THE EFFECT OF NON – PHARMACOLOGIC PAIN MANAGEMENT METHODS FOR VENIPUNCTURE PAIN IN SCHOOL AGED CHILDREN IN THE CENTER FOR THALASSEMIA IN THE CITY OF KERMAN

Establishing intravenous line (IV catheter) is one of the most common invasive
procedures that cause pain in these children. Injection pain in children is so important that is stated as
the most stressful aspect of their disease. There are various pharmacological and non-pharmacological
methods to prevent and reduce pain. One of the non-pharmacological methods to reduce pain is
distraction
Aim: Comparison of the influence of two distraction methods (Rhythmic Breathing and Bubble
Making) on the pain severity of injection procedures for school age children in Kerman Thalassemia
Center.
Materials & Methods: The present study is a clinical trial. The research sample consists of 40
thalassemia children with 6-12 years old, who have registered in Kerman thalassemia center. The
participants were randomly divided into two groups. In the first experimental group, bubble making
was performed and in the second experimental group, rhythmic breathing was carried out. The data
gathering instruments were included: demographic information questionnaire, the investigation scale
of pain behavioral signs, numeric pain scale. The analysis of the data was carried out through
descriptive and analytical analysis.
Result: The data indicated that there was not a significant difference between the two experimental
groups in the average scores of pain (P>0. 05). There was a reverse and significant correlation between
the increase of age and numerical pain scale using Spearman correlation test (rho=- 0. 278, p < 0. 05).
There was also a reverse and significant correlation between the increase of age and behavioral pain
scale using Spearman correlation test (rho = -0. 359, p < 0. 01). There was a direct and significant
correlation between the numerical pain scale and Behavioral one using Spearman correlation (rho=0.
674, p < 0. 001).
Conclusion: Based on the result of this study, the two distraction methods (Rhythmic Breathing and
Bubble Making) can reduce the pain of injection procedures in children