An Animation Video as a Distraction Strategy on Behavioral Response to Pain among Children Receiving Immunization- A Quantitative Study
DOI:
https://doi.org/10.26463/rjns.13_2_5Keywords:
Animated video, Distraction strategy, Behavioral response to pain, Children, Immunization.Abstract
Background: Immunization provides protective immunity and immunological memory to individuals, families, and communities against any infectious diseases. As immunization is a painful procedure, for children it may result in fear and anxiety regarding the procedure in the future. So, it’s necessary to manage the pain by using different distraction strategies. So, our aim was, to assess the effectiveness of an animation video as a distraction strategy to reduce pain while immunization.
Methods: A quasi-experimental non-equivalent post-test only control group design was used, to evaluate the usefulness of an animation video as a strategy of distraction to reduce pain while immunization among a sample of 60 children who were selected using a purposive sampling technique. An animated video was used as a distraction strategy to reduce the behavioral response to pain among children. Data was collected through demographic proforma and FLACC scale. Collected data were analyzed using descriptive and inferential statistics.
Results: The results demonstrated that the calculated mean difference between the control group and the experimental group was 4.56 and the ‘t’ test value was 8.59, which was greater than the table value at 0.05 level of significance, indicating that animation video reduced pain among children in the experimental group. Thus, the distraction strategy is helpful in reducing pain while immunization.
Conclusion: The findings of the study showed that, there was difference in behavioral response to pain in control group and experimental group following distraction using animated video which inferred that the distraction strategy is helpful in reducing pain among children during immunization process.
References
1. Cox F. Basic principles of pain management: assessment and intervention. Nursing Standard (through 2013) 2010; 25(1):36.
2. Jacob E, Puntillo KA. Pain in hospitalized children: pediatric nurses' beliefs and practices. J Pediatr Nurs 1999; 14(6):379-91.
3. Kleiber C, Harper DC. Effects of distraction on children's pain and distress during medical procedures: a meta-analysis. Nursing research 1999; 48(1):44-9.
4. Singh P. Effect of distraction techniques in behaviour responses to pain among toddlers receiving immunization. Nurs J India 2012; 103(4):176.
5. Agras S, Sylvester D, Oliveau D. The epidemiology of common fears and phobia. Compr Psychiatry 1969; 10(2):151-6.
6. Stevens B, Johnston C, Petryshen P, Taddio A. Premature infant pain profile: development and initial validation. Clin J Pain 1996;12(1):13-22.
7. Bijimol N.J.1, Shycil Mathew. Effectiveness of an Animation Video on Behavioral Response to Pain among Toddlers During Immunization in a Selected PHC at Mangalore India. Indian J Public Health Res Dev 2022;11(3):542-547.
8. Kaur B, Sarin J, Kumar Y. Effectiveness of cartoon distraction on pain perception and distress in children during intravenous injection. IOSR J Nurs Health Sci 2014; 3(3):8-15.
9. Gedam DS, Verma M, Patel U, Gedam S. Effect of distraction technique during immunization to reduce behaviour response score (FLACC) to pain in toddlers. J Nepal Paediatr Soc 2013; 33(1):25-30.
10. Garg M, Ramalakshmi RR, Gupta A. A Randomized Control Trial to Evaluate the Effectiveness of Play Therapy on Pain among Hospitalized Preschool (3–6 years) Children during Intravenous Cannulation in Selected Hospital of Karnal City, Haryana. Int J Nurs Care 2016;4(2):6-10.
11. Cohen LL. Behavioral approaches to anxiety and pain management for pediatric venous access. Pediatrics 2008 Nov 1;122(Supplement 3):S134-9.
12. Willock J, Richardson J, Brazier A, Powell C, Mitchell E. Peripheral venipuncture in infants and children. Nurs Stand 2004 Mar 17;18(27):43.
13. Sparks LA, Setlik J, Luhman J. Parental holding and positioning to decrease IV distress in young children: a randomized controlled trial. J Pediatr Nurs 2007 Dec 1;22(6):440-7.
14. Taddio A, Appleton M, Bortolussi R, Chambers C, Dubey V, Halperin S, et al. Reducing the pain of childhood vaccination: an evidence-based clinical practice guideline. CMAJ 2010 Dec 14;182(18):E843-55.
15. Hermann C, Hohmeister J, Demirakça S, Zohsel K, Flor H. Long-term alteration of pain sensitivity in school-aged children with early pain experiences. Pain 2006 Dec 5;125(3):278-85.
