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Effectiveness of Video-assisted Distraction Therapy on Childrens Pain Perceptions during Peripheral Venous
Menuka Bhandari1, Munawatee Rai1, Puja Gartaula2
1Tribhuvan University, Institute of Medicine, Biratnagar Nursing Campus, Biratnagar, Nepal.
Insights
Video-assisted distraction therapy significantly reduced pain perception in children during peripheral venous cannulation. This intervention proved effective in managing pediatric pain during medical procedures.
Area of Science:
- Pediatric Nursing
- Pain Management
- Child Psychology
Background:
- Effective pain management is crucial for children's well-being and rights.
- Healthcare professionals need diverse interventions for optimal pediatric pain relief.
- Peripheral venous cannulation is a common procedure causing pain in children.
Purpose of the Study:
- To evaluate the effectiveness of video-assisted distraction therapy.
- To assess its impact on children's pain perception during peripheral venous cannulation.
- To provide evidence for improved pain management strategies in pediatric wards.
Main Methods:
- A quasi-experimental study design was employed.
- Data collected via interviews and the FLACC pain rating scale.
- Intervention group received video-assisted distraction; control group received routine care.
Main Results:
- A statistically significant difference (p < 0.001) in pain scores between groups.
- Children receiving video-assisted distraction reported less severe pain.
- 92.5% of the control group experienced severe pain versus 20% in the intervention group.
Conclusions:
- Video-assisted distraction therapy is highly effective.
- It efficiently distracts children from pain during intravenous cannulation.
- This therapy offers a valuable non-pharmacological approach to pediatric pain management.
Background:
Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply several interventions to achieve optimal results. The current study aimed to discover the Effectiveness of Video-assisted Distraction Therapy on Children’s Pain Perceptions during Peripheral Venous Cannulation in Pediatric Wards of Biratnagar, Nepal.
Methods:
A quasi-experimental study was conducted at Pediatric Wards of different hospitals in Biratnagar. Data collection was done from Feb 27, 2023, to April 28, 2023. Non-probability purposive sampling technique was adopted in selecting the desired sample size. Data was collected through an interview questionnaire and a standard observational checklist, the FLACC pain rating scale. The experimental group received video-assisted distraction therapy as an intervention, while the control group received routine intravenous care from the nurses.
Results:
There is a significant difference between the pain perception score in the experimental and control group during peripheral venous cannulation (p= <0.001) during and after two minutes of cannulation. Similarly, the level of pain was also different in both groups, 42.5% of children in the experimental group perceived moderate pain, 37.5% perceived mild pain and 20% reported severe pain whereas 92.5% of respondents perceived severe pain and only 7.5% perceived moderate pain during peripheral venous cannulation.
Conclusions:
Video-assisted Distraction Therapy was very efficient at distracting children from their pain during intravenous cannulation.

