The Effect of Hand Puppet Game and Cold Compress on the Reduction of Pain and Anxiety Levels in Preschool Age Children Undergoing Infusion in the Pediatric Care Room at Sumbawa Hospital
AbstractBackground: The infusion procedure was the most traumatic experience and can cause anxiety and pain for more than 50% of pediatric patients during hospitalization. This study was to determine the effect of hand puppet game and cold compress on pain and anxiety of preschool age children undergoing infusion.Subjects and Method: This study used a quasi-experimental research design with the type of non-equivalent control group posttest-only design. It was conducted in the Pediatric Care Room at Sumbawa Hospital in July-September 2020. The total number of respondents who were hospitalized in the Pediatric Care Room at Sumbawa Hospital selected by consecutive sampling. They were divided into two, 38 people in each intervention and control group. The intervention group was given cold compress on the infusion area and the hand puppet game, while the control group was given treatment according to hospital standards. The dependent variables of the study were pain level and anxiety level, while the independent variables included hand puppet game and ice pack (cold compress). In addition, the instruments used were pain and anxiety instruments. Data analysis was performed using the Mann-Whitney test.Results: Based on the results of the Mann-Whitney test, there was a change of pain levels (p<0.001) and anxiety levels (p<0.001) after receiving hand puppet game and cold compress during infusion compared to children with normal treatment.Conclusion: Hand puppet game and cold compress administration can be applied to reduce pain and anxiety levels in preschool age children during the infusion procedure.Keywords: children, distraction, anxiety, pain, infusionCorrespondence: Alfia Safitri. Faculty of Health, Universitas Samawa, Jl. Lintas Sumbawa Bima Km 03 Sumbawa Besar. Email: email@example.com. Mobile: 082341612302.Journal of Health Policy and Management (2021), 06(02): 148-153https://doi.org/10.26911/thejhpm.2021.06.02.07
Anson L, Edmundson E, Teasley S (2010). Implications of evidence-based venipuncture practice in a pediatric health care magnet facility. J Contin Educ Nurs. 41(4): 179-185. https://doi.org/10.3928/00220124-20100326-03.
Bergomi P (2018). Efficacy of non-pharma-cological methods of pain manage-ment in children undergoing veni-puncture in a pediatric outpatient clinic: A randomized controlled trial of audiovisual distraction and external cold and vibration. J Pediatr
Nurs. 42: 66-72. https://doi.org/10.1016/j.-pedn.2018.04.011.
Canbulat N, Ayhan F, Inal S (2015). Effecti-venes of external cold and vibration for procedural pain relief during peri-pheal intravenous cannulation in pediatric patients. Pain Manage Nurs. 16(1): 33-39. https://doi.org/10.1016-/j.pmn.2014.03.003.
Dehghan Z, Reyhani T, Mohammadpour V, Aemmi SZ, Shojaein R, NekahSMA (2017). The effectiveness of dramatic puppet and therapeutic play in anxiety reduction in children undergoing surgery: a randomized clinical trial. Iran Red Crescent med J, 19(3):
Hockenberry MJ, Wilson D. (2011) Wong’s Essentials of Pediatric Nursing. Eight Edition. St. Louis Missouri: Mosby Inc.
Inal S, Kelleci M (2017). The effect of external thermomechanical stimula-tion and distraction on reducing pain experienced by children during blood drawing. Pediatr Emerg Care. 36(2): 66-69. https://doi.org/10.1097/pec.-0000000000001264.
Isnaini N, Hidayati T, Sumaryani S (2018). Effect of combination of slow deep breathing and ice therapy towards comfort level in arteriovenous fistula insertion of hemodialysis patients in PKU Muhammadiyah Hospital Yogya-karta. Indones J Clin Pharm.
(1): 45-51. doi: 10.15416/ijcp.2018.7.1.45.
Koller D,Goldman RD (2012). Distraction techniques for children undergoing procedures: a critical review of pedia-tric research. J Pediatr Nurs. 27(6): 652-681. https://doi.org/10.1016/j.-pedn.2011.08.001.
Sabiner CN, Inal S, Akbay AS (2015). The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. J Perianesth Nurs. 30(3): 228-235. https://doi.org/10.-1016/j.jopan.2014.05.011.
Santrock (2005) Children.Eight Edition. New York: Mc Graw Hill.
Suzan OK, Sahin OO, Baran O (2020). Effect of puppet show on children's anxiety and pain levels during the circumcision operation: A randomized controlled trial. J Pediatr Urology, 16(4): 490e1-490. https://doi.org/-10.1016/j.jpurol.2020.06.016.
Venugopal A (2015). A study to assess the effectiveness of local cold application on pain response during intravenous cannula insertion among children (6-12 years) admitted in government district head quarters hospital, Namakkal, Tamilnadu. Vivekanandha
College of Nursing.
Yoon WY (2008). Analgesic pretreatment for antibiotic skin test: Vapocoolant spray vs ice cube. Am J Emerg Med, 26(1): 59-61. https://doi.org/10.1016-/j.ajem.2007.06.022.