Nonpharmacological Pain Management (Audiovisual Media) Reduces Pain Scale In Toddlers With Applying Infusion

Abstract

Studies have continued to highlight that in hospitalized children inadequate pain management is a frequent occurrence. Applying infusion being in hospital can be a painful and frightening experience for children and their parents. Pain that is not treated has a physical and psychological impact on the child. Action is needed to reduce pain, both pharmacological and non-pharmacological actions. One of the non-pharmacological actions that can be done easily in toddlers is the distraction technique with audiovisual media. This study aims to determine the effect of distraction techniques with audiovisual media on the pain scale in a toddler when infusion in Surabaya Hospital. The study design was a quasi-experimental post-test only design with a sample of 36 toddlers who were treated in the emergency room at the Hospital in Surabaya with systematic random sampling. The independent variable in this study is the distraction technique with audiovisual media and the dependent variable is the pain scale at the time of infusion. Data were analyzed using the Mann-Whitney test of significance α=0.05. The results of the study showed that of 36 toddlers, namely 18 children in the experimental group and 18 children in the control group. Pain during infusion in children is measured directly using the VAS scale from Wong-Baker and the FLACC scale. Mann Whitney test results with significance level α=0.05 obtained the value of P=0.016 using the VAS scale and the value of P=0.029 using the FLACC scale which means that there is an influence of distraction techniques with audiovisual media on the pain scale in a toddler when Applying infusion. The technique of distraction with audiovisual media during infusion has significantly affected the scale of pain, Toddler who are infusion given distraction techniques have a lower pain scale when compared who are not treated