Comparison of the Effects of Hugo’s Point Massage and Play on IV-Line Placement Pain in Children: A Randomized Clinical Trial

Shahnaz Salawati Ghasemi,Mehdi Beyramijam,Masoomeh Khaleghverdi,Fatemeh Yarahmadi,Seyed Shahabeddin Bahrani,Taban Nematifard,Parisa Gazerani

doi:10.1155/2021/6612175

Abstract

Reduction of intravenous line placement pain is one of the most important nursing priorities in the pediatric wards. The present study was aimed at comparing the effect of Hugo's point massage and play on the severity of IV-line placement pain in hospitalized children aged 3–6 years in the pediatric ward. 72 children were selected and assigned randomly to three groups, i.e., control, play, and Hugo point massage. In the massage group, the middle angle between the first and second bones of the palm of the opposite hand was massaged, and the playgroup encouraged bubble-making play. The one-way analysis of variance (ANOVA) did not show a statistically significant difference between the mean IV-line placement pain in play, Hugo's point, and control groups before interventions (p=0.838; p > 0.05). However, the ANOVA test revealed a significant difference between the mean IV-line placement pain in play, Hugo's point, and control groups after the interventions (p=0.006; p < 0.05). The result of the post hoc Scheffe test also showed a statistically significant difference between the mean intensity of IV-line placement pain in both play therapy and Hugo's point massage groups (p=0.028; p < 0.05). Moreover, this test showed that the playgroup children felt less pain than Hugo's point and control group children. This study showed that, in comparison with Hugo's point massage, the play was a more effective way for reducing pain caused by IV-line placement in children, and pediatric nurses can play a significant role in reducing and managing children's pain by using it.

Highlights

IV-line placement pain is one of the most important nursing diagnoses in hospitalized children, which requires effective measures by nurses
Data Analysis. e one-way analysis of variance (ANOVA), post hoc Scheffe test, chi-square test, Kolmogorov–Smirnov test, and descriptive statistics were used to analyze the data by SPSS software v
Out of 96 selected people, 24 were excluded from the study for various reasons, and 72 people participated and were analyzed in the study. e mean age of children in the Hugo massage, play, and control groups was 50.17 (9.756), 47.42 (9.297), and 50.96 (11.087) months, respectively, and in all three groups, gender segregation was equal. e cause of hospitalization of the majority of children in the Hugo massage group (25%), playgroup (20.8%), and control group (20.8%) was reported to be seizure caused by fever

Summary

Introduction

IV-line placement pain is one of the most important nursing diagnoses in hospitalized children, which requires effective measures by nurses. By massaging certain points in the body, these channels can be accessed which is led to balance energy and improve pain [15]. Hugo is one of the pressure points of the large intestinal energy channel called large intestine 4 (LI4) and is located between the first and second metacarpal bones (between the thumb and forefinger) [16] Play is another nonpharmacological method that can reduce pain in children. The present study was aimed to compare the effects of play and Hugo’s point massage on pain caused by IV line placement in children in the age range from 3 to 6 years

Participants

Outcomes

Results

Conclusion