تأثیر روش‎های مختلف انحراف فکر بر روی درد ناشی از رگ گیری: مطالعه موردی در کودکان 6-3 ساله

نوع مقاله : مقاله پژوهشی

نویسندگان

1 مرکز تحقیقات بیهوشی و کنترل درد، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

2 گروه بیهوشی، دانشگاه علوم پزشکی شیراز، شیراز، ایران.

3 مرکز تحقیقات مولفه‎های اجتماعی نظام سلامت، دانشگاه علوم پزشکی جهرم، جهرم، ایران.

4 کمیته تحقیقات دانشجویی،دانشگاه علوم پزشکی جهرم، جهرم، ایران.

چکیده

 مقدمه: کودکان در پاسخ به درد تحریک پذیر، بی‎قرار و هیجان زده می‎شوند. اغلب کودکان درد ناشی از تزریق را پیش بینی می‎کنند و با رفتار‎های غیر سازگارانه توام با اضطراب قبل از تزریق، مانع انجام آن می‎شوند بنابراین هدف از انجام این مطالعه بررسی میزان تأثیر روش‎های مختلف انحراف فکر بر روی درد ناشی از رگ گیری در کودکان6-3 ساله  است.
روش کار: این مطالعه شبه تجربی بر روی 110 نفر از کودکان بستری شده در بخش کودکان بیمارستان پیمانیه شهرستان جهرم به روش نمونه گیری در دسترس و تصادفی انجام شد. ابزار گردآوری اطلاعات در مطالعه حاضر شامل سه پرسشنامه اطلاعات دموگرافیک، مقیاس بررسی رفتاری درد کودکان و  مقیاس عددی سنجش درد بود. تجزیه و تحلیل اطلاعات با استفاده از نرم افزار  SPSS نسخه 21 و آزمون‎های آماری توصیفی و استنباطی صورت گرفت.
نتایج: مقایسه گروهای پژوهش از لحاظ مقیاس بررسی رفتاری درد با استفاده از آزمون
من ویتنی نشان داد که بین تمام گروه‎های توپ موزیکال، باد کردن بادکنک، در آغوش مادر، توپ موزیکال+آغوش مادر و کنترل تفاوت معنی دار وجود داشت (05/0 >p). گروه "کنترل" بیشترین و گروه "توپ موزیکال + آغوش مادر" کمترین میانگین رفتاری درد و سنجش درد را داشتند.
 نتیجه گیری: اجرای برنامه‎ی انحراف فکر باعث کاهش درد ناشی از رگ گیری در کودکان شده است. بنابراین می‎توان با انواع روش‎های انحراف فکر، اثرات تجزیه مخرب رویه‎های دردناک و استرس‎آور را در کودکانی که درد زیادی در هنگام رویه‎های دردناکِ زمان تشخیص، درمان و کنترل بیماری خود تجربه می‎کنند را کاهش داد.

کلیدواژه‌ها

عنوان مقاله [English]

The impact of different methods of distraction on pain of venipuncture: a case study in children 6-3 years old

نویسندگان [English]

  • Ahmad Rastgarian 1
  • Mohammad Sadegh saniejahromi 1
  • Seyed Ebrahim Sadeghi 2
  • Navid Kalani 3
  • Fatemeh Eftekharian 3
  • Mohammad Hasan Damshenas 1
  • Naser Hatami 4
1 Anesthesiology, Critical Care and Pain Management Research Center, Jahrom University of Medical Sciences, Jahrom, Iran.
2 Anesthesiology Department, Shiraz University of Medical Sciences, Shiraz, Iran.
3 Research center for social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran.
4 Student Research Committee, Jahrom University of Medical Sciences, Jahrom, Iran.
چکیده [English]

 Introduction: Children become irritable, restless, and excited in response to excruciating pain. Most children anticipate the pain caused by the injection and are prevented from doing so by non-adaptive anxious behaviors prior to the injection, so the aim of this study was to investigate the effect of different methods of thinking on the pain caused by venous thrombosis. In children 6-3 years old.
Methods: This quasi-experimental study was performed on 110 children admitted to the pediatric ward of Peymaniyeh Hospital in Jahrom city by available and random sampling method. The data collection tools in this study included three demographic information questionnaires, children's behavioral pain scale and numerical pain measurement scale. Data analysis was performed using SPSS software version 21 and descriptive and inferential statistical tests.

Results: Comparison of research groups in terms of scale of behavioral pain analysis using test Mann Whitney showed that there was a significant difference between all groups of musical balls, inflating balloons, in the mother's arms, the musical ball + the mother's arms, and controlling (p-value <0.05). The "control" group had the highest and the "musical ball + mother embrace" group had the lowest average pain behavior and pain measurement.

 Conclusion: Implementing a mindfulness program has reduced the pain caused by sprains in children. Therefore, it is possible to reduce the effects of destructive and stressful procedures in children who experience a lot of pain during painful procedures when diagnosing, treating and controlling their disease with various deviant methods.

کلیدواژه‌ها [English]

  • Deviation of Thought
  • Pain
  • Vascular
  • Children

مراجع

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مجله دانشکده پزشکی دانشگاه علوم پزشکی مشهد
دوره 62، شماره 6
بهمن-اسفند98- شماره6-دوره 62
بهمن و اسفند 1398
صفحه 1812-1822

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