Quality Improvement in Health Care (한국의료질향상학회지)

Korean Society for Quality in Health Care (한국의료질향상학회)
권호 표지

An Intervention Study of Pain Reduction during IV Therapy in Hospitalized Children

입원 소아환자에서 정맥주사 시 통증 및 불안을 경감시키기 위한 중재연구

  • Kim, Myo-Jin (Dept. of Nurse, Soonchunhyang University Bucheon Hospital) ;
  • Bak, Joung-Hae (Dept. of Nurse, Soonchunhyang University Bucheon Hospital) ;
  • Seo, Won-Seok (Dept. of Pediatric, School of Medicine, Soonchunhyang University) ;
  • Kim, Mi-Young (Dept. of Quality Improvement, Soonchunhyang University Bucheon Hospital) ;
  • Park, Sun-Kyoung (Dept. of Quality Improvement, Soonchunhyang University Bucheon Hospital) ;
  • Park, Jai-Soung (Dept. of Quality Improvement, Soonchunhyang University Bucheon Hospital)
  • 김묘진 (순천향대학교 부천병원 간호팀) ;
  • 백정희 (순천향대학교 부천병원 간호팀) ;
  • 서원석 (순천향대학교 의과대학 소아과학교실) ;
  • 김미영 (순천향대학교 부천병원 QI실) ;
  • 박선경 (순천향대학교 부천병원 QI실) ;
  • 박재성 (순천향대학교 부천병원 QI실)
  • Published : 2006.05.24
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Abstract

Background : Most hospitalized children will experience physical pain as well as psychological distress. Painful procedure can increase anxiety and fear of pediatric patients and their parents who do not have understanding logical of their disease and hospitalization. This study attempted to identify pain reduction in related to therapeutic intervention by age and environmental improvement. Methods : A total of 194 hospitalized children and their parents were investigated. Data collection period was 3 months from March to May 2004. Four instruments were used to collect the data : Faces Pain Rating Scale(FPRS), Heart rate, Oxygen saturation and Pain behavioral check list. The data were analyzed by a SPSS program and tested x2-test, t-test, ANCOVA. Results : 1. Age from 0 to 3, the Heart rate, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. 2. Age from 4 to 6, FPRS, Oxygen saturation and Pain behavioral check list were significantly different in theraputic intervention group when compare to control group. But the heart rate were not significantly different when compare to control group. 3. Age from 7 to 9, FPRS and Pain behavioral check list were significantly lower in therapeutic intervention group when compare to control group but Heart rate and Oxygen saturation were not significantly different when compare to control group. Conclusion : The results of this study concludes that most children experience acute pain during IV therapy and it can be reduced by age specific therapeutic intervention and by change of surrounding environment.

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