The Effect of Video Game Play Technique on Pain of Venipuncture in Children

Background The present study was designed and conducted to determine the effect of video game play on pain of venipuncture in 3-6 year-old children. Materials and Methods This randomized controlled trial study was conducted on 80 hospitalized children with pain of venipuncture procedures. Playing a video computer game for children during the venipuncture procedures was the intervention for the interventional group. Also the intensity of pain was measured by behavioral pain scale for children (FLACC scale) during the procedure. This scale was completed for patients without any intervention in the control group during venipuncture procedures. Results Pain intensity mean in the interventional group (2.65 ± 1.577) had significant changes in comparison with the control group (7.95 ± 1.084) (P<0.05). 70% of children in the control group experienced severe pain due to venipuncture procedures, but most children in the intervention group (77.5%) had a little pain. Conclusion According to the results, it seems that video game play intervention has a significant positive effect on the pain of venipuncture procedures in children. Further studies are recommended for the development of this technique in health care centers.

[1]  A. Taddio,et al.  Psychological interventions for needle-related procedural pain and distress in children and adolescents. , 2015, Paediatrics & child health.

[2]  Y. Gidron,et al.  Effects of active distraction on pain of children undergoing venipuncture: Who benefits from it? , 2003 .

[3]  J. Zaff,et al.  Comparative study of distraction versus topical anesthesia for pediatric pain management during immunizations. , 1999, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[4]  M. Mohseni-Bandpei,et al.  The effect of Benson Relaxation Technique on rheumatoid arthritis patients: extended report. , 2006, International journal of nursing practice.

[5]  M. Landolt,et al.  Does cartoon movie distraction decrease burned children's pain behavior? , 2002, Journal of Burn Care and Rehabilitation.

[6]  J. Yazdani,et al.  Comparison of Ice Packs Application and Relaxation Therapy in Pain Reduction during Chest Tube Removal Following Cardiac Surgery , 2014, North American journal of medical sciences.

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

[8]  P. Warschburger,et al.  Evaluation of a Cognitive–Behavioral Pain Management Program for Children with Chronic Abdominal Pain: A Randomized Controlled Study , 2013, International Journal of Behavioral Medicine.

[9]  J. Charati,et al.  The effects of lavender aromatherapy on pain following needle insertion into a fistula in hemodialysis patients. , 2014, Complementary therapies in clinical practice.

[10]  A. Khalilian,et al.  The Effects of Foot Reflexology Massage on Pain and Fatigue of Patients After Coronary Artery Bypass Graft , 2012 .

[11]  Hana Yoo,et al.  The effects of an animation distraction intervention on pain response of preschool children during venipuncture. , 2011, Applied nursing research : ANR.

[12]  Wolzt,et al.  World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. , 2003, The Journal of the American College of Dentists.

[13]  David B. Wilson,et al.  Wong's nursing care of infants and children , 2003 .

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

[15]  C. Kleiber,et al.  Effects of distraction on children's pain and distress during medical procedures: a meta-analysis. , 1999, Nursing research.

[16]  C. Vincent Nurses' Perceptions of Children's Pain: A Pilot Study of Cognitive Representations , 2007 .

[17]  B. Rice,et al.  Safety in the pediatric ICU: the key to quality outcomes. , 2005, Critical care nursing clinics of North America.

[18]  Jing-Long Huang,et al.  Effect of relaxation-breathing training on anxiety and asthma signs/symptoms of children with moderate-to-severe asthma: a randomized controlled trial. , 2009, International journal of nursing studies.

[19]  H. Rubin,et al.  Distraction therapy with nature sights and sounds reduces pain during flexible bronchoscopy: a complementary approach to routine analgesia. , 2003, Chest.

[20]  M. Migdał,et al.  Rapid, Needle-Free Delivery of Lidocaine for Reducing the Pain of Venipuncture Among Pediatric Subjects , 2005, Pediatrics.

[21]  L. Kuttner,et al.  Psychological Treatment of Distress, Pain, and Anxiety for Young Children with Cancer , 1988, Journal of developmental and behavioral pediatrics : JDBP.

[22]  Devendra Gupta,et al.  An Evaluation of Efficacy of Balloon Inflation on Venous Cannulation Pain in Children: A Prospective, Randomized, Controlled Study , 2006, Anesthesia and analgesia.

[23]  Relaxation Practice for Health in the United States , 2013, Journal of holistic nursing : official journal of the American Holistic Nurses' Association.

[24]  Susan E. Thrane,et al.  The Assessment and Non-Pharmacologic Treatment of Procedural Pain From Infancy to School Age Through a Developmental Lens: A Synthesis of Evidence With Recommendations. , 2016, Journal of pediatric nursing.

[25]  Domján Andrea,et al.  World Medical Association Declaration of Helsinki (WMA) - Ethical principles for medical research involving human subjects , 2014 .

[26]  M. S. Rezai,et al.  The Effect of Distraction Technique on the Pain of Dressing Change among 3-6 Year-old Children , 2016 .

[27]  J. Dale,et al.  Effects of Distraction on Pain, Fear, and Distress During Venous Port Access and Venipuncture in Children and Adolescents With Cancer , 2007, Journal of pediatric oncology nursing : official journal of the Association of Pediatric Oncology Nurses.

[28]  J. Lander,et al.  Management of injection pain in children , 1987, Pain.

[29]  A. Spacek Modern concepts of acute and chronic pain management. , 2006, Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie.

[30]  R. Blount,et al.  Management of Pediatric Pain and Distress Due to Medical Procedures. , 2003 .

[31]  Zi-Xuan Wang,et al.  The efficacy of non-pharmacological methods of pain management in school-age children receiving venepuncture in a paediatric department: a randomized controlled trial of audiovisual distraction and routine psychological intervention. , 2008, Swiss medical weekly.

[32]  Christiane,et al.  WORLD MEDICAL ASSOCIATION DECLARATION OF HELSINKI: Ethical Principles for Medical Research Involving Human Subjects , 2001, Journal of postgraduate medicine.

[33]  A. Mccarthy,et al.  Evaluating instruments for a study on children's responses to a painful procedure when parents are distraction coaches. , 2006, Journal of pediatric nursing.

[34]  Vincent C. Van Hulle Nurses’ perceptions of children's pain: A Pilot study of cognitive representations , 2007 .

[35]  Z. Roshan,et al.  Effects of Distraction on Physiologic Indices and Pain Intensity in children aged 3-6 Undergoing IV Injection , 2011 .

[36]  A. Zargham,et al.  THE COMPARISON OF DISTRACTION AND EMLA CREAM EFFECTS ON PAIN INTENSITY DUE TO INTRAVENUS CATHETERS IN 5-12 YEARS OLD THALASSEMIC CHILDREN , 2005 .

[37]  T. Pellino,et al.  Use of Nonpharmacologic Interventions for Pain and Anxiety After Total Hip and Total Knee Arthroplasty , 2005, Orthopedic nursing.

[38]  C. McMurtry,et al.  Observer perceptions of pain in children with cognitive impairments: vignette development and validation. , 2015, Pain management.