ÖZET
Amaç:
Çocukluk çağında invaziv girişimlere bağlı olan ağrı, hoş olmayan bir durum olarak tanımlanmakta ve giderilmesi gerekmektedir. Çalışma, çocuklarda intramusküler (İM) enjeksiyona bağlı ağrının azaltılmasında iki farklı non-farmakolojik ağrı giderme yönteminin çocukların ağrı ve anksiyete düzeyine etkisini değerlendirmek amacı ile yapıldı.
Yöntemler:
Bu çalışma ileriye dönük randomize kontrollü deneysel bir çalışmadır. Araştırmanın örneklemini bir üniversite hastanesinin çocuk enjeksiyon odasına getirilen ve İM enjeksiyon yapılan 7-12 yaş arası 150 çocuk oluşturdu. Çocuklar, Shotblocker (n=50), soğuk uygulama (n=50) ve kontrol (n=50) gruplarına randomize edildi.
Bulgular:
Kontrol grubundaki çocukların, ShotBlocker ve soğuk uygulama grubuna göre daha fazla ağrı yaşadığı ve aralarındaki farkın anlamlı olduğu belirlendi. Araştırmada İM enjeksiyon sırasındaki anksiyete durumunu değerlendirildiğinde, kontrol grubunda yer alan çocukların, ShotBlocker grubuna göre daha fazla anksiyete yaşadığı ve aralarındaki farkın anlamlı olduğu belirlendi.
Sonuç:
ShotBlocker ve soğuk uygulama gruplarında yer alan çocukların İM enjeksiyon sırasında kontrol grubundaki çocuklara göre daha az ağrı yaşadığı belirlendi. ShotBlocker, soğuk uygulama ile karşılaştırıldığında İM enjeksiyonla ilişkili ağrı ve korkuyu azaltmada daha etkilidir.
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