Çocuklara aşı enjeksiyonu sırasında uygulanan video izletme yönteminin ağrı düzeyi ve fizyolojik parametrelere etkisi: Randomize kontrollü çalışma
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Tarih
2022
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Düzce Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma, 12-24 aylık çocuklara aşı enjeksiyonu sırasında uygulanan video izletme yönteminin ağrı düzeyi ve fizyolojik parametrelere etkisini belirmek amacı ile randomize kontrollü tipte deneysel çalışma olarak yapılmıştır. Araştırma, Kaynaşlı Devlet Hastanesi Aile Hekimliği'nde Kasım 2019-Mart 2020 tarihleri arasında gerçekleştirilmiştir. Araştırmanın örneklemini, yapılan güç analizi sonucunda çalışmaya katılmayı kabul eden ve örnekleme alınma kriterlerini taşıyan toplam 60 çocuk (deney grubu=30, kontrol grubu=30) oluşturmuştur. Deney grubundaki çocuklara aşı enjeksiyonu sırasında video izletme yöntemi uygulanmış, kontrol grubundaki çocuklara ise sadece rutin aşı uygulaması yapılmıştır. Verilerin toplanmasında; literatür incelemesine dayanılarak araştırmacı tarafından geliştirilen çocuk ve ebeveyne ait tanıtıcı özellikleri içeren "Kişisel Bilgi Formu", aşı enjeksiyonu öncesi, sırası ve sonrasında çocuğun ağrısının değerlendirilmesinde "FLACC Ağrı Ölçeği", çocuklarda fizyolojik parametrelerin değerlendirilmesinde "Fizyolojik Ölçüm Formu" kullanılmıştır. Verilerin analizleri IBM SPSS Statistics 28 paket programı üzerinden yapılmıştır. Uygulanan analizler sonucunda, video izleme grubundaki çocukların işlem sırasında ve işlem sonrasındaki FLACC Ağrı Ölçeği puanlarının kontrol grubundaki çocuklardan anlamlı derecede daha düşük olduğu bulunmuştur (p<0,001). Bu sonuca göre, 12-24 aylık çocuklara aşı enjeksiyonu sırasında dikkati dağıtma yöntemi olarak uygulanan video izletme yönteminin hissedilen ağrı düzeyini azaltmada etkili olduğu görülmüştür. Fizyolojik parametreler bakımından, deney grubundaki çocukların işlem sonrası kalp tepe atımı değerlerinin kontrol grubuna göre anlamlı derecede fazla olduğu (p<0.05); kontrol grubundaki çocukların işlem sonrasında oksijen saturasyonu değerlerinin işlem öncesine göre anlamlı derecede azaldığı (p<0.05) bulunmuştur. Bu sonuçlar doğrultusunda aşı enjeksiyonu uygulanan çocukların ağrı düzeyinin azalması ve oksijen saturasyonu değerlerinin olumlu yönde etkilenmesi için, video izletme yöntemi kullanılması önerilmektedir. Anahtar Kelimeler: Ağrı, Çocuklar, Dikkat dağıtma, Hemşirelik, Video izletme
The research was conducted as a randomized controlled type experimental study to determine the effect of watching video method on pain level and physical parameters, which was applied during vaccine injection in 12-24 month old children. The research was carried out in Kaynaşlı State Hospital Family Medicine between November 2019 and March 2020. The sample of the study consisted of a total of 60 children (experimental group=30, control group=30), who accepted to participate in the study as a result of the power analysis and met the sample selection criterias. During the vaccination process, the children in the experimental group were to apply a whatching video method, while the children in the control group were only routine vaccinated. In the collection of data; the "Personal Information Form", which was developed by the researcher based on the literature review, containing the descriptive features of the child and the parent, the "FLACC Pain Scale" for the evaluation of the child's pain before, during and after the vaccine injection, and the "Physiological Measurement Form" for the evaluation of the physiological parameters in children were used. The datas obtained in the research were analyzed by transferring them to the IBM SPSS Statistics 28 package program. As a result of the analyzes applied, it was found that the children in the video watching group had significantly lower FLACC Pain Scale scores during and after the procedure than the children in the control group (p<0.001). According to this result, it was seen that the video watching method applied as a distraction method during vaccine injection to 12-24 month-old children was effective in reducing the level of pain felt. In terms of physiological parameters, the post-procedure heart rate values of the children in the experimental group were significantly higher than the control group (p<0.05); it was found that the oxygen saturation values of the children in the control group decreased significantly after the procedure compared to the pre-procedure (p<0.05). In line with these results, it is recommended to use the video surveillance method in order to reduce the pain level of children who are given vaccine injection and to positively affect the oxygen saturation values. Keywords: Children, Distraction,Nursing, Pain, Watching video
The research was conducted as a randomized controlled type experimental study to determine the effect of watching video method on pain level and physical parameters, which was applied during vaccine injection in 12-24 month old children. The research was carried out in Kaynaşlı State Hospital Family Medicine between November 2019 and March 2020. The sample of the study consisted of a total of 60 children (experimental group=30, control group=30), who accepted to participate in the study as a result of the power analysis and met the sample selection criterias. During the vaccination process, the children in the experimental group were to apply a whatching video method, while the children in the control group were only routine vaccinated. In the collection of data; the "Personal Information Form", which was developed by the researcher based on the literature review, containing the descriptive features of the child and the parent, the "FLACC Pain Scale" for the evaluation of the child's pain before, during and after the vaccine injection, and the "Physiological Measurement Form" for the evaluation of the physiological parameters in children were used. The datas obtained in the research were analyzed by transferring them to the IBM SPSS Statistics 28 package program. As a result of the analyzes applied, it was found that the children in the video watching group had significantly lower FLACC Pain Scale scores during and after the procedure than the children in the control group (p<0.001). According to this result, it was seen that the video watching method applied as a distraction method during vaccine injection to 12-24 month-old children was effective in reducing the level of pain felt. In terms of physiological parameters, the post-procedure heart rate values of the children in the experimental group were significantly higher than the control group (p<0.05); it was found that the oxygen saturation values of the children in the control group decreased significantly after the procedure compared to the pre-procedure (p<0.05). In line with these results, it is recommended to use the video surveillance method in order to reduce the pain level of children who are given vaccine injection and to positively affect the oxygen saturation values. Keywords: Children, Distraction,Nursing, Pain, Watching video
Açıklama
Anahtar Kelimeler
Ağrı, Çocuklar, Dikkat dağıtma, Hemşirelik, Video izletme, Children, Distraction,Nursing, Pain, Watching video, Hemşirelik, Nursing, Ağrı, Pain, Dikkat dağıtma, Distraction, Hemşirelik, Nursing, Video, Video, Çocuklar, Children
