Storytelling Intervention Relieved Pain During Tracheostomy Suction in Children Under Palliative Care: A Randomised

Gamze Akay1, Fatma Güdücü Tüfekci2

  • 1Department of Child Health and Disease Nursing, Faculty of Health Sciences, Artvin Coruh University, Artvin, Turkey.

Insights

Storytelling and cartoons effectively reduced procedural pain in young children receiving palliative care. Storytelling showed the greatest pain reduction, supporting non-pharmacological interventions.

Area of Science:

  • Pediatric Palliative Care
  • Pain Management
  • Child Psychology

Background:

  • Aspiration procedures in pediatric palliative care are associated with significant pain.
  • Effective pain management strategies are crucial for improving the quality of life for children in palliative care.

Purpose of the Study:

  • To evaluate the effectiveness of storytelling and cartoon watching in reducing procedural pain in children aged 1-3 years undergoing aspiration.
  • To compare the efficacy of these non-pharmacological interventions against a control condition.

Main Methods:

  • A single-center, within-subjects crossover design was employed with 15 children.
  • Each child experienced three conditions: control, storytelling, and cartoon watching.
  • Pain was assessed using the FLACC scale, alongside physiological parameters, before, during, and after aspiration procedures.

Main Results:

  • Both storytelling and cartoon watching significantly reduced pain scores compared to the control condition.
  • Physiological indicators of distress were also improved with both interventions.
  • Storytelling demonstrated the most significant reduction in pain and distress.

Conclusions:

  • Age-appropriate, non-pharmacological interventions like storytelling and cartoon watching are effective in managing procedural pain in pediatric palliative care.
  • These findings support the integration of such methods into routine care to enhance patient comfort and well-being.
Abstract

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