Meera, Jose (2014) Effectiveness of virtual presentation of venepuncture upon the coping level of pain among children undergoing venepuncture. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
An Experimental Study to Assess the Effectiveness of Virtual Presentation of Venepuncture upon the Coping Level of Pain among Children Undergoing Venepuncture in Selected Hospitals, Chennai. OBJECTIVES: 1. To determine the coping level of pain by control and experimental group of children undergoing venepuncture. 2. To determine the effectiveness of virtual presentation of venepuncture by comparing the coping level of pain in control and experimental group of children undergoing venepuncture. 3. To determine the association between selected demographic variables and the coping level of pain in experimental and control group of children undergoing venepuncture. 4. To determine the association between selected clinical variables and the coping level of pain in experimental and control group of children undergoing venepuncture. 5. To determine the level of satisfaction among the experimental group of children undergoing venepuncture. The conceptual framework for the study was developed on the basis of Roy’s adaptation model, which was modified for the present study. A 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 through systematic random sampling. The study variables were the coping level of pain among children undergoing venepuncture and virtual presentation of venepuncture. An extensive review of literature and guidance by experts laid the foundation to the development of the tools for the study. The investigator used Demographic variables proforma, Clinical variables proforma, Wong Baker FACES Pain Rating Scale and Rating Scale on the level of satisfaction about virtual presentation of venepuncture to assess the outcome during venepuncture. The data collection tools were validated and the reliability was established. After the pilot study, the data for the main study was collected using interview method. The children in the control group were assessed for coping level of pain using Wong Baker FACES Pain Rating Scale without any intervention. In experimental group, virtual presentation of venepuncture, it includes procedure room set up as well as the health personnel and each steps of venepuncture that a child should undergo was shown to each child for a period of 5 minutes before the procedure. Adequate explanations were provided and doubts of children and their parents were clarified. At the end of this period, venepuncture was performed and assessment of coping level of pain was done during and immediately for 1 minute by Wong-Baker FACES Pain Rating Scale. The level of satisfaction of experimental group of children regarding virtual presentation of venepuncture was assessed using satisfaction rating scale. MAJOR FINDINGS: 1. Majority of the children in the control and experimental group were from nuclear family (90%, 86.7%), living in urban area (66.7%, 50%) belonging to Hindu religion (60%, 50%) with a family income of 10,001-15,000 (50%, 50%). Fifty seven percent of children in control group were males. Significant percentages of children in the control group (33.3%) were 14.1-16yrs old and sixty percentages were undergoing secondary education. In experimental group (40%) were 8-10yrs old undergoing primary education (56.7%). 2. Significant percentage of children in control and experimental group had previous history of hospitalization (60%, 50%), most of them had not received details of venepuncture (60%, 66.7%). Majority of the children had not undergone venepuncture previously (90%, 76.7%) and none of them had previous experience of watching videos of venepuncture (100%, 100%) in control and experimental group respectively. 3. Most of the children in control and experimental group used to express their fear with parents (73.3%, 83.3%) and part of them in control group (50%) ventilated their fears to mother, where as in the experimental group (50%) of the children ventilated to their father. 4. Majority of children in the control group (63.3%) had severe pain during venepuncture; where as in experimental group (40%) had mild pain. 5. The mean and standard deviation of the coping level of pain in control group was Mean=7.4, SD=1.78 and in experimental group Mean=2.3, SD=1.86 respectively. The „t‟ value of 10.66 is highly significant at P< 0.001 level of significance. Hence, the null hypothesis H01 was rejected. 6. Majority of the children were highly satisfied (90%) with virtual presentation of venepuncture. This showed that virtual presentation of venepuncture is highly effective and it enables children to cope with pain during venepuncture. 7. There was a significant association between the selected demographic variable of age of the children (p< 0.05) and coping level of pain in control group, but there was no significant association between other demographic variable and the coping level of pain in control and experimental group. Hence the null hypothesis H02 was partially rejected with regard to age of the children and coping level of pain in control group. 8. It was inferred that there was no significant association between any clinical variables and the coping level of pain in both control and experimental group of children undergoing venepuncture. So null hypothesis H03 was retained. 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 study can be conducted to assess the coping level of pain during other invasive procedures. 4. A comparative study can be conducted to evaluate the effectiveness of various other interventions to reduce pain.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness ; virtual presentation ; venepuncture ; coping level ; pain ; children ; undergoing ; venepuncture. |
| Subjects: | NURSING > Paediatric Nursing |
| Depositing User: | Punitha K |
| Date Deposited: | 13 Jun 2018 02:32 |
| Last Modified: | 22 Dec 2018 11:08 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/8447 |
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