Diler YILMAZ, Nejla CANBULAT ŞAHİNER, Zübeyde Ezgi ERÇELİK

Siyah Beyaz Dikkati Başka Yöne Çekme Kartlarının Bebeklerin Hissedilen Akut Ağrı Düzeyine Etkisi

Amaç: Aşı uygulamaları, bebeklik dönemindeki ağrı ve en acı verici prosedürlerden biri olup hem bebekler hem de ebeveynleri için endişe ve sıkıntı yaratıcı durumdur. Araştırma; aşı uygulamaları sırasında kullanılan siyah beyaz dikkati başka yöne çekme kartlarının bebeklerde hissedilen akut ağrı düzeyine etkisini belirlemek amacı ile planlandı. Gereç ve Yöntem: Randomize kontrollü araştırmanın örneklemini aile sağlığı merkezine 5’li karma aşının 2. veya 3. dozu için başvuran vaka seçim kriterlerine uyan toplam 119 (dikkati başka yöne çekme grubu (n=60), kontrol grubu (n=59)) bebek oluşturdu. Veriler bebek ve ailenin tanıtıcı özelliklerini içeren bilgi formu ve FLACC ağrı değerlendirme ölçeği kullanılarak elde edildi. Bulgular: Dikkati başka yöne çekme yönteminin uygulandığı grupta yer alan yenidoğanların (2.76 ± 2.06) işlemsel ağrı puan ortalamaları kontrol grubuna (4.61 ± 2.00) göre anlamlı derecede düşüktü (p < 0.01). Hem deney hem de kontrol grubunda yer alan yenidoğanların toplam ağlama süreleri ile ilk sakinleşme süreleri arasında istatiksel yönden anlamlılık bulunmadı (p>0.05). Sonuç: Sonuç olarak, aşı uygulamaları sırasında hissedilen ağrıyı azaltmada dikkati başka yöne çekme kartlarının etkili olduğu belirlendi. Bu sonuçlar doğrultusunda; bebeklerin aşı uygulamaları sırasında ağrıya hassasiyetini azaltmak için kolay uygulanabilir bir yöntem olarak dikkati başka yöne çekme kartlarının hemşireler tarafından kullanımı önerilmektedir.

Anahtar Kelimeler:

ağrı, aşılama, dikkati başka yöne çekme

The Effect of the Use of Black and White Flashcards on Acute Pain Levels in Infants

Objective: Vaccination practices are one of the most painful procedures in infancy, creating anxiety and distress for both infants and their parents. This study was planned to determine the effect of black and white flashcards on the level of acute pain infants feel during vaccination applications. Materials and Methods: The sample of this prospective randomized controlled trial comprised 119 infants who were brought to the family health center for the 2nd and 3rd dose of the combined 5-vaccine and who met the inclusion criteria. The data were obtained using the information form, which included descriptive characteristics of the baby and family, and the FLACC pain assessment tool. Results: The mean pain scores of the infants (2.76 ± 2.06) in the black and white flashcard group were significantly lower than those of the control group (4.61 ± 2.00) (p < 0.01). Additionally, there was statistically no significant difference between the total durations of crying and the periods of the infants between initial crying and calming down in both the experimental and control groups (p>0.05). Conclusion: We concluded that the use of black and white flashcards during the vaccination practices was efficient. In line with these results, we recommend that nurses use black and white flashcards, an easily applicable method, to decrease the pain sensitivity of infants during vaccine applications.

Keywords:

pain, vaccination, distraction,

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