Research Article
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The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children

Year 2024, Volume: 14 Issue: 3, 698 - 705, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1329073

Abstract

Objective: The aim of this study was to determine the effect of listening to music (LM), ball squeezing (BS), and performing mathematical operations (MO) on the pain and physiological parameters during the first dressing in children aged 8-18 with appendectomy.
Methods: This study was a randomized controlled trial. The sample of the study consisted of 120 children (LM:30, BS:30, MO:30, control:30). Research data were collected using Information Form, Visual Analogue Scale (VAS), mathematical operations form, a softball, a pulse oximeter, and a thermometer. A minute before dressing and during dressing, the children in the LM group listened to music, the children in the SB group
squeezed the ball, and the children in the MO group performed mathematical operations.
Results: According to the assessment of the child, parent, and nurse, it was determined that the pain score of the children in the LM and MO groups was lower than that of BS group and control groups (p< .05). The mean pulse of the children in the control group was found to be higher during and after dressing than that of LM and MO groups (p< .05). In addition, the mean pulse of the children in the BS group during dressing was found to be higher than that of MO group (p< .05).
Conclusion: It was determined that listening to music and performing mathematical operations were effective in reducing the pain of children during dressing. It is recommended that nurses use these non-pharmacological methods, which are easy to apply, in reducing children’s pain.

References

  • Aneiros B, Cano I, García A, Yuste P, Ferrero E, Gómez A. Pediatric appendicitis: age does make a difference. Rev Paul Pediatr. 2019;37:318-324. DOI: 10.1590/1984-0462
  • Puntillo KA, White C, Morris AB, Perdue ST. Patients’ perceptions and responses to procedural pain: Results from Thunder Project II. Am J Crit Care. 2001;10(4):238-251.
  • Wu Y, Zhao Y, Lin G, Sharmo M, Wang Y, Chen L, Wu L. Measures and effects of pain management for wound dressing change in outpatient children in Western China. J Pain Res. 2021;14:399-406. DOI: 10.2147/JPR.S281876
  • Engwall M, Duppils GS. Music as a nursing intervention for postoperative pain: a systematic review. J Perianesth Nurs. 2009;24(6):370-383. DOI: 10.1016/j.jopan.2009.10.013
  • Byers JF, Bridges S, Kijek J, LaBorde P. Burn patients’ pain and anxiety experiences. J Burn Care Rehabil. 2001;22(2):144-149. DOI: 10.1097/00004630-200103000-00011
  • Karataş P, Çalışır H. Çocuklarda ameliyat sonrası ağrı yönetiminde hemşirenin rolü. Efe E, editor. Çocuk Cerrahisi Hemşireliği. Ankara: Türkiye Klinikleri; 2023.p.18-24. (Turkish)
  • Sayar S, Ergin D. Ortopedi servisinde yatan çocuk hastalarda ameliyat sonrası ağrı yönetiminde müziğin etkisinin incelenmesi. DEUHFED. 2019;12(1):67-73. (Turkish)
  • Chou R, Gordon DB, Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy Cl, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MP, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Guidelines on the management of postoperative pain. J Pain. 2016;17(2):131-157. DOI: 10.1016/j.jpain.2015.12.008
  • Koller D, Goldman RD. Distraction techniques for children undergoing procedures: A critical review of pediatric research. J Pediatr Nurs. 2012;27(6):652-681. DOI: 10.1016/j.pedn.2011.08.001
  • Wohlheiter KA, Dahlquist LM. Interactive versus passive distraction for acute pain management in young children: the role of selective attention and development. J Pediatr Psychol. 2013;38(2):202-212. DOI: 10.1093/jpepsy/jss108
  • Kaluza G, Margraf-Stiksrud J, Wnuk P. Original studies-does the use of music or audio books reduce anxiety in children and adolescents?- a randomized clinical intervention trial. Dtsch Zahnarztl Z. 2002;57:406-410.
  • Gawronska-Skorkowska J, Zienkiewicz J, Majkowicz M, et al. Music therapy before and during oral surgeries as a positive relaxing influence on the young patients. Ann Acad Med Gedanen. 2002;32:161-172.
  • Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L. Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials. Ambul Pediatr. 2008;8(2):117-128. DOI: 10.1016/j.ambp.2007.12.005
  • Atak M, Özyazıcıoğlu N. The effect of different audio distraction methods on children's postoperative pain and anxiety. J Perianesth Nurs. 2021;36(1):75-80. DOI: 10.1016/j.jopan.2020.06.028
  • Bulut M, Küçük Alemdar D, Bulut A, Şalcı G. The effect of music therapy, hand massage, and kaleidoscope usage on postoperative nausea and vomiting, pain, fear, and stress in children: a randomized controlled trial. J Perianesth Nurs. 2020;35(6):649-657. DOI: 10.1016/j.jopan.2020.03.013
  • Aydin D, Canbulat Sahiner N. Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Appl Nurs Res. 2017;33:164-168. DOI: 10.1016/j.apnr.2016.11.011
  • Whitehead-Pleaux AM, Baryza MJ, Sheridan RL. The effects of music therapy on pediatric patients’ pain and anxiety during donor site dressing change. J Music Ther. 2006;43(2):136-153. DOI: 10.1093/jmt/43.2.136
  • Stouffer JW, Shirk BJ, Polomano RC. Practice guidelines for music interventions with hospitalized pediatric patients. J Pediatr Nurs. 2007;22(6):448-456. DOI: 10.1016/j.pedn.2007.04.011
  • Sadeghi T, Mohammadi N, Shamshiri M, Bagherzadeh R, Hossinkhani N. Effect of distraction on children’s pain during intravenous catheter insertion. J Spec Pediatr Nurs. 2013;18(2):109-114. DOI: 10.1111/jspn.12018
  • Sirtin Tumakaka GY, Nurhaeni N, Wanda D. Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion. Pediatr Rep. 2020;12(S1):8692. DOI: 10.4081/pr.2020.8692
  • Aykanat Girgin B, Göl İ. Reducing pain and fear in children during venipuncture: A randomized controlled study. Pain Manag Nurs. 2020;21(3):276-282. DOI: 10.1016/j.pmn.2019.07.006
  • Hua Y, Qiu R, Yao WY, Zhang Q, Chen XL. The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Manag Nurs. 2015;16(5):685-691. DOI: 10.1016/j.pmn.2015.03.001
  • Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Ann Intern Med. 2010;152(11):726-732. DOI: 10.7326/0003-4819-152-11-201006010-00232
  • Shields BJ, Palermo TM, Powers JD, Grewe SD, Smith GA. Predictors of a child’s ability to use a visual analogue scale. Child Care Health Dev. 2003;29(4):281-290. DOI: 10.1046/j.1365-2214.2003.00343.x
  • Drendel AL, Kelly BT, Ali S. Pain assessment for children: Overcoming challenges and optimizing care. Pediatr Emerg Care. 2011;27(8):773-781. DOI: 10.1097/PEC.0b013e31822877f7
  • Saul R. Methods for reducing procedural pain in children and young people. Nursing Times. 2017;113(7):48-51.
  • Hussein HA. Effect of active and passive distraction on decreasing pain associated with painful medical procedures among school aged children. World J Nursing Sci. 2015;1(2):13-23. DOI: 10.5829/idosi.wjns.2015.1.2.93202
  • Jeffs D, Dorman D, Brown S, et al. Effect of virtual reality on adolescent pain during burn wound care. J Burn Care Res. 2014;35(5):395-408. DOI: 10.1097/BCR.0000000000000019
  • Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Health Care. 2016;20(3):277-285. DOI: 10.1177/1367493515587062
  • Sil S, Dahlquist LM, Thompson C. The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. J Behav Med. 2014;37(1):156-165. DOI: 10.1007/s10865-012-9479-0
  • Bergomi P, Scudeller L, Pintaldi S, Dal Molin A. Efficacy of non-pharmacological methods of pain management in children undergoing venipuncture in a pediatric outpatient clinic: A randomized controlled trial of audiovisual distraction and external cold and vibration. J Pediatr Nurs. 2018;42:e66-e72. DOI: 10.1016/j.pedn.2018.04.011
  • Oliveira NC, Santos JL, Linhares MB. Audiovisual distraction for pain relief in paediatric inpatients: a crossover study. Eur J Pain. 2017;21(1):178-187. DOI: 10.1002/ejp.915
  • Srouji R, Ratnapalan S, Schneeweiss S. Pain in children: assessment and nonpharmacological management. Int J Pediatr. 2010;474838. DOI: 10.1155/2010/474838
  • Aydin D, Şahiner NC, Çiftçi EK. Comparison of the effectiveness of three different methods in decreasing pain during venipuncture in children: Ball squeezing, balloon inflating and distraction cards. J Clin Nurs. 2016;25(15-16):2328-2335. DOI: 10.1111/jocn.13321
  • Boles J. The powerful practice of distraction. Pediatric Nursing, 2018;44(5):247-251.
  • Inal S, Kelleci M. Distracting children during blood draw: looking through distraction cards is effective in pain relief of children during blood draw. Int J Nurs Pract. 2012;18(2):210-219. DOI: 10.1111/j.1440-172X.2012.02016.x
  • Canbulat N, Inal S, Sönmezer H. Efficacy of distraction methods on procedural pain and anxiety by applying distraction cards and kaleidoscope in children. Asian Nurs Res (Korean Soc Nurs Sci). 2014;8(1):23-28. DOI: 10.1016/j.anr.2013.12.001
  • Cowen R, Stasiowska MK, Laycock H, Bantel C. Assessing pain objectively: The use of physiological markers. Anaesthesia. 2015;70(7):828-847. DOI: 10.1111/anae.13018
  • Shoghi M, Ahmadi M, Rasouli M. The effect of mother’s voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs. Anaesth Pain Intensive Care. 2021;25(1):42-49. DOI: 10.35975/apic.v25i1.1440
  • Liu Y, Gu Z, Wang Y, Wu Q, Chen V, Xu X, Zhou X. Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review. Int J Paediatr Dent. 2019;29(1):14-21. DOI: 10.1111/ipd.12430
Year 2024, Volume: 14 Issue: 3, 698 - 705, 30.09.2024
https://doi.org/10.33808/clinexphealthsci.1329073

Abstract

References

  • Aneiros B, Cano I, García A, Yuste P, Ferrero E, Gómez A. Pediatric appendicitis: age does make a difference. Rev Paul Pediatr. 2019;37:318-324. DOI: 10.1590/1984-0462
  • Puntillo KA, White C, Morris AB, Perdue ST. Patients’ perceptions and responses to procedural pain: Results from Thunder Project II. Am J Crit Care. 2001;10(4):238-251.
  • Wu Y, Zhao Y, Lin G, Sharmo M, Wang Y, Chen L, Wu L. Measures and effects of pain management for wound dressing change in outpatient children in Western China. J Pain Res. 2021;14:399-406. DOI: 10.2147/JPR.S281876
  • Engwall M, Duppils GS. Music as a nursing intervention for postoperative pain: a systematic review. J Perianesth Nurs. 2009;24(6):370-383. DOI: 10.1016/j.jopan.2009.10.013
  • Byers JF, Bridges S, Kijek J, LaBorde P. Burn patients’ pain and anxiety experiences. J Burn Care Rehabil. 2001;22(2):144-149. DOI: 10.1097/00004630-200103000-00011
  • Karataş P, Çalışır H. Çocuklarda ameliyat sonrası ağrı yönetiminde hemşirenin rolü. Efe E, editor. Çocuk Cerrahisi Hemşireliği. Ankara: Türkiye Klinikleri; 2023.p.18-24. (Turkish)
  • Sayar S, Ergin D. Ortopedi servisinde yatan çocuk hastalarda ameliyat sonrası ağrı yönetiminde müziğin etkisinin incelenmesi. DEUHFED. 2019;12(1):67-73. (Turkish)
  • Chou R, Gordon DB, Leon-Casasola OA, Rosenberg JM, Bickler S, Brennan T, Carter T, Cassidy Cl, Chittenden EH, Degenhardt E, Griffith S, Manworren R, McCarberg B, Montgomery R, Murphy J, Perkal MP, Suresh S, Sluka K, Strassels S, Thirlby R, Viscusi E, Walco GA, Warner L, Weisman SJ, Wu CL. Guidelines on the management of postoperative pain. J Pain. 2016;17(2):131-157. DOI: 10.1016/j.jpain.2015.12.008
  • Koller D, Goldman RD. Distraction techniques for children undergoing procedures: A critical review of pediatric research. J Pediatr Nurs. 2012;27(6):652-681. DOI: 10.1016/j.pedn.2011.08.001
  • Wohlheiter KA, Dahlquist LM. Interactive versus passive distraction for acute pain management in young children: the role of selective attention and development. J Pediatr Psychol. 2013;38(2):202-212. DOI: 10.1093/jpepsy/jss108
  • Kaluza G, Margraf-Stiksrud J, Wnuk P. Original studies-does the use of music or audio books reduce anxiety in children and adolescents?- a randomized clinical intervention trial. Dtsch Zahnarztl Z. 2002;57:406-410.
  • Gawronska-Skorkowska J, Zienkiewicz J, Majkowicz M, et al. Music therapy before and during oral surgeries as a positive relaxing influence on the young patients. Ann Acad Med Gedanen. 2002;32:161-172.
  • Klassen JA, Liang Y, Tjosvold L, Klassen TP, Hartling L. Music for pain and anxiety in children undergoing medical procedures: a systematic review of randomized controlled trials. Ambul Pediatr. 2008;8(2):117-128. DOI: 10.1016/j.ambp.2007.12.005
  • Atak M, Özyazıcıoğlu N. The effect of different audio distraction methods on children's postoperative pain and anxiety. J Perianesth Nurs. 2021;36(1):75-80. DOI: 10.1016/j.jopan.2020.06.028
  • Bulut M, Küçük Alemdar D, Bulut A, Şalcı G. The effect of music therapy, hand massage, and kaleidoscope usage on postoperative nausea and vomiting, pain, fear, and stress in children: a randomized controlled trial. J Perianesth Nurs. 2020;35(6):649-657. DOI: 10.1016/j.jopan.2020.03.013
  • Aydin D, Canbulat Sahiner N. Effects of music therapy and distraction cards on pain relief during phlebotomy in children. Appl Nurs Res. 2017;33:164-168. DOI: 10.1016/j.apnr.2016.11.011
  • Whitehead-Pleaux AM, Baryza MJ, Sheridan RL. The effects of music therapy on pediatric patients’ pain and anxiety during donor site dressing change. J Music Ther. 2006;43(2):136-153. DOI: 10.1093/jmt/43.2.136
  • Stouffer JW, Shirk BJ, Polomano RC. Practice guidelines for music interventions with hospitalized pediatric patients. J Pediatr Nurs. 2007;22(6):448-456. DOI: 10.1016/j.pedn.2007.04.011
  • Sadeghi T, Mohammadi N, Shamshiri M, Bagherzadeh R, Hossinkhani N. Effect of distraction on children’s pain during intravenous catheter insertion. J Spec Pediatr Nurs. 2013;18(2):109-114. DOI: 10.1111/jspn.12018
  • Sirtin Tumakaka GY, Nurhaeni N, Wanda D. Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion. Pediatr Rep. 2020;12(S1):8692. DOI: 10.4081/pr.2020.8692
  • Aykanat Girgin B, Göl İ. Reducing pain and fear in children during venipuncture: A randomized controlled study. Pain Manag Nurs. 2020;21(3):276-282. DOI: 10.1016/j.pmn.2019.07.006
  • Hua Y, Qiu R, Yao WY, Zhang Q, Chen XL. The effect of virtual reality distraction on pain relief during dressing changes in children with chronic wounds on lower limbs. Pain Manag Nurs. 2015;16(5):685-691. DOI: 10.1016/j.pmn.2015.03.001
  • Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 statement: Updated guidelines for reporting parallel group randomised trials. Ann Intern Med. 2010;152(11):726-732. DOI: 10.7326/0003-4819-152-11-201006010-00232
  • Shields BJ, Palermo TM, Powers JD, Grewe SD, Smith GA. Predictors of a child’s ability to use a visual analogue scale. Child Care Health Dev. 2003;29(4):281-290. DOI: 10.1046/j.1365-2214.2003.00343.x
  • Drendel AL, Kelly BT, Ali S. Pain assessment for children: Overcoming challenges and optimizing care. Pediatr Emerg Care. 2011;27(8):773-781. DOI: 10.1097/PEC.0b013e31822877f7
  • Saul R. Methods for reducing procedural pain in children and young people. Nursing Times. 2017;113(7):48-51.
  • Hussein HA. Effect of active and passive distraction on decreasing pain associated with painful medical procedures among school aged children. World J Nursing Sci. 2015;1(2):13-23. DOI: 10.5829/idosi.wjns.2015.1.2.93202
  • Jeffs D, Dorman D, Brown S, et al. Effect of virtual reality on adolescent pain during burn wound care. J Burn Care Res. 2014;35(5):395-408. DOI: 10.1097/BCR.0000000000000019
  • Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Health Care. 2016;20(3):277-285. DOI: 10.1177/1367493515587062
  • Sil S, Dahlquist LM, Thompson C. The effects of coping style on virtual reality enhanced videogame distraction in children undergoing cold pressor pain. J Behav Med. 2014;37(1):156-165. DOI: 10.1007/s10865-012-9479-0
  • Bergomi P, Scudeller L, Pintaldi S, Dal Molin A. Efficacy of non-pharmacological methods of pain management in children undergoing venipuncture in a pediatric outpatient clinic: A randomized controlled trial of audiovisual distraction and external cold and vibration. J Pediatr Nurs. 2018;42:e66-e72. DOI: 10.1016/j.pedn.2018.04.011
  • Oliveira NC, Santos JL, Linhares MB. Audiovisual distraction for pain relief in paediatric inpatients: a crossover study. Eur J Pain. 2017;21(1):178-187. DOI: 10.1002/ejp.915
  • Srouji R, Ratnapalan S, Schneeweiss S. Pain in children: assessment and nonpharmacological management. Int J Pediatr. 2010;474838. DOI: 10.1155/2010/474838
  • Aydin D, Şahiner NC, Çiftçi EK. Comparison of the effectiveness of three different methods in decreasing pain during venipuncture in children: Ball squeezing, balloon inflating and distraction cards. J Clin Nurs. 2016;25(15-16):2328-2335. DOI: 10.1111/jocn.13321
  • Boles J. The powerful practice of distraction. Pediatric Nursing, 2018;44(5):247-251.
  • Inal S, Kelleci M. Distracting children during blood draw: looking through distraction cards is effective in pain relief of children during blood draw. Int J Nurs Pract. 2012;18(2):210-219. DOI: 10.1111/j.1440-172X.2012.02016.x
  • Canbulat N, Inal S, Sönmezer H. Efficacy of distraction methods on procedural pain and anxiety by applying distraction cards and kaleidoscope in children. Asian Nurs Res (Korean Soc Nurs Sci). 2014;8(1):23-28. DOI: 10.1016/j.anr.2013.12.001
  • Cowen R, Stasiowska MK, Laycock H, Bantel C. Assessing pain objectively: The use of physiological markers. Anaesthesia. 2015;70(7):828-847. DOI: 10.1111/anae.13018
  • Shoghi M, Ahmadi M, Rasouli M. The effect of mother’s voice on pain and physiological parameters during arterial blood sampling in children hospitalized in PICUs. Anaesth Pain Intensive Care. 2021;25(1):42-49. DOI: 10.35975/apic.v25i1.1440
  • Liu Y, Gu Z, Wang Y, Wu Q, Chen V, Xu X, Zhou X. Effect of audiovisual distraction on the management of dental anxiety in children: A systematic review. Int J Paediatr Dent. 2019;29(1):14-21. DOI: 10.1111/ipd.12430
There are 40 citations in total.

Details

Primary Language English
Subjects Pediatric Health and Illnesses Nursing
Journal Section Articles
Authors

Birsen Mutlu 0000-0002-8708-984X

Zeynep Erkut 0000-0002-7299-787X

Melike Yılmaz Akdağ 0000-0001-8807-7077

Early Pub Date September 27, 2024
Publication Date September 30, 2024
Submission Date July 18, 2023
Published in Issue Year 2024 Volume: 14 Issue: 3

Cite

APA Mutlu, B., Erkut, Z., & Yılmaz Akdağ, M. (2024). The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children. Clinical and Experimental Health Sciences, 14(3), 698-705. https://doi.org/10.33808/clinexphealthsci.1329073
AMA Mutlu B, Erkut Z, Yılmaz Akdağ M. The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children. Clinical and Experimental Health Sciences. September 2024;14(3):698-705. doi:10.33808/clinexphealthsci.1329073
Chicago Mutlu, Birsen, Zeynep Erkut, and Melike Yılmaz Akdağ. “The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children”. Clinical and Experimental Health Sciences 14, no. 3 (September 2024): 698-705. https://doi.org/10.33808/clinexphealthsci.1329073.
EndNote Mutlu B, Erkut Z, Yılmaz Akdağ M (September 1, 2024) The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children. Clinical and Experimental Health Sciences 14 3 698–705.
IEEE B. Mutlu, Z. Erkut, and M. Yılmaz Akdağ, “The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children”, Clinical and Experimental Health Sciences, vol. 14, no. 3, pp. 698–705, 2024, doi: 10.33808/clinexphealthsci.1329073.
ISNAD Mutlu, Birsen et al. “The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children”. Clinical and Experimental Health Sciences 14/3 (September 2024), 698-705. https://doi.org/10.33808/clinexphealthsci.1329073.
JAMA Mutlu B, Erkut Z, Yılmaz Akdağ M. The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children. Clinical and Experimental Health Sciences. 2024;14:698–705.
MLA Mutlu, Birsen et al. “The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children”. Clinical and Experimental Health Sciences, vol. 14, no. 3, 2024, pp. 698-05, doi:10.33808/clinexphealthsci.1329073.
Vancouver Mutlu B, Erkut Z, Yılmaz Akdağ M. The Effect of Listening to Music, Performing Mathematic Operations and Ball Squeezing in Reducing Pain During Dressing Change in Children. Clinical and Experimental Health Sciences. 2024;14(3):698-705.

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