pain perception in children aged 1-3 years during vascular access.
- This visual intervention presents a practical and effective strategy for pain management in pediatric emergency care.
- Further research could explore the specific mechanisms behind this effect and its applicability in different pediatric procedural contexts.
Objectives:
This study was conducted in a randomized controlled manner to examine the effect of colored surgical masks used by nurses in pediatric emergency clinics on children's pain perception.
Methods:
The study included 81 children aged 1-3 years who applied to the pediatric emergency clinic of a State Hospital located in a province in eastern Turkey. Data were collected using the 'Personal Information Form' and the 'Facial Expression, Leg Movement, Activity, Cry, Consolability (FLACC) Pain Assessment Tool' to measure the level of pain perception. During the vascular access procedure, colored surgical masks were used in the experimental group, while white surgical masks were used in the control group. Children's pain was assessed based on nurse observations. Independent samples t-test and ANOVA were employed to assess the data. The results were evaluated with a 95% confidence interval and a significance level of p<0.05.
Results:
It was observed that in the white mask group, 35% of the children were 1 year old and 35% were 3 years old. In the colored mask group, 46.3% of the children were 2 years old. Furthermore, 52.5% of the children in the white mask group and 31.7% in the colored mask group were girls. The total mean score of the 'FLACC' scale was 8.92±1.526 in the white mask group and 4.73±2.721 in the colored mask group.
Conclusion:
The use of colored surgical masks by nurses during vascular access in children aged 1-3 years was found to be effective in reducing children's pain perception.
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