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.
Abstract