1-6岁儿童输液前热敷和冷敷减轻疼痛的效果

Veryudha Eka Prameswari, Khalimatus Sa’diyah, Indah Kusmindarti
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摘要

背景:输液可能对儿童造成创伤。本研究的目的是确定热敷和冷敷对输液后疼痛的影响是否存在差异。方法:研究设计采用准实验设计+后验非等效对照组设计,采用连续抽样的方式抽取30名调查对象。自变量为冷热敷对患儿输液后疼痛的影响,因变量为输液后疼痛强度。数据采用Wong Baker面部量表观察。收集数据处理后,使用SPSS程序进行Wilcoxon秩检验统计检验。结果:输注前热敷与冷敷对疼痛强度的影响差异有统计学意义(p < 0.05)。结论:冷敷能更好地抑制自主神经反应,在降热方面更占优势,而热敷能引起血管舒张,伴有局部血管扩张。希望能督促护士对将输液作为减轻疼痛强度的非药物治疗方法之一的儿科患者进行直接热敷和冷敷治疗。
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THE EFFECTIVENESS OF WARM AND COLD COMPRESSES BEFORE INFUSION TO REDUCE PAIN IN CHILDREN AGED 1-6 YEARS
Background: Infusion can cause trauma to the child. The purpose of the study was to determine whether there was a difference in the administration of warm compresses and cold compresses to pain after infusion.Method: The research design used is a Quasi Experimental Design with a Post Test Only Non Equivalent Control group design to get a sample of 30 respondents taken by consecutive sampling. The independent variable is warm and cold compresses on pain after infusion in children and the dependent variable is pain intensity after infusion. Data was taken by using observation with Wong Baker Face scale. After collecting the data processing and proceeding with the Wilcoxon rank test statistical test which was carried out using the SPSS program.Result: The results showed 0.000 then p < (0.05), there was a difference between warm compresses and cold compresses before infusion on pain intensity.Conclusion:  Cold compresses are more dominant in reducing heat because they are better able to suppress autonomic responses, while warm compresses cause vasodilation associated with local blood vessel dilation. It is hoped that it can urge nurses to provide direct warm compress therapy and cold compresses to pediatric patients who will be given an infusion as one of the non-pharmacological therapies to reduce pain intensity.
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