Çocuklarda kan alma işlemi sırasında titreşimli turnike ve distraksiyon kartları kullanımının ağrı, korku ve anksiyete düzeylerine etkisi

Year 2024, Volume: 9 Issue: 1, 14 - 20, 25.03.2024

Derya Suluhan Hümeyra Erdem Dilek Yıldız Mehmet Bahadır Çalışkan

https://doi.org/10.22391/fppc.1407098

Abstract

Giriş: Çocuklar invaziv işlemler nedeniyle ağrı çekmektedir. Giderilemeyen ağrı, çocukluk çağında sosyal ve psikolojik sorunlara yol açabilir. Bu çalışmanın amacı, flebotomi sırasında titreşimli turnike ve dikkat dağıtıcı kartların çocukların ağrı, korku ve anksiyete düzeyleri üzerindeki etkinliğini değerlendirmektir.
Yöntemler: Bu randomize, kontrollü çalışma Ankara'da bir eğitim ve araştırma hastanesinin pediatrik kan alma ünitesinde titreşimli turnike grubunda 40 çocuk, dikkat dağıtıcı kartlar grubunda 40 çocuk ve kontrol grubunda 40 çocuk olmak üzere toplam 120 çocuk ile gerçekleştirildi. Veriler Çocuk ve Ebeveyn Veri Toplama Formu, Görsel Analog Skala, Çocuk Korku Ölçeği ve Çocuk Anksiyete-Durum Ölçeği ile toplanmıştır. Birincil sonuç ölçütü ağrı için Görsel Analog Skala idi. İkincil sonuç ölçütü korku için Çocuk Korku Ölçeği ve anksiyete için Çocuk Anksiyete-Durum Ölçeği idi.
Bulgular: İşlem sonrası ağrı skoru distraksiyon kart grubunda anlamlı derecede düşükken (p=0,006), tüm gruplarda işlem öncesi ve sırasında ağrı skorlarında istatistiksel olarak anlamlı bir fark yoktu. İşlem sırasında korku skoru distraksiyon kart grubunda anlamlı olarak daha düşüktü (p=0,042).
Sonuç: Bu çalışmada, dikkat dağıtıcı kartların kullanımının 6-10 yaş arası çocuklarda flebotomi işlemi sonrasında çocukların ağrı ve kaygılarını, flebotomi sırasında ve sonrasında ise korku düzeylerini azaltmada etkili olduğu sonucuna varılmıştır.

Keywords

anksiyete, çocuk, korku, hemşirelik, ağrı yönetimi

Ethical Statement

This randomized, controlled study was carried out between May 2021 and March 2022 in Pediatric Blood Collection Unit at Gülhane Training and Research Hospital, Ankara, Turkey.

The effect of using vibrating tourniquet and distraction cards on pain, fear and anxiety during phlebotomy in children

Abstract

Introduction: Children suffer from pain due to invasive procedures. Unrelieved pain can lead to social and psychological problems. The aim of this study was to evaluate the effectiveness of vibrating tourniquet and distraction cards on children’s pain, fear and anxiety levels during phlebotomy.
Methods: This randomized, controlled study was carried out with 120 children included 40 children in vibrating tourniquet group, 40 children in distraction cards group and 40 children in control group in pediatric blood collection unit at a training and research hospital in Ankara. Data were collected with Child and Parent Data Collection Form, Visual Analog Scale, Child Fear Scale and Child Anxiety-State Scale. The primary outcome measure was the Visual Analog Scale for pain. Secondary outcome measure was the Child Fear Scale for fear and Child Anxiety-State Scale for anxiety.
Results: After procedure pain score was significantly lower in the distraction cards group (p=0.006), whereas there was no statistically significant difference in pain scores before and during the procedure in all groups. During procedure fear score was significantly lower in the distraction card group (p=0.042).
Conclusion: In this study it was concluded that the use of distraction cards was found to be effective in reducing children's pain and anxiety after the phlebotomy, and fear levels during and after the phlebotomy for the children aged between 6 and 10 years.

Keywords

anxiety, child, fear, nursing, pain management

Ethical Statement

The study was approved by the University of Health Sciences Gülhane Scientific Research Ethics Committee Research Ethics Committee (on 08/04/2021 with the number 2021/127). At all stages of the research, the Helsinki Declaration Principles, Research, and Publication Ethics were complied with. Written and verbal consent was obtained from the children and their families, who agreed to participate in the study.

Supporting Institution

None

Thanks

None

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