An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children

Kim, Myo-Jin; Bak, Joung-Hae; Seo, Won-Seok; Kim, Mi-Young; Park, Sun-Kyoung; Park, Jai-Soung

Journal of Korean Society Quality Assurance Health Care 2006;12(1): 92.
Published online May 30, 2006.

입원 소아환자에서 정맥주사 시 통증 및 불안을 경감시키기 위한 중재연구

김묘진¹, 백정희¹, 서원석², 김미영³, 박선경³, 박재성³

¹순천향대학교 부천병원 간호팀
²순천향대학교 의과대학 소아과학교실
³순천향대학교 부천병원 QI실

An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children

Myo-Jin Kim¹, Joung-Hae Bak¹, Won-Seok Seo², Mi-Young Kim³, Sun-Kyoung Park³, Jai-Soung Park³

¹Dept. of Nurse, Soonchunhyang University Bucheon Hospital
²Dept. of Pediatric, School of Medicine, Soonchunhyang University
³Dept. of Quality Improvement, Soonchunhyang University Bucheon Hospital

Abstract

Background
Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxiety and fear of pediatric patients and their parents who do not have understanding logical of their disease and hospitalization. This study attempted to identify pain reduction in related to therapeutic intervention by age and environmental improvement.
Methods
A total of 194 hospitalized children and their parents were investigated. Data collection period was 3 months from March to May 2004. Four instruments were used to collect the data : Faces Pain Rating Scale(FPRS), Heart rate, Oxygen saturation and Pain behavioral check list. The data were analyzed by a SPSS program and tested x2-test, t-test, ANCOVA.
Results
1. Age from 0 to 3, the Heart rate, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. 2. Age from 4 to 6, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. But the heart rate were not significantly different when compare to control group. 3. Age from 7 to 9, FPRS and Pain behavioral check list were significantly lower in therapeutic intervention group when compare to control group but Heart rate and Oxygen saturation were not significantly different when compare to control group.
Conclusion
The results of this study concludes that most children experience acute pain during IV therapy and it can be reduced by age specific therapeutic intervention and by change of surrounding environment.