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Updated: Jun 8, 2025

An Experimental Paradigm for the Prediction of Post-Operative Pain PPOP
Published on: January 27, 2010
Nonpharmacological interventions for managing postoperative pain and anxiety in children: a randomized controlled
Edlin Glane Mathias1, Mamatha Shivananda Pai1, Vijay Kumar2
1Department of Child Health Nursing, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Udupi district, Karnataka, India.
Insights
Distraction interventions significantly reduced postoperative pain and anxiety in children. This nonpharmacological approach improved recovery, offering a valuable tool for pediatric care.
Area of Science:
- Pediatric Nursing
- Pain Management
- Child Psychology
Background:
- Pediatric hospitalizations and surgeries cause distress for children and parents.
- Postoperative pain and anxiety are often undertreated in pediatric populations.
- Effective pain management strategies are crucial for pediatric patient outcomes.
Purpose of the Study:
- To assess the impact of nonpharmacological distraction interventions on pediatric postoperative pain.
- To evaluate the effect of these interventions on children's anxiety levels.
- To determine if distraction techniques improve overall postoperative recovery in children.
Main Methods:
- A randomized controlled trial involving 160 children.
- Experimental group received distraction interventions alongside standard care.
- Control group received standard care only; pain and anxiety were measured using validated scales.
Main Results:
- Children receiving distraction interventions showed significantly lower pain and anxiety.
- Physiological parameters (heart rate, respiratory rate, oxygen saturation) improved in the intervention group.
- Statistically significant differences were observed in pain, anxiety, and physiological measures between groups.
Conclusions:
- Nonpharmacological distraction interventions effectively reduce pediatric postoperative pain and anxiety.
- These interventions enhance patient recovery and well-being.
- Nurses can utilize distraction techniques to improve the pediatric surgical experience.
Background:
Hospitalizations and surgical procedures are unpleasant for both children and their parents. Therefore, postoperative pain assessments and management are less commonly performed in younger children than in adults.
Purpose:
To evaluate the effect of nonpharmacological interventions on postoperative pain and anxiety in children.
Methods:
In this randomized controlled trial, 160 children were randomly allocated to experimental (n=80) and control (n=80) groups. The children in the experimental group received age-appropriate distraction interventions for 3 postoperative days along with standard care. Children in the control group received standard care only. Each child was assessed for pain using EVENDOL pain scale, while their anxiety was measured using the modified Yale Preoperative Anxiety Scale. The Descriptive statistics (frequency, percentage, mean, and standard deviation) and repeated-measures analysis of variance were used to analyze the data.
Results:
The children in the experimental group showed significantly decreased pain, anxiety, and physiological parameters (heart rate, respiratory rate, and oxygen saturation) compared to those in the control group. Significant intergroup differences were noted in the mean and standard deviation values of the pain, anxiety, and physiological parameters.
Conclusion:
The distraction interventions provided by nurses reduced the pain and anxiety levels and improved the postoperative recovery among children.
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