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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.
Background:
Aspiration causes pain in children receiving palliative care. This study evaluated the effectiveness of storytelling and cartoon watching in reducing pain during aspiration procedures in palliative care for children aged 1-3 years.
Methods:
Using a single-center, within-subjects crossover design (n = 15), each child experienced three conditions: control, storytelling, and cartoon watching. Pain (FLACC scale) and physiological parameters were measured before, during, and after aspiration.
Results:
Both interventions significantly reduced pain and improved physiological indicators compared to control. Storytelling had the most pronounced effect.
Conclusions:
These findings support the use of age-appropriate, non-pharmacological methods to manage procedural pain in paediatric palliative care settings.
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