A Study to Assess the Effectiveness of Kaleidoscope in Reducing Physical Stress during Venipuncture Procedure among Hospitalized Pre-School Children at Selected Hospital of Ahmadabad City, Gujarat State.

Abstract

A study to assess the effectiveness of kaleidoscope in reducing physical stress during venipuncture procedure among hospitalized pre-school children at selected hospital of ahmedabad city, gujarat state. Objectives of the study: To assess physical stress among hospitalized preschool children (experimental group) with kaleidoscope during venipuncture procedure. To assess physical stress among hospitalized preschool children (control group) without kaleidoscope during venipuncture procedure. To assess the effectiveness of kaleidoscope in reducing physical stress by comparing experimental group and control group score. It included the true experimental research approach, post only design, variables under study were kaleidoscope as independent variable, reducing physical stress among hospitalized preschool children as dependent variable. Research is based On Imogene king's goal attainment model selected Hospital of Ahmedabad city as research setting, total 40 samples, and non probability sampling techniques was used. The instrument used for this study was kaleidoscope and tool used for data collection were demographic data, Hospitalization profile and modified observational behavioral pain scale. The data obtained were analyzed and interpreted in the light of objectives and hypothesis using both descriptive and inferential statistical in terms of frequency, percentage and chi-square. The calculated chi-square value (10.141) is greater than the tabulated chi-square value (7.815). Therefore the null hypothesis H0 was rejected and research hypothesis H1 was accepted and it revealed that the modified behavioral observational pain scale was effective in terms of physical stress among the sample. Association between post test score of experimental and control group with selected variables among that the duration of venipuncture procedure, Child past experience to immunization/injection, child's reaction towards health personnel were found to be significant at 0.05 level of significance in experimental group and duration of venipuncture procedure, child's reaction towards health personnel were found to be significant at 0.05 level of significance in control group. In the overall and specific content area, the calculated chi-square value is greater than the tabulated chi-square value. The findings indicate that the kaleidoscope was an effective method of distraction technique during venipuncture procedure. Based on the findings, the following recommendations were offered for future research. The study can be replicated on a large sample, thereby; findings can be generalized for a large population. A similar study can be conducted on children undergoing invasive Pediatric procedures other than the selected one (access to IV line). The study can be replicated in other settings (e.g.: private settings) which might allow comparisons. A comparative study can be conducted to see the effect of distraction techniques during different developmental stages. It was concluded that kaleidoscope reduced physical stress of hospitalized preschool children during venipuncture procedure.