The Effect of Finger Puppets on Postoperative Pain in Children: A Randomized Controlled Trial

Year 2021, Volume: 11 Issue: 1, 113 - 118, 31.03.2021

Aylin Kurt Müge Seval

https://doi.org/10.33808/clinexphealthsci.713672

Cited By: 5

Abstract

Objective: This study was conducted to determine the effect of finger puppet plays on the postoperative pain relief in children.

Methods: This study was conducted with 90 children who were aged between 1-5 years and who underwent surgery in 2016 in Turkey. The children were randomly divided into three groups. The control group (n=30) was given routine treatment (analgesic treatment), intervention group 1 (n=30) was played finger puppet by nurse, and intervention group 2 (n=30) was played finger puppet by parents. Data collection instruments were “Child and Parent Assessment Form”, “Children’s Hospital of Eastern Ontario Pain Scale” and “PedsQL Health Care Parent Satisfaction Scale”. After the intervention, the pain of children was evaluated by “Children’s Hospital of Eastern Ontario Pain Scale” and the satisfaction of the parents was evaluated by “PedsQL Health Care Parent Satisfaction Scale”.

Results: Mean score of the pain scale in the control group was found higher than the intervention groups 1 and 2 (p<0.001). Mean score of satisfaction in control group was found lower than intervention group 1 and 2 (p<0.001).

Conclusion: This study highlights that finger puppet plays can be used to decrease postoperative pain by the nurses as an independent role.

Keywords

Children, postoperative pain, pediatric nursing

Thanks

No external or intramural funding was received. This study is presented in IV. Congress of International Child Development (Ankara/ Turkey, Octb 22nd – 24th 2018)

References

• [1] Kozlowski LJ, Kost-Byerly S, Colantuoni E, Thompson CB, Vasquenza KJ, Rothman SK, et al. Pain prevalence, intensity, assessment and management in a hospitalized pediatric population. Pain Manag Nurs. 2014;15(1):22–35. [2] Twycross A, Collis S. How well is acute pain in children managed? A snapshot in one English hospital. Pain Manag Nurs. 2013;14(4):e204–15. [3] Sng QW, He HG, Wang W, Taylor B, Chow A, Klainin-Yobas P, et al. A meta-synthesis of children’s experiences of postoperative pain management. Worldviews Evidence-Based Nurs. 2017;14(1):46–54. [4] Smeland AH, Rustøen T, Næss T, Nybro L, Lundeberg S, Reinertsen H, et al. Children’s views on postsurgical pain in recovery units in Norway: A qualitative study. J Clin Nurs. 2019;28(11-12):2157–70. [5] Fortier MA, Martin SR, Kain DI, Tan ET. Parental attitudes regarding analgesic use for children: Differences in ethnicity and language. J Pediatr Surg. 2011;46(11):2140–5. [6] Dongara AR, Shah SN, Nimbalkar SM, Phatak AG, Nimbalkar AS. Knowledge of and Attitudes Regarding Postoperative Pain among the Pediatric Cardiac Nursing Staff : An Indian Experience. Pain Manag Nurs. 2015;16(3):314–20. Available from: http://dx.doi.org/10.1016/j.pmn.2014.08.009 [7] Fincher W, Shaw J, Ramelet A. The effectiveness of a standardised preoperative preparation in reducing child and parent anxiety : a single-blind randomised controlled trial. J Clin Exp Investig. 2012;21:946–55. [8] Ullan AM, Belver MH, Fernandez E, Lorente F, Badıa M, Fernandez B. The effect of a program to promote play to reduce children’s post-surgical pain: With plush toys, it hurts less. Pain Manag Nurs. 2014;15(1):273–82. [9] Yun OB, Kim SJ, Jung D. Effects of a clown-nurse educational ıntervention on the reduction of postoperative anxiety and pain among preschool children and their accompanying parents in South Korea. J Pediatr Nurs. 2015;30:e89–99. [10] Topan A, Şahin ÖÖ. Evaluation of efficiency of puppet show in decreasing fears of school-age children against medical procedures in Zonguldak (Turkey). J Pak Med Assoc. 2019;69(6):817–22. [11] Azadimanesh P, Hosseinkhanzadeh A, Hakim-javadi M, Vatankhah M. Effect of puppet play therapy on aggression of children with ADHD. J Urmia Univ Med Sci. 2017;28(2):83–90. [12] Sparapani V de C, Borges ALV, Pan IR de ODR, Nascimento LC. Children with type 1 diabetes mellitus and their friends : the influence of this interaction in the management of the disease 1. Rev Latino-Am Enferm. 2012;20(1):117–25. [13] Sposito AMP, Montigny F de, Sparapani V de C, Lima RAG de, Silva-Rodrigues FM, Pfeifer LI, et al. Puppets as a strategy for communication with Brazilian children with cancer. Nurs Heal Sci. 2016;18:30–7. [14] McGrath PJ, Johnson G, Goodman JT, Schillinger J, Dunn J, Chapman J. CHEOPS: A behavioral scale for rating postoperative pain in children. Adv Pain Res Ther. 1985;9:395–402. [15] Kurt A, Seval M, Afacan C. Children’s Hospital of Eastern Ontario Pain Scale: The study of validity and reliability. J Educ Res Nurs. 2020;17(1):9–16. [16] Ulus B, Kubilay G. Turkish adaptation of the Pedsql health care parent satisfaction scale. ACU Sağlık Bil Derg. 2012;1(3):44–50. [17] Reid-Searl K, Quinney L, Dwyer T, Vieth L, Nancarrow L, Walker B. Puppets in an acute paediatric unit: Nurse’s experiences. Collegian. 2016;24(5):441–7. [18] He HG, Zhu L, Cheung H, Li W, Wang W, Vehvil K, et al. A randomized controlled trial of the effectiveness of a therapeutic play intervention on outcomes of children undergoing inpatient elective surgery : A study protocol. J Adv Nurs. 2014;70(2):431–42. [19] Smeland AH, Twycross A, Lundeberg S, Rustøen T. Nurses’ knowledge, attitudes and clinical practice in pediatric postoperative pain management. Pain Manag Nurs. 2018;19(6):585–98. [20] Twycross A, Forgeron P, Williams A. Paediatric nurses’ postoperative pain management practices in hospital based non-critical care settings : A narrative review. Int J Nurs Stud. 2015;52(4):836–63. [21] Eid T, Manias E, Bucknall T, Almazrooa A. Nurses’ knowledge and attitudes regarding pain in Saudi Arabia. Pain Manag Nurs. 2014;15(4):e25–36. [22] Lim SH, Mackey S, Liam JL, He HG. An exploration of Singaporean parental experiences in managing school-aged children’s postoperative pain: a descriptive qualitative approach. J Clin Nurs. 2012;21(5-6):860–9. [23] Valizadeh F, Ahmadi F, Zarea K. Neglect of postoperative pain management in children: A qualitative study based on the experiences of parents. J Pediatr Nurs. 2016;31(4):439–48. [24] Nascimento LC, Warnock F, Pan R, Silva-Rodrigues FM, Castral TC, De Bortoli PS, et al. Parents’ participation in managing their children's postoperative pain at home: An integrative literature review. Pain Manag Nurs. 2019;20(5):444-454. [25] Longard J, Twycross A, Williams AM, Hong P, Chorney J. Parents’ experiences of managing their child's postoperative pain at home: an exploratory qualitative study. J Clin Nurs. 2016;25(17-18):2619–28. [26] Walther-Larsen S, Aagaard GB, Friis SM, Petersen T, Møller-Sonnergaard J, Rømsing J. Structured intervention for management of pain following day surgery in children. Paediatr Anaesth. 2016;26(2):151–7. [27] Chorney JM, Twycross A, Mifflin K, Archibald K. Can we improve parents’ management of their children’s postoperative pain at home ? Pain Res Manag. 2014;19(4):115–23. [28] Dorkham MC, Chalkiadis GA, Sternberg BSVU, Davidson AJ. Effective postoperative pain management in children after ambulatory surgery , with a focus on tonsillectomy : barriers and possible solutions. Pediatr Anesth. 2014;24:239–48. [29] Scalford D, Flynn-roth R, Howard D, Phillips E, Ryan E, Davis KF, et al. Pain Management of Children Aged 5 to 10 Years After Adenotonsillectomy. J PeriAnesthesia Nurs. 2013;28(6):353–60. [30] Twycross A, Finley GA. Children’s and parents' perceptions of postoperative pain management: a mixed methods study. J Clin Nurs. 2013;22:3095–108.