The Effect of Three Methods Used in Reducing Pain During Dressing Change

NCT ID: NCT05398146

Last Updated: 2022-05-31

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2019-01-01

Study Completion Date

2020-02-01

Brief Summary

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This randomized controlled study aims to determine the effect of listening to music (LM), ball squeezing (BS), and performing mathematical operations (MO) in reducing the pain experienced during the first dressing in children aged 8-18 with appendectomy.

Detailed Description

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The sample of the study consisted of 120 children (LM:30, BS:30, MO:30, control:30). A minute before dressing and during dressing, the children in the LM group listened to music, the children in the SB group squeezed the ball, the children in the MO group performed mathematical operations.According to the child, parent, and nurse assessment, it was determined that the mean pain score of the children in the LM and MO groups was lower than that of the BS group and control groups (p\< .05).

Conditions

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Healthy

Keywords

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pain appendectomy child distraction dressing

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

SUPPORTIVE_CARE

Blinding Strategy

NONE

Study Groups

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Pre-Dressing

Information about the children and their parents who agreed to participate in the study was recorded on the 'Information Form' 5 minutes before the dressing procedure by the researcher.

Group Type EXPERIMENTAL

mathematical operations

Intervention Type BEHAVIORAL

Prepared by the researchers, the form involved mathematical operations such as addition, subtraction, multiplication, and division. The difficulty level of the mathematical operations in the form was determined by age groups of children. Accordingly, mathematical operations were divided into 3 groups primary school, secondary school and high school levels.

ball squeezing

Intervention Type BEHAVIORAL

For the children in the BS group, a softball that could fit in the palm and be easily squeezed by the child was used.

listening to music

Intervention Type BEHAVIORAL

Children were allowed to listen to music with headphones during dressing changes.

kontrol grubu

Intervention Type OTHER

No application was made during dressing change in children. Routine dressing change of the clinic was applied.

During Dressing

The first dressing of all children included in the study after appendectomy was performed by the doctor in the clinic. No distraction method was applied to the children in the control group during dressing. The children in the LM group were dressed while listening to music. The children in the BS group continued to squeeze the ball during the dressing. The children in the MO group were asked to perform mathematical operations given by the nurse. While the dressing was in progress, the pulse and oxygen saturation levels were recorded in the information form by the nurse. At the last stage of dressing, the children were asked to mark the level of pain they experienced during dressing on the VAS, immediately after the sticking plaster was placed on the surgical area. Parents and nurses assessed the pain level of the child during dressing through the VAS.

Group Type EXPERIMENTAL

mathematical operations

Intervention Type BEHAVIORAL

Prepared by the researchers, the form involved mathematical operations such as addition, subtraction, multiplication, and division. The difficulty level of the mathematical operations in the form was determined by age groups of children. Accordingly, mathematical operations were divided into 3 groups primary school, secondary school and high school levels.

ball squeezing

Intervention Type BEHAVIORAL

For the children in the BS group, a softball that could fit in the palm and be easily squeezed by the child was used.

listening to music

Intervention Type BEHAVIORAL

Children were allowed to listen to music with headphones during dressing changes.

kontrol grubu

Intervention Type OTHER

No application was made during dressing change in children. Routine dressing change of the clinic was applied.

Post-Dressing

When the dressing was over, the application of distraction methods was terminated. After the dressing, the child's pulse and oxygen saturation levels were recorded in the information form by the nurse.

Group Type EXPERIMENTAL

mathematical operations

Intervention Type BEHAVIORAL

Prepared by the researchers, the form involved mathematical operations such as addition, subtraction, multiplication, and division. The difficulty level of the mathematical operations in the form was determined by age groups of children. Accordingly, mathematical operations were divided into 3 groups primary school, secondary school and high school levels.

ball squeezing

Intervention Type BEHAVIORAL

For the children in the BS group, a softball that could fit in the palm and be easily squeezed by the child was used.

listening to music

Intervention Type BEHAVIORAL

Children were allowed to listen to music with headphones during dressing changes.

kontrol grubu

Intervention Type OTHER

No application was made during dressing change in children. Routine dressing change of the clinic was applied.

Interventions

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mathematical operations

Prepared by the researchers, the form involved mathematical operations such as addition, subtraction, multiplication, and division. The difficulty level of the mathematical operations in the form was determined by age groups of children. Accordingly, mathematical operations were divided into 3 groups primary school, secondary school and high school levels.

Intervention Type BEHAVIORAL

ball squeezing

For the children in the BS group, a softball that could fit in the palm and be easily squeezed by the child was used.

Intervention Type BEHAVIORAL

listening to music

Children were allowed to listen to music with headphones during dressing changes.

Intervention Type BEHAVIORAL

kontrol grubu

No application was made during dressing change in children. Routine dressing change of the clinic was applied.

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Consisted of the child and parent's consent to participate in the study,
* The child and parent's speaking Turkish at the level of native speaker,
* The child's being 8-18 years old and undergoing appendectomy,
* Being the body temperature of the child in the normal level (36.5-37.2⁰C),
* The child's not having intense nausea and vomiting,
* The child's not having any physical, intellectual or neurological disability that would affect his/her participation.

Exclusion Criteria

* Having a mental or neurological disability
* Children with hearing and vision impairment
Minimum Eligible Age

8 Years

Maximum Eligible Age

18 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes

Sponsors

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Kanuni Sultan Suleyman Training and Research Hospital

OTHER

Sponsor Role collaborator

Melike Yilmaz Akdag

OTHER

Sponsor Role lead

Responsible Party

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Melike Yilmaz Akdag

Principal Investigator, RN, MSc

Responsibility Role SPONSOR_INVESTIGATOR

Principal Investigators

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birsen mutlu

Role: PRINCIPAL_INVESTIGATOR

Istanbul University - Cerrahpasa

Locations

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Istanbul University-Cerrahpasa

Istanbul, , Turkey (Türkiye)

Site Status

Countries

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Turkey (Türkiye)

Other Identifiers

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2018.5.07

Identifier Type: -

Identifier Source: org_study_id