Volume 22, Issue 3 (Pajouhan Scientific Journal, Summer 2024)
Pajouhan Sci J 2024, 22(3): 173-180 |
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Ethics code: IR.UMSHA.REC.1402.511
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Fateh Z, Khalili A, Khodabakhshi A, Azimi F. Comparing the Accuracy of Nurses and Mothers in Estimating the Intensity of Pain and Anxiety of 3–6-year-old Children during Venous Catheter Insertion. Pajouhan Sci J 2024; 22 (3) :173-180
URL: http://psj.umsha.ac.ir/article-1-1105-en.html
URL: http://psj.umsha.ac.ir/article-1-1105-en.html
1- Department of Pediatric Nursing, Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
2- Department of Pediatric, School of Nursing and Midwifery, Mother and Child Cares Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Nursing, Saveh University of Medical Sciences, Saveh, Iran
4- Department of Pediatric Nursing, Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran ,fatemeazimi400@gmail.com
2- Department of Pediatric, School of Nursing and Midwifery, Mother and Child Cares Research Center, Hamadan University of Medical Sciences, Hamadan, Iran
3- Department of Nursing, Saveh University of Medical Sciences, Saveh, Iran
4- Department of Pediatric Nursing, Student Research Center, Hamadan University of Medical Sciences, Hamadan, Iran ,
Abstract: (166 Views)
Background and Objectives: The accurate estimation of the intensity of children's pain and anxiety makes it possible to plan to minimize their pain and anxiety more accurately. This study was conducted to compare the nurses and mothers' accurate estimation of the intensity of pain and anxiety of 3-6-year-old children during venous catheter insertion.
Materials and Methods: In this correlational descriptive study, 150 children in the age group of 3-6 years who needed venous catheter implantation were selected by available sampling method. Intravenous catheter insertion was performed consistently for all children by the same nurse on each shift. During this process, the intensity of pain was recorded using the Wong-Baker Scale, and anxiety was assessed using the Piri Faces Anxiety Scale for Children by both the nurse and mother. Data were analyzed using Pearson and Chi-square correlation coefficient tests in SPSS version 23 software.
Results: The mean pain score estimated by the nurse was 3.72±1.1, while that estimated by the mother was 3.7±1.79. There was a statistically significant and direct correlation between the mean pain intensity scores recorded by the nurse and the mother (P≤0.001). The mean anxiety scores assessed by the nurse and the mother were 3.64±1.14 and 3.6±1.72, respectively. There was a statistically significant and direct correlation between the mean anxiety intensity scores recorded by the nurse and the mother (P≤0.001).
Conclusion: There was a statistically significant and direct correlation between the mean scores of pain intensity and anxiety assessment of nurses and mothers. Therefore, the mean scores recorded by the mother or nurse can be a valid indicator for estimating the intensity of pain and anxiety in children.
Materials and Methods: In this correlational descriptive study, 150 children in the age group of 3-6 years who needed venous catheter implantation were selected by available sampling method. Intravenous catheter insertion was performed consistently for all children by the same nurse on each shift. During this process, the intensity of pain was recorded using the Wong-Baker Scale, and anxiety was assessed using the Piri Faces Anxiety Scale for Children by both the nurse and mother. Data were analyzed using Pearson and Chi-square correlation coefficient tests in SPSS version 23 software.
Results: The mean pain score estimated by the nurse was 3.72±1.1, while that estimated by the mother was 3.7±1.79. There was a statistically significant and direct correlation between the mean pain intensity scores recorded by the nurse and the mother (P≤0.001). The mean anxiety scores assessed by the nurse and the mother were 3.64±1.14 and 3.6±1.72, respectively. There was a statistically significant and direct correlation between the mean anxiety intensity scores recorded by the nurse and the mother (P≤0.001).
Conclusion: There was a statistically significant and direct correlation between the mean scores of pain intensity and anxiety assessment of nurses and mothers. Therefore, the mean scores recorded by the mother or nurse can be a valid indicator for estimating the intensity of pain and anxiety in children.
Type of Study: Research Article |
Subject:
Basic Sciences
Received: 2024/07/14 | Accepted: 2024/07/20 | Published: 2024/11/18
Received: 2024/07/14 | Accepted: 2024/07/20 | Published: 2024/11/18
References
1. Shen T, Wang X, Xue Q, Chen D. Active versus passive distraction for reducing procedural pain and anxiety in children: a meta-analysis and systematic review. Ital J Pediatr. 2023;49(1):109. [DOI:10.1186/s13052-023-01518-4] [PMID] []
2. Semerci R, Kostak MA. The efficacy of distraction cards and kaleidoscope for reducing pain during phlebotomy: a randomized controlled trial. J Perianesth Nurs. 2020;35(4):397-402. [DOI:10.1016/j.jopan.2020.02.003] [PMID]
3. Ferraz-Torres M, San Martín-Rodríguez L, García-Vivar C, Soto-Ruiz N, Escalada-Hernández P. Passive or interactive virtual reality? The effectiveness for pain and anxiety reduction in pediatric patients. Virtual Reality. 2022;26(4):1307-16. [DOI:10.1007/s10055-022-00633-7]
4. Al-Oran H, Ahmad A-S, Alsaraireh F, Mahasneh D. A Cross-Sectional Study of Pediatric Nurses' Perceptions and Practices of Family-Centered Care in Governmental Pediatric Setting. J Compr Ped. 2023;14(3). [DOI:10.5812/compreped-136807]
5. Hockenberry MJ, Bryant R, Hellsten MB. Wong's Clinical Manual of Pediatric Nursing E-Book: Elsevier Health Sciences. 2023.
6. Pettoello-Mantovani M, Campanozzi A, Maiuri L, Giardino I. Family-oriented and family-centered care in pediatrics. Ital J Pediatr. 2009;35(1):12. [DOI:10.1186/1824-7288-35-12] [PMID] []
7. Yoo H, Kim S, Hur H-K, Kim H-S. The effects of an animation distraction intervention on pain response of preschool children during venipuncture. Appl Nurs Res. 2011;24(2):94-100. [DOI:10.1016/j.apnr.2009.03.005] [PMID]
8. Yang S-C, Hui-Mei H, Te-Feng Y, Ching-Hui S, Wu C-L, Hsieh Y-J, et al. Differences in Pain Assessments Between Inpatients and Nurses Leads to Considerable Misestimated Pain. Pain Physician. 2023;26(1):61-8. [DOI:10.36076/ppj.2023.26.61]
9. Rababa M, Al-Sabbah S, Eyadat AM, Abusbaitan HA. The association between socio-demographic characteristics and using pain assessment tools among critically Ill patients. Medicina. 2023;59(4):759. [DOI:10.3390/medicina59040759] [PMID] []
10. Brudvik C, Moutte S-D, Baste V, Morken T. A comparison of pain assessment by physicians, parents and children in an outpatient setting. Emerg Med J. 2017;34(3):138-44. [DOI:10.1136/emermed-2016-205825] [PMID] []
11. Khin Hla T, Hegarty M, Russell P, Drake‐Brockman TF, Ramgolam A, von Ungern‐Sternberg BS. Perception of pediatric pain: a comparison of postoperative pain assessments between child, parent, nurse, and independent observer. Pediatric Anesthesia. 2014 Nov;24(11):1127-31. [DOI:10.1111/pan.12484] [PMID]
12. Neshat H, Ghorbani F. Differences in the child, mother, and nurses' pain score measurements during pediatric veni-puncture. J Pediatr Nurs. 2023;73:102-5. [DOI:10.1016/j.pedn.2023.08.025] [PMID]
13. Zontag D, Kuperman P, Honigman L, Treister R. Agreement between children's, nurses' and parents' pain intensity reports is stronger before than after analgesic consumption: Results from a post-operative study. Int J Nurs Stud. 2022;130:104176. [DOI:10.1016/j.ijnurstu.2022.104176] [PMID]
14. Manias E, Bucknall T, Botti M. Nurses' strategies for managing pain in the postoperative setting. Pain Manag Nurs. 2005;6(1):18-29. [DOI:10.1016/j.pmn.2004.12.004] [PMID]
15. Kalvin CB, Marsh CL, Ibrahim K, Gladstone TR, Woodward D, Grantz H, et al. Discrepancies between parent and child ratings of anxiety in children with autism spectrum disorder. Autism Res. 2020;13(1):93-103. [DOI:10.1002/aur.2220] [PMID] []
16. Erogan G, Celik S. Assessment of Postoperative Pain by the Parent, Nurse and an Independent Observer Among 1-7 Year Old Children. Int J of Caring Sci. 2020;13(2):1013-22.
17. Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Health Care. 2016;20(3):277-85. [DOI:10.1177/1367493515587062] [PMID]
18. Aslan H, Erci B. The effect of playing games with toys made with medical materials in children with cancer on pain during intravenous treatment. Palliat Support Care. 2022;20(1):84-93. [DOI:10.1017/S1478951521000390] [PMID]
19. Hoseini T, Golaghaie F, Khosravi S. Comparison of Two Distraction Methods on Venipuncture Pain in Children. J Arak Uni Med Sci. 2019;22(3):27-35.
20. Hamedtavasoli S, alhani F, hajizadeh E. Investigating of the effect of familiarzation play on the injective procedural anxiety in B-Thalassemic pre-school children. IJNR. 2012;7(26) :42-9.
21. Ajerloo M, Khosravi S, Bayati A. Effect of guided imagery on anxiety of the children candidate for tonsillectomy. Hayat. 2022;28(2):173-83.
22. Rybojad B, Sieniawski D, Rybojad P, Samardakiewicz M, Aftyka A. Pain Evaluation in the Paediatric Emergency Department: Differences in Ratings by Patients, Parents and Nurses. Int J Environ Res Public Health. 2022;19(4):2489. [DOI:10.3390/ijerph19042489] [PMID] []
23. da Cunha Batalha LM, Domingues Sousa AF. Self-report of pain intensity: correlation between children, parents, and nurses. Revista de Enfermagem Referência. 2018;4(17):15-21A. [DOI:10.12707/RIV18002]
24. Khin Hla T, Hegarty M, Russell P, Drake‐Brockman TF, Ramgolam A, von Ungern‐Sternberg BS. Perception of pediatric pain: a comparison of postoperative pain assessments between child, parent, nurse, and independent observer. Pediatric Anesthesia. 2014;24(11):1127-31. [DOI:10.1111/pan.12484] [PMID]
25. Nauta MH, Scholing A, Rapee RM, Abbott M, Spence SH, Waters A. A parent-report measure of children's anxiety: psychometric properties and comparison with child-report in a clinic and normal sample. Behav Res Ther. 2004;42(7):813-39. [DOI:10.1016/S0005-7967(03)00200-6] [PMID]
26. LeBaron S, Zeltzer L. Assessment of acute pain and anxiety in children and adolescents by self-reports, observer checks, and a behavior check list. Pain. 1985;22(2):217. [DOI:10.1016/0304-3959(85)90212-X]
27. Jerez Molina C, Lahuerta Valls L, Fernandez Villegas V, Santos Ruiz S. Nursing evaluation of pediatric preoperative anxiety: a qualitative study. Rev Lat Am Enfermagem. 2023;31:e3738. [DOI:10.1590/1518-8345.6230.3737]
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