Effectiveness of computer assisted diversional therapy on pain and behavioural responses during veni puncture procedures among preschool children attending opd in masonic hospital at Coimbatore

Elizabeth Charlien Vijaya, G (2012) Effectiveness of computer assisted diversional therapy on pain and behavioural responses during veni puncture procedures among preschool children attending opd in masonic hospital at Coimbatore. Masters thesis, Bishop’s College of Nursing, Dharapuram.

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Abstract

Children, especially younger ones, typically remember their past experiences during medical visits. This fear may be heightened when the child finds themselves in the same environment of a treatment room surrounded by unfamiliar people and facing a possibly painful experience. Loss of autonomy and control may cause the young child a great deal of anxiety. Computer assisted diversional therapy may help to reduce children pain and behavioral responses. This kind of diversion distracts the child during painful veni punctures, which modifies the pain and behavioral responses in preschool children. Study was done to assess the effectiveness of computer assisted diversional therapy on pain and behavioural responses during veni puncture procedures among preschool children attending OPD in Masonic hospital, Coimbatore The study was based on evaluative approach. The design used was quasi experimental non equivalent control group post test only design. The conceptual framework of the study was based on the Katherine Bernard Parent Child Interaction Model., purposive sampling technique was used to select 200 samples for the study,100 sample for experimental group and 100 samples for control group. The demographics variables wear collected in both experimental and control group. For the experimental group the children were given options to select known games or desired animations. the video or games were played with the use of laptop 5 minutes before the venipuncture procedure during the venipuncture procedure computer assisted diversional therapy was given for 5 minutes simultaneously the researcher assessed the pain using Wong Bakers face pain scale and behavioural responses using Observed Child Distress scale during the procedure, after the veni puncture also the computer assisted diversion was continues for further five minutes and total duration of diversion was for 15 minutes. For the control group standard hospital routine were carried out and both pain and behavioural responses were assessed using Wong bakers face pain scale and observed child distress scale. The data gathered were analysed employing descriptive and inferential statistics. The study results showed that the mean score and standard deviation of pain in experimental and control group was 14.78 (SD+4.72) and 18.82 (SD+5.13) respectively. The independent “t” test score of pain was (‘t’ value = 5.5) which was significant at the level of 0.05. The mean score and standard deviation of behavioural response in experimental and control group was 4.28(SD+1.67) 5.69(SD+2.09) respectively, the independent “t” test score of behavioural responses was (“t” value =5.25) which was significant at the level of 0.05 The study findings revealed that diversional therapy during veni puncture may reduce the pain and behaviour responses among preschool children.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Computer Assisted Diversional Therapy; Pain; Behavioural Responses; Veni Puncture Procedures; Coimbatore
Subjects: NURSING > Paediatric Nursing
Depositing User: Ramakrishnan J
Date Deposited: 03 Oct 2017 09:25
Last Modified: 03 Oct 2017 09:25
URI: http://repository-tnmgrmu.ac.in/id/eprint/3610

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