A Study to assess the effectiveness of different pain management program during surgical dressing among preschool children at Pediatric Tertiary Care Hospital, Chennai

Priyadarshini, M (2020) A Study to assess the effectiveness of different pain management program during surgical dressing among preschool children at Pediatric Tertiary Care Hospital, Chennai. Masters thesis, College of Nursing, Madras Medical College, Chennai.

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Abstract

Every child has an individual perception of pain, a neurologic response to tissue injury. Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage., Children feel much of the acute pain associated with medical conditions and procedures can be prevented or greatly relieved by effective pain management, which is every child’s right. Experiencing pain during change of dressing can raise a child’ anxiety levels in subsequent change of dressings. In addition to the psychological effects, stress and pain can actually impair the healing process, resulting in delayed healing times and greater costs. TITLE A Study to assess the effectiveness of different pain management program during surgical dressing among preschool children at Pediatric Tertiary Care Hospital, Chennai. OBJECTIVES: 1. To assess the pre test level of pain during surgical dressing among children in experimental group and control group. 2. To evaluate the effectiveness of different pain management program during surgical dressing among children in experimental group and control group. 3. To compare the pretest and posttest level of pain during surgical dressing among children in experimental group and control group. 4. To associate the post test level of pain during surgical dressing among children and their selected demographic variables. METHODOLOGY: The study was conducted with 60 samples (children undergoing surgical dressing) in quantitative approach. Non randomized control trial design was selected; sample selection was done by purposive sampling technique and grouped into experimental and control group. Pre test level of pain was assessed by Wong bakers pain scale during dressing in both experimental and control group. After the pre-test, intervention was provided to the children in experimental group and routine care was given to children in control group during dressing and post test level of pain assessed after the intervention by same pain scale in both experimental group and control group. RESULTS The finding of the study revealed that, Out of 60 samples, in experimental group the ‘t’ value is 10.41 at the level of p=0.001, whereas in control group the ‘t’ value is 1.87 at the level of p=0.001 by using student t test, this difference is large, hence it is statistically significant. In experimental group of children, reduction of pain was about 43.30% after having intervention, whereas in control group of children, reduction of pain was about, 6.70% after having routine care (95% CI). Therefore it is inferred that different pain management program helps in reducing pain during surgical dressing in children as distracter. CONCLUSION: The result of study shows that different pain management program was effective in reducing pain among preschool children undergoing surgical dressing.

Item Type: Thesis (Masters)
Additional Information: 301816252
Uncontrolled Keywords: Effectiveness, different pain management program, surgical dressing, preschool children, Pediatric Tertiary Care Hospital, Chennai.
Subjects: NURSING > Paediatric Nursing
Depositing User: Subramani R
Date Deposited: 02 Dec 2021 17:07
Last Modified: 02 Mar 2022 04:36
URI: http://repository-tnmgrmu.ac.in/id/eprint/18775

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