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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 effectively reduces pain perception in children during peripheral venous cannulation. This intervention significantly lowers reported pain levels compared to routine care, improving the pediatric patient experience.
Area of Science:
- Pediatric Nursing
- Pain Management
- Child Psychology
Background:
- Effective pain management is crucial for children's well-being and rights.
- Health 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 compare outcomes in pediatric wards in Biratnagar, Nepal.
Main Methods:
- A quasi-experimental study design was employed.
- Data collected from February to April 2023 using purposive sampling.
- Pain assessed via interview questionnaire and FLACC scale; intervention group received video distraction, control group received routine care.
Main Results:
- A statistically significant difference (p < 0.001) in pain perception was observed between groups.
- Children receiving video-assisted distraction reported less severe pain.
- In the intervention group, 42.5% experienced moderate pain, 37.5% mild, and 20% severe, versus 92.5% severe pain in the control group.
Conclusions:
- Video-assisted distraction therapy is highly effective in mitigating pain during intravenous cannulation.
- The therapy successfully distracts children, leading to reduced pain perception.
- This intervention offers a promising 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.
Method:
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.
