Premalatha, T (2014) Effectiveness of tegaderm Versus dynaplaster upon pain perception and occurence of infection during removal among children. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
A Comparative Study to assess the Effectiveness of Tegaderm Versus Dynaplaster upon Pain Perception and Occurrence of Infection during Removal among Children at Selected Hospitals, Chennai. OBJECTIVES: 1. To assess the level of pain perception and occurrence of infection during removal of tegaderm versus dynaplaster among children. 2. To compare the effectiveness of tegaderm versus dynaplaster upon pain perception and occurrence of infection among children. 3. To determine the effectiveness of tegaderm versus dynaplaster among children. 4. To determine the association between selected demographic variables and pain perception during removal of tegaderm versus dynaplaster among children. 5. To determine the association between selected clinical variables and pain perception during removal of tegaderm versus dynaplaster among children. 6. To determine the association between selected demographic variables and occurrence of infection during presence of tegaderm versus dynaplaster among children. 7. To determine the association between selected clinical variables and occurrence of infection during presence of tegaderm versus dynaplaster among children. 8. To determine the association between selected demographic variables and effectiveness of tegaderm versus dynaplaster among children. 9. To determine the association between selected clinical variables and effectiveness of tegaderm versus dynaplaster among children. 10. To assess the level of satisfaction of nurses using tegaderm and dynaplaster. The conceptual framework for the study was based on king’s Goal Attainment Theory. A comparative study with Post-test only design was used. The study was conducted at Apollo Children Hospitals, Chennai. The study included 60 children who were selected by purposive sampling 30 were in the intervention group I and 30 were in the intervention group II. The variables of the study were pain perception and prevalence of infection. An extensive review of literature and guidance by experts laid the foundation of development of demographic variable proforma, clinical variable proforma, effectiveness checklist, infection check list, wong baker’s pain scale and rating scale on level of satisfaction of nurses. The data collection tools were validated and reliability was established. The main study was conducted after the pilot study. The level of pain perception and prevalence of infection and effectiveness was assessed for tegaderm versus dynaplaster of children. The level of satisfaction of nurses was assessed among both the groups. The data obtained was analysed using descriptive and inferential statistics. MAJOR FINDINGS: 1. Most of the children were aged 1-3yrs (50%, 26%) Significant percentage of children were males (50%, 60%), from nuclear family (53%, 33%) with a family monthly income of 20000-30000 (40%, 30%) and majority of the children were in primary school (47%,67%) in both tegaderm & dynaplaster group of children respectively. 2. Majority of the children with tegaderm and dynaplaster had no co morbid illness (97%, 93%), significant percentage of children had orthopaedic and surgical problems (63.3%, 83.3%), most of the children received medications (57%, 27%) through peripheral line (80%,93%) placed in Bracheo cephalic vein (80%,93%). Most of the children were intravenous line dependent for more than three days (47%, 63%) and which was secured with tegaderm and dynaplaster (47%, 83.3%). Sixty percent of children with dynaplaster had complications. 3. It was noted that majority of children with tegaderm experienced no pain and had no infection during removal (63.3%,80%) and majority of children with dynaplaster experienced severe pain and had infection during removal (75%,43%). 4. It was noted that majority of the children using tegaderm had effective out come (90%) and (27%) had effective out come with dynaplaster. 5. Mean and standard deviation with regard to pain perception of children while removing tegaderm was (M-1.06,SD-0.9) and while removing dynaplaster was (M-8.4,SD-2.46).The difference was significant at p<0.001level. The findings also revealed that the occurrence of infection in children while removing tegaderm was (M-0.2, SD-0.1) and while removing dynaplaster was (M-1, SD-0.4).The difference was significant at p<0.001 level. Hence null hypothesis H01 was rejected. 6. The mean and standard deviation with regard to effectiveness of tegaderm was (M-26, SD-6.1) and dynaplaster group of children was (M-17, SD-2.6). The difference was significant at p<0.001 level. Hence the null hypothesis H02 was rejected. 7. There was significant association between selected demographic variables and pain perception with regard to monthly income ( χ2 =12.1df = 1) among children with tegaderm and in children with dynaplaster age of child (χ2=5.25df =1),type of family(χ2=3.9,df =1) at p<0.001 p<0.05. Hence the null hypothesis H0 3was rejected. 8. There was significant association between selected clinical variables and pain perception in children on tegaderm with regard to diagnosis ( χ2 =4.3df = 1)and in children with dynaplaster with regard to dynaplaster insitu (χ2=4.78df =1), site of intravenous line insertion, (χ2=4.5df =1) at p<0.05.Hence the null hypothesis H04 was rejected. 9. There was significant association between selected demographic variables and presence of infection among children with tegaderm in regard to area of residence, (χ2 =4.39df =1) and in children with dynaplaster with regard to type of family (χ2=4.7df =1) at p<0.05 dynaplaster. Hence the null hypothesis H05 was rejected. 10. There was significant association between selected clinical variables and presence of infection among children with tegaderm and dynaplaster with regard to number of days of intravenous line insitu, (χ2 =4.39df = 1) at p<0.05. Hence the null hypothesis H06 was rejected. 11. There was significant association between selected demographic variables and effectiveness of tegaderm with regard to age, (χ2 =5.0df = 1) and dynaplaster with regard to type of family (χ2=4.78,df =1) at p<0.05. Hence the null Hypothesis H07 was rejected. 12. There was significant association between selected clinical variables and effectiveness of tegaderm with regard to diagnosis, ( χ2 =4.2,df = 1) and dynaplaster with regard to indications for intravenous line ( χ2 =5.37,df = 1) at p<0.05. Hence the null hypothesis H08 was rejected. 13. The findings revealed that most of the tegaderm group of nurses were highly satisfied with tegaderm (90%), whereas (73%) of nursed using dynaplaster were moderately satisfied (73%). RECOMMENDATIONS: 1. A study can be conducted on cost effectiveness of tegaderm versus dynaplaster. 2. A similar study can be done on umbilical vein securing in preterm babies. 3. A similar study can be done on a larger population to generalize results. 4. A study can be conducted to assess the occurrence of infection tegaderm pads used for surgical dressing among post operative children. 5. Similar study can be done on Endo tracheal tube intubation securing in preterm, term, neonates and children.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness ; tegaderm ; dynaplaster ; pain perception ; occurence ; infection ; removal ; children. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 23 Jun 2017 10:54 |
| Last Modified: | 22 Dec 2018 13:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/349 |
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