BackgroundThis study was conducted to evaluate the pain perceptions of newborns during the hepatitis B (HBV) vaccinations performed in the facilitated tucking position and the classical holding position, respectively.MethodsThe randomized controlled experimental study was conducted between 1 September 2014 and 30 December 2014 at the neonatal intensive care unit of a Turkish university hospital. One group of infants was held in the facilitated tucking position (the treatment group; n = 30) during HBV vaccination; infants in the other group were held in the classical holding position (the control group; n = 30) during HBV vaccination. The Neonatal Infant Pain Scale (NIPS) scores of the infants in the treatment and control groups were compared during procedure. Also, the infants’ physiological parameters were compared before, during, and after the procedure. Descriptive statistics, a chi-square test, and an independent samples t-test were used to assess the data.ResultsThe mean pain scores of infants vaccinated in the facilitated tucking position (2.83 ± 1.18) were significantly statistically lower than the scores of infants vaccinated in the classical holding position (6.47 ± 1.07) (p < 0.05).ConclusionsThe pain perceptions of newborns held in the facilitated tucking position during HBV vaccination were lower. The facilitated tucking position, a non-pharmacological method, is recommended as an effective and useful method for reducing pain during the procedure.
ÖZET Amaç: Bu araştırma, 0-6 yaş grubu çocukların yaşadığı ev kazalarının incelenmesi amacıyla yapıldı. Gereç ve Yöntemler:Tanımlayıcı olarak yapılan bu araştırma, Çanakkale ilinde bir okul öncesi kurumda, 04-29 Nisan 2011 tarihleri arasında yapıldı. Araştırmanın evrenini, bu okul öncesi kuruma kayıtlı olan 0-6 yaş grubundaki 267 çocuğun annesi oluşturdu. Örneklem grubu seçimine gidilmeden evrenin tamamı ile çalışıldı. Ancak, araştırmaya katılmayı kabul etmeyen ya da ulaşılamayan 80 anne çalışmaya dahil edilmedi. Araştırma 187 anne ile tamamlandı. Verilerin toplanmasında bir soru formu kullanıldı. Araştırmanın yapılabilmesi için annelerden sözel izin ve ilgili kurumdan yazılı izin alındı. Veriler, bilgisayar ortamında sayı, yüzdelik dağılım, ortalama ve ki-kare testi ile değerlendirildi. Bulgular: Annelerin %52.4'ünün çocuğunun son bir yılda en az bir kez ev kazası geçirdiği ve çocukların %45.9'unun düşme şeklinde ev kazası yaşadığı belirlendi. Annelerin çalışma durumu ve ev kazalarıyla ilgili eğitim alma durumlarının çocukların ev kazası geçirme durumlarını etkilediği saptandı (p<0.05). Annelerin %56.1'i ev kazasının nedenini "ihmal-dikkatsizlik" olarak belirtti ve %47.7'si koruyucu önlemlerle ev kazalarının önlenebileceğini bildirdi. Sonuç: Çalışmada yaklaşık iki çocuktan birinin son bir yıl içinde en az bir kez ev kazası geçirdiği ve çocukların en fazla düşme şeklinde ev kazasına maruz kaldığı bulundu. Annelere/ailelere bu yaş grubu çocukların gelişimsel özellikleri, ev kazalarıyla ilgili risk faktörleri, güvenlik önlemleri ve ilkyardım uygulamaları konusunda eğitim verilmesi önerilmektedir. Anahtar Kelimeler: Anne, ev kazaları, hemşirelik, ilkyardım, 0-6 yaş çocuk.ABSTRACT Aims: This study was conducted to investigate the home accidents experienced by children aged 0-6 years. Materials and Methods: This descriptive study was conducted in a pre-school institution in the Province of Canakkale, Turkey, in between April 4 and April 29, 2011. The study population consisted of 267 mothers of children aged 0-6 years registered in a pre-school institution. The whole study population was studied without selecting any sample group. However, 80 mothers who either couldn't be reached or have not agreed to participate in the research were not included in the study. The study was completed by 187 mothers. A questionnaire was used for data collection. Verbal consent of mothers and written permission from the relevant institutions were obtained to conduct the research. The data were evaluated using percentage distribution, mean and chi-square test in a computer environment. Results: It was found that children of 52.4% of mothers had at least one home accident in the last year, and 45.9% of the home accidents was falls. The employment status and knowledge of mothers on home accidents were found to be effective on home accidents experienced by children (p<0.05). Of the mothers, 56.1% stated that the "negligence-carelessness" is the cause of home accidents, and 47.7% stated that the home accidents can be prevented by protectiv...
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