Effect Of Distraction Technique Research Articles

Effect of Distraction technique and Relaxation Exercise on Anxiety Level and Quality of Life among Threatened Preterm Labor Women

Effect of Distraction technique and Relaxation Exercise on Anxiety Level and Quality of Life among Threatened Preterm Labor Women

Squeezing a squishy object effectively controls pain in children during intravenous catheter insertion.

This study aimed to identify the effect of distraction technique involving squeezing a squishy object on pain in children during intravenous catheter insertion. In this work, the control group posttest-only quasiexperimental design was used. This study involved 50 participants aged 3-15 years and was assigned into either intervention or control group. The intervention group was provided with a squishy object to squeeze as a form of distraction during intravenous catheter insertion, whereas the control group received the standard intervention. The pain was measured by using the Wong- Baker Faces Scale for 3-8 years old and the Visual Analog Scale or Numeric Rating Scale for children older than 8 years. Mann–Whitney analysis reveals significant difference in pain level between the intervention and control groups (P<0,001; α=0.05). The distraction technique involving squeezing a squishy object effectively reduced pain in children during intravenous catheter insertion and is recommended for pain management in nursing care in the pediatric ward.

Effectiveness of distraction techniques in the management of anxious children - A randomized controlled pilot trial.

The aim was to evaluate and compare the effectiveness of two distraction techniques, magic trick and mobile dental game with tell-show-do (TSD) in the management of anxious children. Two hundred and thirty children aged 4-5 years were screened for their baseline anxiety using the Chotta Bheem-Chutki scale. A double-blinded randomized control trial was conducted among 60 children with high anxiety scores. They were randomly divided into three groups. Group 1 received a magic trick distraction technique. Group 2 received a mobile dental game distraction technique. Group 3, the control group received TSD. Readiness to accept the dental treatment and postoperative anxiety scores were recorded. Statistically significant reduction in the anxiety level was seen in children who received magic (P = 0.001), mobile dental game (P < 0.001), and TSD technique (P < 0.001). Based on the readiness to accept dental treatment, there was a statistically significant difference between the three groups (P = 0.025). The children in the mobile group were found to accept the treatment faster compared to the magic and TSD groups. All three techniques were equally effective in reducing the anxiety of children. The mobile dental game was superior to magic trick and TSD in terms of children's readiness to accept dental treatment.

The effect of distraction techniques on pain and stress during labor: a randomized controlled clinical trial

BackgroundPain control and the stress associated with labor and delivery are among the most important issues of health care system. Use of distraction techniques during childbirth is reported to reduce pain and stress of labor. However, there is a limited publication that looked on the effect of distraction techniques on labor pain and stress. Thus, the aim of this study was to determine the effect of distraction techniques on labor pain and stress (primary outcomes), fear of childbirth, length of delivery stages, first minute Apgar score and oxytocin consumption (secondary outcomes).MethodsA randomized controlled clinical trial was conducted on 68 pregnant women. Participants were allocated into two groups (intervention and control groups) by blocked randomization. Participants in the intervention group received distraction techniques in four sessions. Questionnaires of Fear of Childbirth (W-DEQ version A) and PSS once were completed before intervention and again at the 36th week for the W-DEQ and in the active phase for the PSS through interviews. The pain was assessed through VAS during active phase per hour. The length of delivery stages was recorded in the partograph chart. Data were analyzed by independent t-test and ANCOVA.ResultsThe mean of perceived stress during labor in the intervention group was significantly less than that of the control group (AMD: -3.2; 95% CI: − 0.8 to − 6.0; P = 0.01). The mean (SD) of pain intensity during labor was less than in the intervention and control groups compare to the control group (6.2 vs 7.5; P < 0.001). There was no significant difference between the two groups in terms of fear of childbirth score (AMD: 5.3; 95% CI: 13.0 to − 6.0; P = − 2.3). Moreover, there was no statistically significant difference between the two groups in terms of the active phase of labor (P = 0.504), second stage of delivery (P = 0.928), total length of delivery (P = 0.520), Apgar score (P = 1.000) and frequency of oxytocin consumption (P = 0.622).ConclusionAccording to the results, distraction techniques can reduce the pain and stress of labor, but further studies by using the distraction techniques are needed to reach a decisive conclusion.Trial registrationIRCT2017042910324N39; Name of registry: Iranian Registry of Clinical Trials; Registered 11 September 2017. URL of registry: https://fa.irct.ir/user/trial/10814/view. Date of enrolment of the first participant to the trial: September 2017.

Effectiveness of Distraction Techniques on Pain Intensity during Immunization among Infants

Background: One of the most dramatic advances in pediatic nursing is the atraumatic care . Pain associated with some investigation, treatment or procedures is known as procedural pain. Distraction is non pharmacological method which is used for diverting attention from noxious stimulus by passively redirecting the attention or by actively performed by the subject in the performance of diversion technique. Material and method: A true experimental multiple intervention post test control design was used. There were100 infants selected using simple random sampling technique and were randomly allocated in various groups such as electronic toy group, key toy group, simple toy group and control group using lottery method. During immunization, distraction techniques were shown to experimental groups and routine care was given to control group. Research tool was submitted to 7 experts from various specialists for validity. Reliability was calculated by Kappa method and it was 0.83 of FLACC pain scale to assess pain intensity during immunization among infants. Data collection was done in January 2017. The obtained data was analyzed and interpreted in terms of objectives and research hypotheses. Analysis was done by using descriptive and inferential statistics. Results: The results revealed that mean pain score of control group was higher (7.16±0.16) as compared to that of electronic toy group (2.60± 0.16) , key toy group(4.80±0.22) and simple toy group (5.44±0.18) . The difference between mean pain score of infants in electronic toy group, key toy group, simple toy group with control group was found to be statistically significant at p&lt;0.01 level of significance. Conclusion: Based on the study findings, it is concluded that distraction technique was effective in reducing the pain intensity during immunization among infants.

Effectiveness of Distraction Techniques in Managing Pediatric Dental Patients.

ABSTRACTAimChildren having dental anxiety usually hesitate to seek dental care which can result in poor oral health and may lead to expensive and complex dental treatment in the future. The aim of the present study is to compare and evaluate the effectiveness of various distraction techniques in managing pediatric dental patients.Materials and methodsEighty healthy children selected for the study were randomly divided into 4 groups with 20 children in each group. Group I was termed as the control group; in group II, the audio distraction technique was used. Group III received audio–video distraction (AVD) by means of a chair-mounted audio–video device and group IV received AVD by means of a ceiling-mounted television. Each child had four dental visits. Child's anxiety in each visit was assessed using four parameters: RMS pictorial scale (RMS-PS), Venham picture test (VPT), pulse rate, and oxygen saturation.ResultsCeiling-mounted AVD was found to be the most effective in reducing the anxiety followed by chair-mounted AVD. Audio distraction was found to be the least effective but was better than the control group.ConclusionThe AVD technique is simple, passive, and noninvasive means of behavior management and can be used alternatively in managing anxious pediatric dental patients.How to cite this articleKhandelwal M, Shetty RM, et al. Effectiveness of Distraction Techniques in Managing Pediatric Dental Patients. Int J Clin Pediatr Dent 2019;12(1):18–24.

Effectiveness of distraction techniques on pain intensity during Immunization among Infants

Effectiveness of distraction techniques on pain intensity during Immunization among Infants

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.

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.

USE OF DISTRACTION TECHNIQUES ON DURING THE INVASIVE PROCESSES OF PEDIATRIC PATIENTS

Aim: This review aimed to examine the literature on the effectiveness of distraction techniques on anxiety, fear, and pain management during invasive procedures in children aged between 6-12 years old. Method: The literature was searched using databases. Results: In the Higher Education Council National Thesis Center, there were 2 medical specialty theses, 3 doctoral theses, and 7 master’s theses on anxiety, fear, and pain management in children. Numerous publications and articles were also reviewed and it was found that distraction techniques, in general, had positive effects on pediatric patients and their families during painful/invasive procedures. Conclusion: Distraction techniques used during invasive procedures such as drawing blood and opening vascular access increase adherence to treatment and care as well as reducing anxiety, fear, and pain, which may lead to positive long-term outcomes. This review addressed the use of distraction techniques in children during invasive procedures.

Effectiveness of Distraction Techniques in The Management of Anxious Children in the Dental Operatory

Aims and objectives: To investigate the effect of distraction with a mobile phone video game in comparison with video viewing on the behavior of children undergoing local anesthesia injection during dental extraction and the treatment satisfaction as reported by children and pediatric dentists. Materials and methods: 30 children in the age group of 4-8 years with Frankel's behavior rating score of 2 who required local anesthesia for dental extraction were selected. There were two study groups; group 1 playing video game on the mobile phone and group 2 viewing videos of patient's favorite cartoon character on mobile phone as means of distraction during the preoperative period and during the course of the dental procedure. The level of anxiety of the patient and the pediatric dentist's satisfaction with the patient's behavior during the treatment were noted. Results: Mobile phone video games were found to be more effective for distracting kids in the dental operatory than viewing videos. Preoperative anxiety was found to be highly reduced with this method of distraction. Conclusion: A cartoon video or video game on a mobile phone can be offered to most children as they are easy to implement, portable, and effective method to reduce anxiety in the preoperative area and during injection of local anesthesia for dental extraction. These techniques of distraction also reduce operatory stress on the pediatric dentist.

The Effect of Distraction Technique on the Pain of Dressing Change among 3-6 Year-old Children

Background Burn dressings, debridement, surgical incisions, skin grafting and physical therapy are some of painful treatments of burn. According to the studies, distraction techniques have a significant effect on patients’ pain. The present study was designed and conducted to determine the effect of distraction on pain of dressing change in second degree burn in 3-6 year-old children. Materials and Methods This randomized controlled trial study, was conducted on 80 hospitalized children with second degree burn in 2015. Playing a video computer game for children during the dressing change procedure was the intervention for the interventional group. Also the intensity of pain was measured by behavioral pain scale for children (FLCC scale) during dressing. This scale was completed for patients without no intervention in the control group during dressing. Results Pain intensity mean in the interventional group (2.575 ± 1.807) had significant changes in comparison with the control group (8.025 ± 1.187) (P<0.001). 70% of children in the control group experienced severe pain due to dressing change, but most children in the intervention group (77.5%) had a little pain. Conclusion According to the results it seems that distraction intervention has a significant positive effect on the pain of dressing change in children. Further studies are recommended for the development of this technique in health care centers.

The Effect of Distraction Method on Bone Marrow Aspiration Pain: A Randomized Clinical Trial

Bone Marrow Aspiration (BMA) is one of the methods for diagnosis and treatment of various diseases, that now day it is widely used in regenerative medicine. Although this Procedure in adults is usually performed by using local anesthesia, it is associated pain. The purpose of this study is to research into the effect of Distraction Technique (DT) on patients who have undergone BMA for appeasement of pain. This study was a parallel-randomized clinical trial. The 60 patients who underwent BMA were randomly divided into two groups. Intervention group received DT training and control group did not go through any training program. To measure the scope of severity of pain, Visual Analogue Scale (VAS) was used respectively. Comparison of pain variable in study groups revealed that the mean score of VAS average in the intervention group has been lower than that of the control group and this difference was significant (P < 0.001 respectively). Comparison of vital signs before and after BMA showed no any significant differences between groups. However ,no significant change was observed in control group. DT is an effective technique to reduce pain in BMA candidate. Nurses need to be aware pain procedures during BMA.

Effect of Distraction Technique During Immunization to Reduce Behaviour Response Score (FLACC) to Pain in Toddlers

Introduction: Distraction techniques are important non pharmacological tools to reduce pain in infants and children. Few data are available regarding their effectiveness in toddlers. We have assessed effectiveness of audio-visual distraction techniques in toddlers during and after vaccination. Materials and Methods: The study used a quasi experimental three group pretest post test design. For all the three groups, the injections were administered by same staff nurse. Group- 1 (120 Patient) was encouraged to see and play with light and sound producing toy. Group- 2 (120 Patient) children were encouraged to see cartoon movie and children of control group- 3 (110 patient) were immunized without any distraction technique. A question form was used to determine the infant’s characteristics and the Face, Leg, Activity, Cry, Consolability (FLACC) Pain Scale was used to assess the level of pain. Data was collected between 1st April 2012 and 30th September 2012. Results: The mean pain score of test group during procedure (Group-1: 2.30 &amp; Group-2: 3.65) were lower than the score of control group (Group-3: 5.30). Similarly after procedure Score (Group-1: 4.62 &amp; Group-2: 2.79) were lower than the score of control group (Group-3: 6.20). Conclusion: The lower pain score in response to vaccination in test group indicates that distraction technique i.e. light &amp; sound producing toys and cartoon movies are practical way to reduce pain during routine medical interventions in toddler. DOI: http://dx.doi.org/10.3126/jnps.v33i1.7017 J Nepal Paediatr Soc. 2013;33(1):25-30