Subramani, G (2011) A study to compare the effectiveness of distraction techniques upon pain among children (1-2 years) receiving immunization at pediatric outpatient department in Government Rajaji Hospital, Madurai. Masters thesis, College of Nursing, Madurai Medical College, Madurai.
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Abstract
The research project entitled “A study to compare the effectiveness of distraction techniques upon pain among children (1-2 years) receiving immunization at paediatric out patient department in Government Rajaji Hospital, Madurai. The study was done in partial fulfillment of the requirement for the Degree of Master of Nursing, at college of Nursing, Madurai Medical College, Madurai affiliated to the Tamil Nadu Dr.M.G.R. Medical University, Chennai during the year 2009-2011. OBJECTIVES: 1. To Assess the level of pain among children receiving immunization in Group I, Group II & Group III. 2. To Evaluate the effectiveness of distraction techniques among children receiving immunization in Group I & Group III, Group II & Group III. 3. To Compare the effectiveness of distraction techniques among children receiving immunization in Group I & Group II. 4. To Associate the level of pain among children receiving immunization in Group I, Group II and their selected demographic variables. HYPOTHESES: H1: There will be a significant difference in the level of pain among children, receiving immunization in Group I and Group II. H2: There will be a significant difference in the level of pain among children receiving immunization in Group I and Group III. H3: There will be a significant difference in the level of pain among children receiving immunization in Group II and Group III. H4: There will be a significant association between the level of pain among children in Group I and Group II and their demo graphic variables. The conceptual frame work of this study is based on Roy’s adaptation theory. The study made use of the evaluative approach and a quasi-experimental post-test only with control group design was used to evaluate the effectiveness of two distraction techniques on pain. Purposive sampling technique was used to select the samples and the samples consisted of 90 children, 30 each in Experimental Group-I (Distraction with toy), Experimental Group-II (Distraction with music) and the control Group- III. The study was conducted at Government Rajaji Hospital, Madurai. The tool used for this study consists of demographic data, FLACC behavior pain assessment scale and WONG-BAKER faces pain rating scale. METHODOLOGY: A quasi experimental study design was used to evaluate the effectiveness of distraction techniques upon pain among children (1-2Years) receiving immunization at Government Rajaji Hospital, Madurai. The tool used for this study consists of demographic data, FLACC behavior pain assessment scale and WONG-BAKER faces pain rating scale. The populations of this study were 90 children, 30 each in Experimental group-I (Distraction with toy), Experimental group-II (Distraction with music) and the control group- III in the age group of 1–2 years attending immunization clinic. Samples for the study were selected through purposive sampling technique. The data were analyzed using descriptive and inferential statistics. The conceptual frame work of this study was based on Roy’s adaptation theory. RESULTS: The findings of the present study revealed that the computed ‘t’ value between experimental group-I (Distraction with toy) and experimental Group-II (Distraction with music) was significant (t=3.34 P=0.05* df=58). The mean pain score is 10.63 in Group-I (Distraction with toy) and children are having 12.77 pain score in Group II (Distraction with music). The difference is 0.4. Statistical significance difference in Group-I (play therapy) and Group-II (music therapy) was analyzed using student independent t-test. It was significant at 5% level. The mean pain Score in Group-I is lesser than Group-II which indicates play therapy is an effective distraction technique than music therapy. CONCLUSION: Pain is an unpleasant experience and the fifth vital sign which need to be assessed and managed appropriately. Treating the pain is essential with the help of non- pharmacological technique such as distraction which is has the property of analgesic effect for the toddlers who are receiving immunization injection or other invasive procedure. Nurses have to reduce the pain by using different distraction techniques during painful procedure for children as a pre procedural intervention.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness, distraction techniques, pain, children (1-2 years), immunization, pediatric outpatient department, Government Rajaji Hospital, Madurai. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Aug 2020 05:45 |
| Last Modified: | 22 Aug 2020 05:45 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12915 |
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