A Comparison of Distraction Techniques (Bubble and Cartoon) On Reducing Chemotherapy induced pain in children with Cancer

Abstract

Introduction:: The purpose of the present study was to compare the influence of the two techniques of distraction through watching a cartoon and bubble manufacturing /producing on chemotherapy pain reduction in children suffering from cancer. Method: The method of the study was pretest and post test experimentation with the control group. The study population included all children with cancer hospitalized in Buali hospital in Ardabil. The subjects were selected through convenience sampling method and were randomly placed in three groups (16 in distraction group watching a cartoon, 16 in bubble manufacturing and 16 in the control group).To collect the data, the Oucher pain tools and fur the more, to create distraction a bubble manufacturing tool and a cartoon CD were used. To analyze the research hypotheses, ANOVA was applied. Results: Toki test results show that the average score of pain " making bubbles from the group watching cartoons," and mean scores of "both experimental groups in witness group" was significantly higher (p<0/05). These results mean that watching cartoons and making bubbles help to reduce the pain that felt by children during chemotherapy. Also results show that the method of making bubbles rather than watching cartoons method has helped to reduce pain in children during chemotherapy (p<0/01). Conclusion: Generally the results showed that the distraction includes none pharmacologic interventions are effective in pain relief. In addition this method has the little or even no complications than medicinal methods, and also has low cost. This method has no physical and psychological devastating effects for children, has easy application, requires less training and does not need a lot of time to execute for kids and more importantly is that this method is attractive to children and by using this children will have less perceived of pain. Finally the findings of this study suggest that the possibility of using distraction methods as effective non-Pharmaceutical treatments in different parts of the hospital will help to reduce pain.

Effect of Distraction Therapy on Physiological Indices and Pain Intensity Caused by Intra-Spinal Injection of Chemotherapy Drugs in Cancerous Children: A Clinical Trial

“…The intra-spinal injection of chemotherapy drugs is associated with pain in children with cancer, and various studies have depicted that distraction therapy is effective in reducing pain (10,16,17). Mitigating anxiety and pain, distraction allows patients to have deeper breathing; this, in turn, can enhance SaO 2 (18).…”

“…The mean pain intensity was significantly lower in the intervention group than in the control group. In a study on 48 cancerous children admitted to Bouali Hospital in Ardabil (Iran), Mikaeili et al (17) inferred that the mean pain score was significantly lower in the bubble-making group than in the group watching the cartoon; moreover, the mean pain score was significantly higher in the control group than in the two intervention groups. These results demonstrate that distraction techniques (cartoon watching and bubble making) help relieve children's pain during chemotherapy.…”

A Comparison of the Effect of Visual and Auditory Distractions on Physiological Indicators and Pain of Burn Dressing Change Among 6–12-Year-Oldchildren: A Clinical Trial Study

“…Therefore, the method of visual distraction using video games reduced the pain of burn dressing change in children aged 3-6 years (Kaheni et al, 2016). Mikaeili et al (2019) studied the effect of watching cartoons and making bubbles in reducing pain caused by chemotherapy in all children with cancer. They found that there was a statistically significant difference in the mean pain intensity between the bubble-making and cartoon-watching groups and between both test groups and the control group.…”

“…The results also show that the method of making bubbles more than watching cartoons helps reduce children's pain during chemotherapy. The researchers concluded that the distraction method is one of the nonpharmacological interventions effectifve in re; eving pain (Mikaeili et al, 2019). Hua et al (2015) examined the effect of distraction with the help of virtual reality on reducing pain during dressing in children with chronic lower limb ulcers.…”

“…Yoo et al found that distraction through animation reduced behavioral responses to pain caused by intravenous catheterization, and consequently, cortisol levels, and blood glucose in the test group (Yoo et al, 2011). SamadiFard et al showed that the pain intensity caused by chemotherapy in children with cancer decreased by watching cartoons and making bubbles (Mikaeili et al, 2019).…”