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International Journal of Nursing Education and Research
Year : 2019, Volume : 7, Issue : 3
First page : ( 354) Last page : ( 360)
Print ISSN : 2347-8640. Online ISSN : 2454-2660.
Article DOI : 10.5958/2454-2660.2019.00081.4

Assessment of Pain During Invasive Procedures among Children (1 to 12 years) Admitted at Pravara Rural Hospital, Loni (Bk)

Mr. Dengale Yogesh1,*, Radha Retd Lt Col. Dr. V.2

1Lecturer, Ganpatrao Adke College of Nursing, Nashik

2Professor and Principal, Pravara Institute of Medical Sciences (DU), College of Nursing, Loni (Bk), Tal. Rahata, Dist. Ahmednagar, Maharashtra, 413736

*Corresponding Author E-mail: nayanashinde34@gmail.com

Online published on 6 February, 2020.

Abstract

Background

“Pain is an unpleasant sensory and emotional experience associated with actual or potential tissue damage, described in terms of such damage”. When a child is brought to the hospital, its environment itself makes the child anxious and unsecure. Pediatric patients are often subjected to unexpected medical procedures that cause pain such as intravenous (IV) insertions, intramuscular injections and lumbar puncture etc. Thus, the investigator intended to conduct a study with the objectives of assessment of pain during invasive procedure among children and consider as a fifth vital sign.

Material and Methods

A descriptive cross sectional study design was used to assess the pain during invasive procedure and outcome among children admitted at Pravara Rural Hospital, Loni (Bk). Sample consisted of 60 children selected by non-probability purposive sampling. A structured observation checklist was prepared to collect data of children during selected invasive procedure. The tool was prepared in the form of pain rating scale to assess the level of pain during selected invasive procedure among children. Descriptive and inferential statistics was used to analyse data based on objectives.

Results

Statistically significant (t = 2.06) difference was found in assessment of pain of children with 1–3 years (FLACC scale) before-during and during-after invasive procedure. Similarly a statistically significant (t = 2.04) difference was found in assessment of pain of children with 4–12 years (Wong baker scale) before-during and during-after invasive procedure at p ≤ 0.05 level. The findings revealed that there was a significant (χ2 = 3.84) association was found between the pain before procedure and the socio demographic variable such as age and duration of procedure at p ≤ 0.05 level. There was a significant (χ2 = 3.84) association was found between the pain before procedure and the socio demographic variable such as age, duration and site of procedure at p ≤ 0.05 level.

Conclusion

Findings shown that all children had severe pain during invasive procedure whereas after the procedure it was moderate level of pain. There was statically significant difference was found before during and after painful procedure at 0.05 level. Similarly significant association found between before and during invasive procedure and their socio demographic characteristics.

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Keywords

Assessment, pain, invasive, children.

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