Effect of Doll Injection Display on Pain Intensity due to Intramuscular Injection in Preschool Children

Aims: Pains caused by the invasive actions such as intramuscular injection lead to the physical and mental tensions in the children. Therefore, such pains should be given relief. One of the main priorities in the nursing is to notice methods that reduce pains due to the invasive actions in the children. The aim of this study was to investigate the effects of injection displayed on a doll on the pain intensity due to the intramuscular injection in the preschool children. Materials & Methods: In the randomized controlled clinical trial, 62 kids aged between 4 and 6 years with pharyngitis were studied in the clinic of the health network of Khalil-abad Township in 2015. The intramuscular injection of penicillin 6.3.3 was administrated for the kids. The subjects, selected by simple lottery, were divided into two groups including experimental and control groups (n=31 per group). Data was collected using a demographic characteristic collecting form and Oucher standard pain assessment tool. In experimental group, the kid watching, one intramuscular injection was displayed on a doll by a nurse; then, the kid underwent an intramuscular injection. In control group, the routine injection method was done. Data was analyzed by SPSS 19 software using Mann-Whitney, independent T, and Chisquare tests. Findings: Mean pain intensity after injection in experimental group (3.22±0.90) was significantly lower than control group (4.19±0.83; p<0.001). Conclusion: The injection displayed on a doll before the intramuscular injection might lead to pain reduction in the preschool kids.

[1]  R. Shojaeian,et al.  The influence of the puppet Kolah Ghermezi on preoperative anxiety among hospitalized children with appendicitis in Dr Shaikh hospital of Mashhad , 2014 .

[2]  H. Hamid,et al.  THE IMPACT OF DISTRACTION TECHNIQUE ON REDUCING THE INFANT'S PAIN DUE TO IMMUNIZATION , 2011 .

[3]  R. M. Raberi,et al.  Effect of Distraction Techniques on Pain Intensity Catheter Insertion in Children with Strabismus , 2010 .

[4]  A. Alavi,et al.  PEDIATRIC PAIN MANAGEMENT BY NURSES IN EDUCATIONAL HOSPITALS OF SHAHREKORD IN 2006 , 2008 .

[5]  L. Chiang,et al.  Student nurses' knowledge, attitudes, and self-efficacy of children's pain management: evaluation of an education program in Taiwan. , 2006, Journal of pain and symptom management.

[6]  Ann Marie McCarthy,et al.  A conceptual model of factors influencing children's responses to a painful procedure when parents are distraction coaches. , 2006, Journal of pediatric nursing.

[7]  M. Hasanpour,et al.  The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children , 2006 .

[8]  L. Cohen,et al.  Distraction for Pediatric Immunization Pain: A Critical Review , 2005, Journal of Clinical Psychology in Medical Settings.

[9]  L. Cohen,et al.  A comparison of distraction strategies for venipuncture distress in children. , 2005, Journal of pediatric psychology.

[10]  J. Beyer,et al.  The alternate forms reliability of the Oucher pain scale. , 2005, Pain management nursing : official journal of the American Society of Pain Management Nurses.

[11]  P. Tanabe,et al.  The effect of standard care, ibuprofen, and distraction on pain relief and patient satisfaction in children with musculoskeletal trauma. , 2002, Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association.

[12]  K. Slifer,et al.  Distraction for Children of Different Ages Who Undergo Repeated Needle Sticks , 2002, Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses.

[13]  L Sparks,et al.  Taking the "ouch" out of injections for children. Using distraction to decrease pain. , 2001, MCN. The American journal of maternal child nursing.