Efficacy of Non-pharmacological Methods of Pain Management in Children Undergoing Venipuncture in a Pediatric Outpatient Clinic: A Randomized Controlled Trial of Audiovisual Distraction and External Cold and Vibration

Bergomi, Piera; Scudeller, Luigia; Pintaldi, Serena; Molin, Alberto Dal

doi:10.1016/j.pedn.2018.04.011

Cited by 85 publications

(80 citation statements)

References 44 publications

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“…In this study, the effects of massage therapy on changes in the physiological parameters induced by intravenous line insertion (including increased respiratory rate, heart rate, and blood pressure, and decreased arterial blood saturation) were investigated in children aged three to six years. The results indicated that the respiratory rate and heart rate of children in both experimental and control groups were significantly higher after IV insertion than before this administration, which is consistent with previous reports (6,7,22,23).…”

Section: Discussionsupporting

confidence: 91%

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The Effect of a Hand Massage on the Physiological Changes Induced by Intravenous Line Insertion in Children Aged Three to Six: A Clinical Trial

et al. 2019

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Background: The insertion of intravenous (IV) line is one of the most painful procedures in pediatric wards, which can lead to complications such as changes in the physiological parameters of the patient. Objectives: The purpose of this study was to determine the impact of a hand massage on controlling changes in the physiological parameters caused by inserting IV line in children. Methods: This clinical trial was conducted in the Surgery Ward of a teaching pediatric hospital in Tabriz between 2016 and 2017. A total of 70 qualified children were enrolled and randomly assigned to the experimental and control groups. The experimental group underwent massage therapy five minutes before venipuncture until it was completed. Physiological responses of both groups were measured and recorded before and immediately after the intervention. Eventually, the data were analyzed in SPSS version 24 using descriptive (mean and standard deviation) and analytical (independent and paired t-tests) statistics. Results: The results of statistical analysis revealed that the increase in heart rate in response to the pain caused by venipuncture is significantly lower in the massage group than in the control group (P = 0.001). Conclusions: A hand massage is an easy, inexpensive, and practical technique that could be administered along with other pharmaceutical or non-pharmaceutical methods to control physiological responses of pain due to IV line insertion in children.

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Section: Discussionsupporting

confidence: 91%

“…Although a wide range of skin stimuli such as vibration (22) have been deployed to control the pain of intravenous insertion in children, there are few studies concerning the effects of a massage on reducing physiological changes in this population group during this procedure.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Hand Massage on the Physiological Changes Induced by Intravenous Line Insertion in Children Aged Three to Six: A Clinical Trial

et al. 2019

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“…Hal ini disebabkan karena belum semua perawat yang bertugas di ruang neonatus mendapatkan informasi tentang manajemen nyeri. Perawat dituntut untuk memberikan asuhan keperawatan yang sesuai dengan pertumbuhan dan perkembangan bayi yaitu dengan asuhan perkembangan untuk meminimalisasi efek jangka panjang dan jangka pendek akibat pengalaman di rumah sakit terhadap ancaman fisik, psikologis dan emosional (7). Manajamen nyeri adalah salah satu komponen dari asuhan perkembangan pada bayi.…”

Section: Menurut the International Association For Theunclassified

Perilaku Perawat dalam Manajemen Nyeri Non Farmakologi pada Neonatus Pendekatan Theory of Planned Behavior (TPB)

Trihastutik

Berliana

Krisnana

et al. 2019

Pediomaternal Nurs. J.

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Introduction: Pain in the neonate may result in negative behavior, physiology and metabolic responses. This study aims to analyze the behavior of nurses in the implementation of non-pharmacological pain management in neonates who performed minor invasive action with the approach of Theory of Planned Behavior (TPB).Methods: This research was a descriptive study of analysis with research design cross sectional. The population of this study were nurses working in the neonatal ward and neonatal intensive care unit dr. Soetomo general Hospital Surabaya. Total sample of 55 respondents selected using simple random sampling. The independent variable was the background factor of age, education, knowledge, attitude, subjective norm, perceived behavior control (PBC) and intention. Dependent variable was nurse’s attitude. The data were obtained using questionnaires then analyzed using logistic regression with a degree of significance of 0.05.Results: Background factor age (p = 0.02) and knowledge (p = 0.004) correlated with attitude, education (p = 0.023) correlated with subjective norm, knowledge (p = 0.004) related to PBC, attitude (p = 0.010) and subjective norm (p = 0.006) relate to intention, and intention is related to behavior (p = 0.024).Conclusion: This study concludes that the management of behavior to be more directed to the factors that relate in shaping the behavior of knowledge, attitude, education, subjective norms, and intention.

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“…This is challenging for children with chronic illnesses and their families 2. Devices are available that aim to reduce pain through stimulation of nociceptors around the injection site to block the transmission of painful signals to the brain 3. ShotBlocker is a horseshoe-shaped flexible plastic device with projections on one side.…”

Section: Contextmentioning

confidence: 99%

Nociceptor-stimulating devices can help reduce pain, anxiety and fear in children requiring regular injections

Waite

Iness

2019

Evid Based Nurs

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Efficacy of Non-pharmacological Methods of Pain Management in Children Undergoing Venipuncture in a Pediatric Outpatient Clinic: A Randomized Controlled Trial of Audiovisual Distraction and External Cold and Vibration

Cited by 85 publications

References 44 publications

The Effect of a Hand Massage on the Physiological Changes Induced by Intravenous Line Insertion in Children Aged Three to Six: A Clinical Trial

The Effect of a Hand Massage on the Physiological Changes Induced by Intravenous Line Insertion in Children Aged Three to Six: A Clinical Trial

Perilaku Perawat dalam Manajemen Nyeri Non Farmakologi pada Neonatus Pendekatan Theory of Planned Behavior (TPB)

Nociceptor-stimulating devices can help reduce pain, anxiety and fear in children requiring regular injections

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