Pain
Conditions
Keywords
acupressure, thalassemia, child, pediatric nursing
Brief summary
This randomized controlled trial evaluates the effect of acupressure on reducing the pain of blood collection in children with Thalassemia. The hypothesis of this study is that acupressure application reduces acute pain.
Detailed description
A total of 39 children with a diagnosis of Thalassemia were randomly assigned to the study and control groups. In the study group (n:19), blood pressure, pulse and oxygen saturation were measured, and the acupressure points determined (large intestine meridian 4. Point: LI 4, large intestine meridian 11. Point: LI 11, Heart Meridian 7. Point: HT 7 ) acupressure was applied for only one session by applying light pressure with the thumb of the practitioner's hand, in two directions as the right and left arms, for 2 minutes to each point for a total of 12 minutes. Blood was drawn immediately after the procedure. In order to evaluate the child's pain immediately after the blood collection procedure, the child was asked to mark the most appropriate face on the Wong Baker Faces Pain Rating Scale. In addition, the child's pain was evaluated by the researcher and the parent using the Wong Baker Faces Pain Rating Scale. After the pain assessment, the child's heart rate, oxygen saturation and blood pressure were re-evaluated by the researcher and recorded in the Procedure Record Form. Placebo (sham) acupressure application is the pressure of the fingers on the non-meridian region without a specific acupressure point. The point used in our research is the point located in the middle of the third and fourth metacarpal bones on the back of the hand. The children in the placebo control group were only touched by the researcher without applying pressure and massage for one minute to the determined placebo point immediately after their physiological parameters were evaluated, and immediately after that, blood collection was performed. Immediately after blood collection, the child was asked to mark the most appropriate facial expression on the Wong Baker Faces Pain Rating Scale so that he or she could evaluate his pain. In addition, the child's pain was evaluated by the researcher and the parent using the Wong Baker Faces Pain Rating Scale. After the pain assessment, the child's heart rate, oxygen saturation and blood pressure were re-evaluated by the researcher and recorded in the Procedure Record Form.
Interventions
OTHERacupressure
Before the blood collection procedure, pressure will be applied to the acupressure points determined by the researcher for 2 minutes and then blood collection will be performed.
Sponsors
Mersin University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
TRIPLE (Subject, Caregiver, Outcomes Assessor)
Masking description
Since there are 40 children with a diagnosis of Thalassemia in total, aged between 6-18 years, who applied to Mersin City Training and Research Hospital Pediatric Hematology Polyclinic and Daily Pediatric Service between 7 February and 4 June 2022, agreed to participate in the study, and gave permission from their parents, without sampling. 39 children participated. The acupressure group consisted of 19 children and the placebo group consisted of 20 children. During the procedure, children were taken into the room where blood collection took place, one by one, together with their parents. Thus, children and parents participating in the study were prevented from influencing each other. During the application and analysis processes of the research, the groups represented by the papers written Group A and Group B were blinded and hidden from the child who agreed to participate in the research, the parents, and the statistician who performed the analyses.
Intervention model description
prospective, parallel , randomized controlled clinical trial
Eligibility
Sex/Gender
ALL
Age
6 Years to 18 Years
Healthy volunteers
Yes
Inclusion criteria
* Registered in the centers where the study will be carried out, * Able to communicate verbally * No developmental or sensory disabilities, * No mental illness * No opioid, narcotic analgesic or sedative use in the last 8 hours before the procedure, * No other chronic disease * One-time bloodletting * Children who agree to participate in the study.
Exclusion criteria
* Having pain before the blood draw procedure, * Not between the ages of 6-18, * Have developmental or sensory disabilities, * Having a mental illness * Using opioids, narcotic analgesics or sedatives in the last 8 hours before the procedure, * Having another chronic disease, * One-time blood sampling is not performed, * Fractures or signs of inflammation at acupressure application points
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pain assessment of the child using the Wong Baker Facial Pain Rating scale | Measurements were taken from the scale just before blood was taken. | The Wong Baker Facial Pain Rating Scale is rated from 0 to 10 (such as 0-2-4-6-8-10). 0 means no pain, and 10 means the most severe pain. This scale is used to diagnose pain in children ages 3-18. |
| Wong Baker Faces Pain Rating Scale | Measurements were taken just before blood was drawn and a scale was used immediately after blood was drawn.] | It is applied by explaining to the child that each face belongs to a person, that there is a happy face that does not have any pain, and a sad face that feels a little or a lot of pain. The child is asked to choose the face that best expresses his or her feelings by giving an explanation for each face (0: he is very happy because he has no pain, etc.). |
Countries
Turkey (Türkiye)
Outcome results
None listed