DOI: https://dx.doi.org/10.18203/2394-6040.ijcmph20221211
Published: 2022-04-27

The effect of characteristics and cool pack on reducing intensity of infustion pain in children in hospital

Mareta Akhriansyah, Raden Surahmat

Abstract


Background: Intravenous therapy is a type of therapy that is mostly given to pediatric patients who are treated with infusion. Giving this therapy will cause discomfort to the child by inserting a needle into the child's blood vessel which can cause pain. So that syringes are generally feared/hated by children when hospitalized. Untreated pain can have a detrimental impact on children, including anxiety, difficulty sleeping, helplessness and hopelessness. So it is necessary to have complementary therapy with cool packs (cold compresses) is one of the nursing actions that can reduce pain by providing a local anaesthetic effect on the area to be inserted infusion. This study aims to study the effect of cool packs (cold compresses) on pain during infusion in children.

 Methods: This study uses a Quasy experiment design with a two group Posttest design approach. This study was conducted on children before infusion by giving cold compresses in the infusion area with an intervention group of 15 respondents and a control group of 15 respondents. Pain measurement using the face, legs, activity, cry and consolability (FLACC) scala observation sheet. Data analysis in this study used univariate and bivariate statistical tests using independent t-test. 

Results: The results showed that the average pain scale for the intervention group with the cool pack was 3.93 with a standard deviation of 1.033, while in the control group the pain intensity was 7.40 with a standard deviation of 1.242. So we get the effect of Cool Pack on the intervention group and control group with a P value of 0.000.

Conclusions: There is an effect of cool packs (cold compresses) on pain during infusion in children.


Keywords


Pain, Infusion, Cool pack, Cold compress

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References


Zheng GH, Yang L, Chen HY, Chu JF, Mei L. Aloe vera for prevention and treatment of infusion phlebitis. Cochrane Database Syst Rev. 2014;2014(6):CD009162.

Lavery I, Ingram P. Safe practice in intravenous medicines administration. Nursing Std. 2008;22(46): 44-7.

Foster L, Wallis M, Paterson B, James H. A descriptive study of peripheral intravenous catheters in patients admitted to a pediatric unit in one Australian hospital. J Infus Nurs. 2002;25(3):159-67.

Cohen LL, MacLaren JE, Lim CS. Pain and pain management. In: Steele, RG, Elkin, TD, Roberts, MC eds. Handbook of evidence-based therapies for children and adolescents. New York: Springer Publishers; 2007.

Gallant P, Schultz AA. Evaluation of a visual infusion phlebitis scale for determining appropriate discontinuation of peripheral intravenous catheters. J Infus Nurs. 2006;29(6):338-45.

Waterhouse A. Cryotherapeutic topical analgesics for pediatric intravenous catheter placement: ice versus vapocoolant spray. Pediart Emerg Care. 2013;34:2

Fauzi I, Hendayani N. The Effect of Cold Compress on Pain in Infusion Procedures for Pre-School Children at Bendan Hospital, Pekalongan City. Muhammadiyah Pekajangan. 2013,

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;18:109-14.

Canbulat N, Ayhan F, Inal S. Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Manag Nurs. 2015;16(1):33-9.

Laksmi IG, Suryati NM, Yanti NL. The effect of cold compress on pain during infusion in preschool age children. BMJ. 2018;5(2):198-209.

Asih F. The Effect of Cold Compress on Reduction in Pain Scale of Infusion in Babul Ilmi Pre-School Children. J Sci Multi Sci Health. 2019.

Kiran N, Kaur S, Marwaha RK. Effect of ice pack application at the prior site to vernipuncture on the level of pain of school-age children intensity of pain among children. during infusion with a p value of 0.000. Nurs Midwif Res J. 2019;9(14):160-7.

Wang ZX, Sun LH, Chen AP. The efficacy of non-harmacological methods of pain management in school age children receiving venouspuncture in a pediatric department: A randomized controlled trial of audiovisual distractin and routine psychological intervention. Swiss Med. 2008;138(39-40):579-84.

Weinstein SM. Intravenous therapy. 2nd ed. Jakarta: EGC publishers; 2010.

Glasper A, Richardson J. A textbook of children and young peoples nursing. London: Elseiver; 2016.

Potts NL, Manleco CL. Pediatric nursing caring for children and families. 2nd ed. Canada: Thompson Delmar Learning; 2007.