Research Article
The Effect of Training Given to Pediatric Patients on Pain and Physiological Parameters (Blood Pressure, Pulse and Oxygen Saturation): A Sample of Intravenous (IV) Catheter Application
Abstract
In this study, it was aimed to examine the effects of the training given before the application on pain and physiological parameters in children aged 7-12 years who underwent IV catheterization. The population of this experimental study consisted of pediatric patients aged 7-12 who were hospitalized in the pediatric service of a training and research hospital between April and June 2016. In the study, data were collected with the “Child Introduction Form”, “Wong Baker Faces Pain Rating Scale” and "Children's Pre-Post-Physiological Parameters Monitoring Form". Independent-samples t-test, Paired sample t-test, Wilcoxon signed rank test, Mann Whitney U test, ANOVA, Kruskal-Wallis Test and Chi-square test were used to evaluate the data. When the pain scores of the children in the study and control groups were compared based on the Wong Baker Faces Pain Rating Scale, the mean pain score of the children in the control group was higher than the children in the study group, and the difference was significant (p<0.01). The mean pain score of the children aged 7-9 was higher than the children aged 10-12, and the difference was significant (p<0.05). It was observed that there was a decrease in oxygen saturation, one of the physiological parameters, after the procedure in the children in both groups, and this difference was significant in the control group. The data obtained from the study suggests that the educational nursing approach given to children about the intervention of IV catheterization has a positive effect on children's pain and oxygen saturation.
References
- 1. Ullman, A.J, Bernstein, S.J, Brown, E, Aiyagari, R, Doellman, D, Faustino, E.V.S, Gore, B, Jacobs, J.P, Jaffray, J, Kleidon, T, Mahajan, P.V, McBride, C.A, Morton, K, Pitts, S, Prentice, E, Rivard, D.C, Shaughnessy, E, Stranz, M, Wolf, J, Cooper, D.S, Cooke, M, Rickard, C.M. and Chopra, V. (2020). “The Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics: miniMAGIC”. Pediatrics, 145 (3), 269-284.
- 2. Ben Abdelaziz, R, Hafsi, H, Hajji, H, Boudabous, H, Ben Chehida, A, Mrabet, A, Boussetta, K, Barsaoui, S, Sammoud, A, Hamzaoui, M, Azzouz, H. and Tebib, N. (2017). “Peripheral venous catheter complicationa in children: predisposing factors in a multicenter prospective cohort study”. BMC Pediatrics, 17 (1), 208.
- 3. Kaur, P, Rickard, C, Domer, G.S. and Glover K.R. (2019). “Dangers of Peripheral Intravenous Catheterization: The Forgotten Tourniquet and Other Patient Safety Considerations”. In: P. Stanislaw and S. Michael (Eds.). Vignettes in Patients Safety. Doi: 10.5772/intechopen.83854.
- 4. Keogh, S, Shelverton, C, Flynn, J, Mihala, G, Mathew, S, Davies, K.M, Marsh, N. and Rickard, C.M. (2020). “Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial”. BMC Medicine, 18 (252), 10.1186/s12916-020-01728-1.
- 5. Akay, N, Kuğuoğlu, S. ve Ekici, B. (2021). “Bebeklerde (3-6 ay) periferik intravenöz kateterizasyon uygulaması sırasında kullanılan müzikli dönencenin ağrı algısına etkisi”. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8 (1), 16-21.
- 6. Akcan, E. ve Polat, S. (2017). “Yenidoğanlarda ağrı ve ağrı yönetiminde hemşirenin rolü”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2, 64-69.
- 7. Göl, İ. ve Onarıcı, M. (2015). “Hemşirelerin çocuklarda ağrı ve ağrı kontrolüne ilişkin bilgi ve uygulamaları”. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 20-29.
- 8. Moutte, S.D, Brudvik, C. and Morken, T. (2015). “Physicians’ use of pain scale and treatment procedures among children and youth in emergency primary care - a cross sectional study”. BMC Emergency Medicine, 6 (15), 33.
- 9. Burunsuz, E.G. ve Köse, S. (2020). “İntravenöz katater uygulamasında kullanılan kelebek desenli tespit malzemesinin çocukların emosyonel ve fizyolojik göstergelerine etkisi”. Online Turkish Journal of Health Sciences, 5 (4), 673-682.
- 10. He, H.G, Zhu, L, Chan, S.W.C, Liam, J.L.W, Li, H.C.W, Ko, S.S, Klainin-Yobas, P. and Wang, W. (2015). “Therapeutic play intervention on children's perioperative anxiety, negative emotional manifestation and postoperative pain: a randomized controlled trial”. Journal of Advanced Nursing, 71 (5), 1032-1043.
- 11. Cho, M.K. and Choi, M.Y. (2021). “Effect of distraction ıntervention for needle-related pain and distress in children: a systematic review and meta-analysis”. International Journal of Environmental Research and Public Health, 18 (17), 9159.
- 12. Uysal, N. and Yilmazer, T. (2021). “The effect of pain management training on the nurses’ knowledge and practices for pain”. International Journal of Caring Sciences, 14 (1), 581-588.
- 13. Şen Celasin, N, Dur, Ş, Ergin, D. and Karaarslan, D. (2020). “Knowledge, attitude and clinical decision-making abilities of pediatric nurses regarding pain management”. Clinical and Experimental Health Sciences, 10 (4), 416-422.
- 14. Mutlu, B. and Balcı, S. (2015). “Effects of balloon inflation and coughtrick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial”. Journal for Specialists in Pediatric Nursing, 20 (3), 178-186.
- 15. Pate, J.W, Noblet, T, Hush, J.M, Hancock, M.J, Sandells, R, Pounder, M. and Pacey, V. (2019). “Exploring the concept of pain of Australian children with and without pain: qualitative study.” BMJ Open, 9, e033199.
- 16. Krauss, B.S, Calligaris, L, Green, S.M. and Barbi, E. (2016). “Current concepts in management of pain in children in the emergency department”. Lancet, 387 (10013), 83-92.
- 17. Haraldstad, K, Christophersen, K. A, and Helseth, S. (2017). “Health-related quality of life and pain in children and adolescents: a school survey”. BMC Pediatrics, 17 (1), 174.
- 18. Semerci, R, Kocaaslan, E.N, Akgün Kostak, M. ve Akın, N. (2020). “Çocuklarda damar yolu açma işlemi sırasında oluşan ağrıyı azaltma: Buzzy uygulaması”. Agri, 32 (4), 177-185.
- 19. Pringle, J, Mellado, A.S.A.V, Haraldsdottir, E, Kelly, F. and Hockley, J. (2021). “Pain assessment and management in care homes: understanding the context through a scoping review”. BMC Geriatrics, 21, 431 (2021), 10.1186/s12877-021-02333-4.
- 20. Twycross, A, Dowden, S. and Stinson, J. (2014). Managing pain in children. 2nd edition. United Kingdom: Blackweel Publishing Ltd.
- 21. Matsuda-Castro, A.C. and Linhares, M.B.M. (2014). “Pain and distress in inpatient children according to child and mother perceptions”. Paidéia, 24 (59), 351-359.
- 22. Çalışır, H. ve Karataş, P. (2019). “Pediatri hemşireliğinde atravmatik bakım yaklaşımı: ağrı, stres ve anksiyeteyi azaltmada farmakolojik olmayan uygulamalar”. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi,16 (3), 234-245.
- 23. Köse Tamer, L. and Sucu Dağ, G. (2020). “The assessment of pain and the quality of postoperative pain management in surgical patients”. Sage Open, 2020, 1-10.
- 24. Ebrahimpour, F, Pashaeypoor, S, Salisu, W.J, Cheraghi, M.A. and Hosseini, S.S. (2018). “Children’s description of pain through drawings and dialogs: A concept analysis”. Nursing Open, 6 (2), 10.1002/nop2.211.
- 25. Yan, Z, Pei, M. and Su, Y. (2017). “Children’s empathy and their perception and evaluation of facial pain expression: an eye tracking study”. Frontiers in Psychology, 8, 10.3389/fpsyg.2017.02284.
- 26. Guducu Tufekci, F, Kucukoglu, S, Aytekin, A, Polat, H. and Bakan, E. (2017). “A new distraction intervention to reduce venipuncture pain in schoolage children: different colored flashlights; an experimental study with control group”. International Journal of Caring Sciences, 10 (1), 354-365.
- 27. Yılmaz, G. and Küçük Alemdar, D. (2019). “A Retrospective evaluation of patients presenting to a pediatric emergency department with the complaint of pain”. Journal of Pediatric Emergency and Intensive Care Medicine, 6 (2), 79-84.
- 28. Hasanpour, M, Tootoonchi, M, Aein, F. and Yadegarfar, G. (2006). “The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children”. Acute Pain, 8 (1), 7-12.
- 29. Voepel-Lewis, T, Malviya, S. and Tait, A.R. (2017). “Inappropriate opioid dosing and prescribing for children: An unintended consequence of the clinical pain score?” JAMA Pediatrics, 171 (1), 5-6.
- 30. Kayıran, S.M. (2020). “Ateşli çocuğa yaklaşım”. Klinik Tıp Pediatri Dergisi, 12 (3), 154-157.
- 31. Ogoina, D. (2011). “Fever, fever patterns and diseases called ‘fever’ – A review”. Journal of Infection and Public Health, 4 (3), 108-124.
- 32. Hockenberry, J. (2013). Assessment of the child and family. In: WJ. Hockenbery (Ed.). Wong’s Essentials of Pediatric Nursing (86-140). USA, Elsevier Mosby.
- 33. Weissman, A, Zimmer, E.Z, Aranovitch, M. and Blazer, S. (2012). “Heart rate dynamics during acute pain in newborns”. Pflügers Archiv: European Journal of Physiology, 464 (6), 593-599.
- 34. Ranger, M, Johnston, C.C. and Rennick, J.E. (2013). “A multidimensional approach to pain assessment in critically ill infants during a painful procedure”. The Clinical Journal of Pain, 29 (7), 613-620.
Çocuk Hastalara Verilen Eğitimin Ağrı ve Fizyolojik Parametreler (Kan Basıncı, Nabız ve Oksijen Satürasyonu) Üzerine Etkisi: Intravenöz (IV) Kateter Uygulaması Örneği
Abstract
Bu çalışma ile IV kateter uygulanan 7-12 yaş grubu çocuk hastalarda uygulama öncesi verilen eğitimin, onların ağrı ve fizyolojik parametreler üzerindeki etkilerini incelemek amaçlanmıştır. Araştırma, deney-kontrol çalışması olarak planlanmıştır. Araştırmanın evrenini çalışmanın yapılacağı Nisan-Haziran 2016 tarihleri arasında Eğitim ve Araştırma Hastanesinde çocuk servisine yatan 7-12 yaş grubundaki çocuk hastalar oluşturmuştur. Araştırmada veriler, “Çocuğu Tanıtıcı Bilgi Formu”, “Wong Baker Yüz Ağrı Skalası” ve “Çocukların İşlem Öncesi-Sonrası Fizyolojik Parametreleri İzlem Formu” ile toplanmıştır. Verilerin değerlendirilmesinde Independent-samples t-test, Paired sample t-test, Wilcoxon signed rank test, Mann Whitney U test, ANOVA, Kruskal-Wallis testi ve Ki-kare testi kullanılmıştır. Araştırmada çalışma ve kontrol grubundaki çocukların Wong Baker Yüz Ağrı Skalası’na göre ağrı puanları karşılaştırıldığında; kontrol grubundaki çocukların ağrı puan ortalaması çalışma grubundaki çocuklara göre daha yüksek olup, aralarındaki fark anlamlıdır (p<0,01). 7-9 yaş arası olan çocukların ağrı puan ortalaması 10-12 yaş arası olan çocuklardan daha yüksek olup, aralarındaki fark anlamlıdır (p<0.05). Çalışma ve kontrol grubundaki çocukların fizyolojik parametrelerden oksijen satürasyonunda işlem sonrası azalma olduğu görülmüştür ve bu fark kontrol grubunda anlamlıdır. Hemşire tarafından IV kateter uygulaması ile ilgili çocuklara verilen eğitimin onların ağrısı ve oksijen satürasyonu üzerindeki etkisi olumludur.
References
- 1. Ullman, A.J, Bernstein, S.J, Brown, E, Aiyagari, R, Doellman, D, Faustino, E.V.S, Gore, B, Jacobs, J.P, Jaffray, J, Kleidon, T, Mahajan, P.V, McBride, C.A, Morton, K, Pitts, S, Prentice, E, Rivard, D.C, Shaughnessy, E, Stranz, M, Wolf, J, Cooper, D.S, Cooke, M, Rickard, C.M. and Chopra, V. (2020). “The Michigan Appropriateness Guide for Intravenous Catheters in Pediatrics: miniMAGIC”. Pediatrics, 145 (3), 269-284.
- 2. Ben Abdelaziz, R, Hafsi, H, Hajji, H, Boudabous, H, Ben Chehida, A, Mrabet, A, Boussetta, K, Barsaoui, S, Sammoud, A, Hamzaoui, M, Azzouz, H. and Tebib, N. (2017). “Peripheral venous catheter complicationa in children: predisposing factors in a multicenter prospective cohort study”. BMC Pediatrics, 17 (1), 208.
- 3. Kaur, P, Rickard, C, Domer, G.S. and Glover K.R. (2019). “Dangers of Peripheral Intravenous Catheterization: The Forgotten Tourniquet and Other Patient Safety Considerations”. In: P. Stanislaw and S. Michael (Eds.). Vignettes in Patients Safety. Doi: 10.5772/intechopen.83854.
- 4. Keogh, S, Shelverton, C, Flynn, J, Mihala, G, Mathew, S, Davies, K.M, Marsh, N. and Rickard, C.M. (2020). “Implementation and evaluation of short peripheral intravenous catheter flushing guidelines: a stepped wedge cluster randomised trial”. BMC Medicine, 18 (252), 10.1186/s12916-020-01728-1.
- 5. Akay, N, Kuğuoğlu, S. ve Ekici, B. (2021). “Bebeklerde (3-6 ay) periferik intravenöz kateterizasyon uygulaması sırasında kullanılan müzikli dönencenin ağrı algısına etkisi”. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 8 (1), 16-21.
- 6. Akcan, E. ve Polat, S. (2017). “Yenidoğanlarda ağrı ve ağrı yönetiminde hemşirenin rolü”. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 2, 64-69.
- 7. Göl, İ. ve Onarıcı, M. (2015). “Hemşirelerin çocuklarda ağrı ve ağrı kontrolüne ilişkin bilgi ve uygulamaları”. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 20-29.
- 8. Moutte, S.D, Brudvik, C. and Morken, T. (2015). “Physicians’ use of pain scale and treatment procedures among children and youth in emergency primary care - a cross sectional study”. BMC Emergency Medicine, 6 (15), 33.
- 9. Burunsuz, E.G. ve Köse, S. (2020). “İntravenöz katater uygulamasında kullanılan kelebek desenli tespit malzemesinin çocukların emosyonel ve fizyolojik göstergelerine etkisi”. Online Turkish Journal of Health Sciences, 5 (4), 673-682.
- 10. He, H.G, Zhu, L, Chan, S.W.C, Liam, J.L.W, Li, H.C.W, Ko, S.S, Klainin-Yobas, P. and Wang, W. (2015). “Therapeutic play intervention on children's perioperative anxiety, negative emotional manifestation and postoperative pain: a randomized controlled trial”. Journal of Advanced Nursing, 71 (5), 1032-1043.
- 11. Cho, M.K. and Choi, M.Y. (2021). “Effect of distraction ıntervention for needle-related pain and distress in children: a systematic review and meta-analysis”. International Journal of Environmental Research and Public Health, 18 (17), 9159.
- 12. Uysal, N. and Yilmazer, T. (2021). “The effect of pain management training on the nurses’ knowledge and practices for pain”. International Journal of Caring Sciences, 14 (1), 581-588.
- 13. Şen Celasin, N, Dur, Ş, Ergin, D. and Karaarslan, D. (2020). “Knowledge, attitude and clinical decision-making abilities of pediatric nurses regarding pain management”. Clinical and Experimental Health Sciences, 10 (4), 416-422.
- 14. Mutlu, B. and Balcı, S. (2015). “Effects of balloon inflation and coughtrick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial”. Journal for Specialists in Pediatric Nursing, 20 (3), 178-186.
- 15. Pate, J.W, Noblet, T, Hush, J.M, Hancock, M.J, Sandells, R, Pounder, M. and Pacey, V. (2019). “Exploring the concept of pain of Australian children with and without pain: qualitative study.” BMJ Open, 9, e033199.
- 16. Krauss, B.S, Calligaris, L, Green, S.M. and Barbi, E. (2016). “Current concepts in management of pain in children in the emergency department”. Lancet, 387 (10013), 83-92.
- 17. Haraldstad, K, Christophersen, K. A, and Helseth, S. (2017). “Health-related quality of life and pain in children and adolescents: a school survey”. BMC Pediatrics, 17 (1), 174.
- 18. Semerci, R, Kocaaslan, E.N, Akgün Kostak, M. ve Akın, N. (2020). “Çocuklarda damar yolu açma işlemi sırasında oluşan ağrıyı azaltma: Buzzy uygulaması”. Agri, 32 (4), 177-185.
- 19. Pringle, J, Mellado, A.S.A.V, Haraldsdottir, E, Kelly, F. and Hockley, J. (2021). “Pain assessment and management in care homes: understanding the context through a scoping review”. BMC Geriatrics, 21, 431 (2021), 10.1186/s12877-021-02333-4.
- 20. Twycross, A, Dowden, S. and Stinson, J. (2014). Managing pain in children. 2nd edition. United Kingdom: Blackweel Publishing Ltd.
- 21. Matsuda-Castro, A.C. and Linhares, M.B.M. (2014). “Pain and distress in inpatient children according to child and mother perceptions”. Paidéia, 24 (59), 351-359.
- 22. Çalışır, H. ve Karataş, P. (2019). “Pediatri hemşireliğinde atravmatik bakım yaklaşımı: ağrı, stres ve anksiyeteyi azaltmada farmakolojik olmayan uygulamalar”. Koç Üniversitesi Hemşirelikte Eğitim ve Araştırma Dergisi,16 (3), 234-245.
- 23. Köse Tamer, L. and Sucu Dağ, G. (2020). “The assessment of pain and the quality of postoperative pain management in surgical patients”. Sage Open, 2020, 1-10.
- 24. Ebrahimpour, F, Pashaeypoor, S, Salisu, W.J, Cheraghi, M.A. and Hosseini, S.S. (2018). “Children’s description of pain through drawings and dialogs: A concept analysis”. Nursing Open, 6 (2), 10.1002/nop2.211.
- 25. Yan, Z, Pei, M. and Su, Y. (2017). “Children’s empathy and their perception and evaluation of facial pain expression: an eye tracking study”. Frontiers in Psychology, 8, 10.3389/fpsyg.2017.02284.
- 26. Guducu Tufekci, F, Kucukoglu, S, Aytekin, A, Polat, H. and Bakan, E. (2017). “A new distraction intervention to reduce venipuncture pain in schoolage children: different colored flashlights; an experimental study with control group”. International Journal of Caring Sciences, 10 (1), 354-365.
- 27. Yılmaz, G. and Küçük Alemdar, D. (2019). “A Retrospective evaluation of patients presenting to a pediatric emergency department with the complaint of pain”. Journal of Pediatric Emergency and Intensive Care Medicine, 6 (2), 79-84.
- 28. Hasanpour, M, Tootoonchi, M, Aein, F. and Yadegarfar, G. (2006). “The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children”. Acute Pain, 8 (1), 7-12.
- 29. Voepel-Lewis, T, Malviya, S. and Tait, A.R. (2017). “Inappropriate opioid dosing and prescribing for children: An unintended consequence of the clinical pain score?” JAMA Pediatrics, 171 (1), 5-6.
- 30. Kayıran, S.M. (2020). “Ateşli çocuğa yaklaşım”. Klinik Tıp Pediatri Dergisi, 12 (3), 154-157.
- 31. Ogoina, D. (2011). “Fever, fever patterns and diseases called ‘fever’ – A review”. Journal of Infection and Public Health, 4 (3), 108-124.
- 32. Hockenberry, J. (2013). Assessment of the child and family. In: WJ. Hockenbery (Ed.). Wong’s Essentials of Pediatric Nursing (86-140). USA, Elsevier Mosby.
- 33. Weissman, A, Zimmer, E.Z, Aranovitch, M. and Blazer, S. (2012). “Heart rate dynamics during acute pain in newborns”. Pflügers Archiv: European Journal of Physiology, 464 (6), 593-599.
- 34. Ranger, M, Johnston, C.C. and Rennick, J.E. (2013). “A multidimensional approach to pain assessment in critically ill infants during a painful procedure”. The Clinical Journal of Pain, 29 (7), 613-620.
There are 34 citations in total.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Original Article |
| Authors | |
| Publication Date | June 18, 2023 |
| Published in Issue | Year 2023 Volume: 12 Issue: 2 |
