Minu, Abraham (2014) Effectiveness of oral sucrose solution upon pain perception among infants undergoing IV cannulation. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study to Assess the Effectiveness of Oral Sucrose Solution upon Pain Perception among Infants undergoing IV Cannulation at Selected Hospitals, Chennai. OBJECTIVES: 1. To determine the extent of pain perceived by the control and experimental group of infants during IV cannulation. 2. To determine the effectiveness of oral sucrose solution upon pain perception of experimental group of infants during IV cannulation. 3. To determine the association between selected demographic variables and pain perception of control and experimental group of infants during IV cannulation. 4. To determine the association between selected clinical variables and pain perception of control and experimental group of infants during IV cannulation. 5. To determine the level of satisfaction of nurses in experimental group of infants during IV cannulation. The conceptual framework for the study was based on “Katharine Kolcaba theory of holistic comfort (1994)” given by “Katharine Kolcaba” which was modified for the present study. A true experimental post test only design was used in this study. The present study was conducted in Apollo Children‟s Hospital, Chennai. A sample size of 60 children who met the inclusion criteria were chosen for this study of which 30 were taken for the control group and 30 for the experimental group using simple random sampling. The study variables were pain perception of the infants and oral sucrose solution. An extensive review of literature and guidance by experts formed the foundation to the development of Demographic variables proforma, Clinical variables proforma, Riley‟s Infant Pain Scale and Rating Scale on the level of satisfaction about oral sucrose administration before IV cannulation. The data collection tools were validated and the reliability was established through test-retest method. After the pilot study, the data for the main study was collected by interviewing the parents, nurses and by self observation. The researcher collected the demographic variables and clinical variables by interviewing the parents and by the help of medical records. The infants in the control group were assessed using a Riley Infant Pain Scale for pain perception during IV cannulation without any intervention. In the experimental group, oral sucrose solution was given 1ml before IV cannulation and post assessment of pain was done immediately by using Riley Infant Pain Scale. After the intervention IV cannulation was started and post assessment of pain was done by using Riley’s Infant Pain Scale (RIPS). The level of satisfaction of nurse‟s regarding oral sucrose solution administration during IV cannulation was assesses using a rating scale. The data analysis was carried out by descriptive statistics and inferential statistics. MAJOR FINDINGS: 1. Majority of the infants were aged 4-6 months (70%, 70%), males (63.33%, 63.33%), with a birth weight of 2.5- 3.5 kgs (93.33%, 73.33%) in both control and experimental group respectively. 2. Significant percentage of infants were from nuclear family (83.33%, 83.33%), residing in suburban area (50%, 33.33%) their parents were graduates (70%, 66.66%), salaried (63.33%, 46.66%), with a family income of <30,000 rupees (46.66%, 43.33%) in both control and experimental group respectively. 3. Most of the infants had genitourinary disorders (30%, 16.66%). The type of the needle used for IV cannulation was venflon (63.33%, 73.33%). Majority of infants had IV cannulation for injection purpose (53.33%, 46.66%) and IV cannulation was performed by nurses (96.66%, 96.66%) in both control and experimental group respectively. 4. Significant percentage of infants had no previous experience of IV cannulation (60%, 43.33%) and care providers were not present during the procedure most of the IV cannulations (83.33%, 86.66%) in both control and experimental group respectively. 5. Majority of the infants in control group had severe pain (53.33%) where as in experimental group (50%) had mild pain. Hence the null hypothesis. Hence, the null hypothesis HO1 was rejected. 6. The mean and standard deviation of pain score was (M=11.6, SD= 3.77) in control group of infants who received sucrose before IV cannulation when compared to the experimental group of infants (M=5.6, SD=12.44). The difference was statistically significant at *** p<0.001, the„t‟ value was 21.3.Hence the null hypothesis Hence, the null hypothesis HO2 was rejected. 7. There was a significant association between the selected demographic variables like age of the infant, and pain perception of the children at *** p<0.001 in experimental group had no significant association between other demographic variable like gender, birth weight, type of family and pain perception in experimental group during IV cannulation. Hence, the null hypothesis H03 was partially rejected with regard to the age of the infant in experimental group of infants and retained with regard to other demographic variables in control and experimental group of infants. 8. There was no significant association between clinical variables like disease condition, type of needle used, size of cannula, presence of care provider during procedure and pain perception at **p<0.01 in control group. Hence, the null hypothesis H04 was partially rejected with presence of care provider during procedure in the infants in experimental group and completely retained with regard to other clinical variables in control and experimental group of infants. 9. Majority of the nurses (90%) were highly satisfied. It indicates that the nurses were also under stress and anxious regarding painful experience of infant during the IV cannulation or any other invasive procedure. RECOMMENDATIONS: 1. The study can be conducted on larger sample to generalize the results. 2. The study can be conducted in different settings. 3. The same study can be conducted for pain management during other invasive procedure like intra muscular injection, lumbar puncture etc. 4. A comparative study can be conducted to evaluate the effectiveness of various other interventions to reduce pain. 5. The study can be conducted among children of different age groups. 6. The study could be conducted to assess the knowledge and attitude of nurses on pharmacological and non pharmacological pain management during IV cannulation 7. A study can be done to compare the effectiveness of oral sucrose solution with different dosage and time duration.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness ; oral sucrose solution ; pain perception ; infants ; IV cannulation. |
| Subjects: | NURSING > Community Health Nursing |
| Depositing User: | Ramakrishnan J |
| Date Deposited: | 24 Jan 2018 10:21 |
| Last Modified: | 22 Dec 2018 12:29 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/5551 |
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