2014, Number 6
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Rev Mex Pediatr 2014; 81 (6)
Distractor to «calm» the pain of the venipuncture in children
Ramírez ZLM, Meda LRM
Language: Spanish
References: 25
Page: 209-213
PDF size: 122.60 Kb.
ABSTRACT
Venipuncture is a painful experience stressful for children and distraction seems to be an effective technique that relieves the pain. The aim of this study was to test the effectiveness of a distraction technique.
Material and methods: A distractor was applied to determine its effectiveness in reducing the pain in 49 children by comparing it with the registered with a control group of the same number of children with regular medical treatment. Employment is the scale facial of the six faces of Bieri and observational scale modified behavioral distress.
Results: Experimental group showed lower levels in patient’s pain intensity (z = 2111, p = .035), distress behaviors (z = 2394, p = .017) and pain reported by health care professional (z = 3248, p = .001) compared with control group. A statistically significant relationship between the level of pain reported by the patient and health care professional (rs = 0.689, p ‹ 0.001) was found.
Conclusion: Distraction is a conduct that may be effective in reducing the pain and the behaviors of distress in children.
REFERENCES
Willock J, Richardson J, Brazier A et al. Peripheral venipuncture in infants and children. Nurs Stand. 2004; 18: 43-50.
Herd DW. Anxiety in children undergoing VCUG: sedation or no sedation? Adv Urol. 2008: 498614.
Bijttebier P, Vertommen H. The impact of previous experience on children’s reactions to venipunctures. Journal of Health Psychology. 1998; 3: 39-46.
Jacobson RM, Swan A, Adegbenro A, Ludington SL, Wollan PC, Poland GA et al. Making vaccines more acceptable-methods to prevent and minimize pain and other common adverse events associated with vaccines. Vaccine. 2001; 19: 2418-2427.
Blount RL, Piira T, Cohen LL. Management of pediatric pain and distress due to medical procedures. In: Roberts M, editors. Handbook of pediatric psychology. New York: Guilford; 2003. p. 216-233.
Rizzo A, Pair J, McNerney PJ, Eastlund E, Manson B, Gratch J et al. Development of a VR therapy application for Iraq war military personnel with PTSD. Stud Health Technol Inform. 2005; 111: 407-413.
Cassidy KL, Reid GJ, McGrath PJ et al. Watch needle, watch TV: audiovisual distraction in preschool immunization. Pain Med. 2002; 3: 108-118.
Dahlquist LM, Pendley JS, Landthrip DS, Jones CL, Steuber CP. Distraction interventions for preschoolers undergoing intramuscular injections and subcutaneous port access. Health Psychology. 2002; 21: 94-99.
Uman LS, Birnie KA, Noel M, Parker JA, Chambers CT, McGrath PJ et al. Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database Syst Rev. 2013; 10; 10: CD005179.
MacLaren JE, Cohen LL. A comparison of distraction strategies for venipuncture distress in children. J Pediatr Psychol. 2005; 30 (5): 387-396.
Minute M, Badina L, Cont G, Montico M, Ronfani L, Barbi Ej et al. Videogame playing as distraction technique in course of venipuncture. Pediatr Med Chir. 2012; 34 (2): 77-83.
Bagnasco A, Pezzi E, Rosa F, Fornonil L, Sasso L. Distraction techniques in children during venipuncture: an Italian experience. J Prev Med Hyg. 2012; 53 (1): 44-48.
Wang ZX, Sun LH, Chen AP. The efficacy of non-pharmacological methods of pain management in school-age children receiving venipuncture in a paediatric department: a randomized controlled trial of audiovisual distraction and routine psychological intervention. Swiss Med Wkly. 2008; 138 (39-40): 579-584.
Zhou H, Roberts P, Horgan L. Association between self-report pain ratings of child and parent, child and nurse and parent and nurse dyads: meta-analysis. J Adv Nurs. 2008; 63 (4): 334-342.
Hermann C, Hohmeister J, Demirakça S, Zohsel K, Flor H. Long-term alteration of pain sensitivity in school-aged children with early pain experiences. Pain. 2006; 125: 278-285.
Noel M, McMurtry CM, Chambers CT, McGrath PJ. Children’s memory for painful procedures: the relationship for pain intensity, anxiety and adult behaviours to subsequent recall. J Pediatric Psychol. 2010; 35: 626-636.
Ramírez LM. Efectos de la hipnosis en el dolor por punción lumbar y aspirado de médula ósea en niños y adolescentes [Tesis doctoral]. México: Universidad Nacional Autónoma de México. Facultad de Psicología, 2011.
Bieri D, Reeve RA, Champion GD, Addicoat L, Ziegler JB. The faces pain scale for the selt-assessment of severity of pain experienced by children: Developmental, initial validation and preliminary investigation for ratio scale properties. Pain. 1990; 41 (2): 139-150.
Sosa KA. Validación de la escala facial de dolor revisada en niños mexicanos. [Tesis], Universidad Nacional Autónoma de México, Facultad de Medicina; 2008.
Hicks CL, von Baeyer CL, Spafford PA, van Korlaar I, Goodenough B. The face pain scale-revised: toward a common metric in pediatric pain measurement. Pain. 2001; 93(2): 173-183.
McGrath PA, Seifert CE, Speechley KN, Booth JC, Stitt L, Gibson MC. A new analogue scale for assessing children’s pain: an initial validation. Pain. 1996; 64 (3): 435-443.
Finley GA, Franck LS, Grunau RE, von Baeyer CL. Why children’s pain matters. PAIN Clinical Updates. IASP. 2005; XIII (4): 1-6.
Jones M, Qazi M, Young KD. Ethnic differences in parent preference to be present for painful medical procedures. Pediatrics. 2005; 116: 191-197.
Arts SE, Abu-Saad-HH. Age-related response to lidocaine-prilocaine (EMLA) emulsion and effect of music distraction on the pain of intravenous cannulation. Pediatrics. 1994; 93: 797-801.
Franck L, Lefrak L. For crying out loud: the ethical treatment of infants’ pain. J Clin Ethics. 2001; 12: 275-281.