The Effect of Three Methods Used in Reducing Pain During Dressing Change

Melike Yilmaz Akdag

Status: Completed

Conditions: Healthy

Treatments: Other: kontrol grubu; Behavioral: ball squeezing; Behavioral: listening to music; Behavioral: mathematical operations

Study type: Interventional

Funder types: Other

Identifiers

NCT05398146

2018.5.07

Details and patient eligibility

About

This randomized controlled study aims to determine the effect of listening to music (LM), ball squeezing (BS), and performing mathematical operations (MO) in reducing the pain experienced during the first dressing in children aged 8-18 with appendectomy.

Full description

The sample of the study consisted of 120 children (LM:30, BS:30, MO:30, control:30). 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, the children in the MO group performed mathematical operations.According to the child, parent, and nurse assessment, it was determined that the mean pain score of the children in the LM and MO groups was lower than that of the BS group and control groups (p< .05).

Enrollment: 30 patients

Sex: All

Ages: 8 to 18 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Consisted of the child and parent's consent to participate in the study,
• The child and parent's speaking Turkish at the level of native speaker,
• The child's being 8-18 years old and undergoing appendectomy,
• Being the body temperature of the child in the normal level (36.5-37.2⁰C),
• The child's not having intense nausea and vomiting,
• The child's not having any physical, intellectual or neurological disability that would affect his/her participation.

Exclusion criteria

• Having a mental or neurological disability
• Children with hearing and vision impairment

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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30 participants in 3 patient groups

Pre-Dressing

Experimental group

Description:

Information about the children and their parents who agreed to participate in the study was recorded on the 'Information Form' 5 minutes before the dressing procedure by the researcher.

Treatment:

Behavioral: listening to music

Behavioral: mathematical operations

Other: kontrol grubu

Behavioral: ball squeezing

During Dressing

Experimental group

Description:

The first dressing of all children included in the study after appendectomy was performed by the doctor in the clinic. No distraction method was applied to the children in the control group during dressing. The children in the LM group were dressed while listening to music. The children in the BS group continued to squeeze the ball during the dressing. The children in the MO group were asked to perform mathematical operations given by the nurse. While the dressing was in progress, the pulse and oxygen saturation levels were recorded in the information form by the nurse. At the last stage of dressing, the children were asked to mark the level of pain they experienced during dressing on the VAS, immediately after the sticking plaster was placed on the surgical area. Parents and nurses assessed the pain level of the child during dressing through the VAS.

Treatment:

Behavioral: listening to music

Behavioral: mathematical operations

Other: kontrol grubu

Behavioral: ball squeezing

Post-Dressing

Experimental group

Description:

When the dressing was over, the application of distraction methods was terminated. After the dressing, the child's pulse and oxygen saturation levels were recorded in the information form by the nurse.

Treatment:

Behavioral: listening to music

Behavioral: mathematical operations

Other: kontrol grubu

Behavioral: ball squeezing