2-6 aylık bebeklerde pnömokok aşısı öncesi yapılan uygulamaların ağrıya etkisi
Küçük Resim Yok
Tarih
2017
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Karabük Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Araştırma, Aile Sağlığı Merkezine (ASM) pnömokok aşısı olması için getirilen 2-6 aylık bebeklerde, aşıya bağlı oluşan ağrıyı azaltmada lokal sıcak ve soğuk uygulama yöntemlerinin etkinliğini araştırmak amacıyla deneysel olarak gerçekleştirildi. Çalışmada, birinci deney grubu (lokal sıcak uygulama yapılan), ikinci deney grubu (lokal soğuk uygulama yapılan) ve kontrol grubu (herhangi bir müdahale yapılmayan) olmak üzere üç grup belirlendi ve çalışma toplamda 96 bebek ile gerçekleştirildi. Verilerin toplanmasında, Bebek Bilgi Formu ve FLACC (Face Lakes Activity Cry Consolability) Ağrı Ölçeği kullanıldı. Deney gruplarına alınan bebeklere aşıdan hemen önce sıcak veya soğuk uygulama yapıldı. Uygulamadan hemen sonra tüm gruplara pnömokok aşısı uygulandı. Verilerin analizinde sayı, yüzde, ortalama, standart sapma, Kolmogorov-Smirnov, Shapiro-Wilk, spearman korelasyon analizi, Mann Whitney U Testi kullanıldı. Araştırmada kontrol ve deney gruplarındaki bebeklerin cinsiyet, beslenme şekli, ay, gestasyonel yaş, kilo, boy ve baş çevresi özellikleri arasındaki farkın istatistiksel olarak anlamlı olmadığı görüldü. Çalışmaya katılan grupların uygulama öncesi FLACC Ağrı Ölçeği puan ortalamaları arasında fark yokken, uygulama sonrası puan ortalamaları soğuk uygulama yapılan bebeklerde 5.531±1.934, sıcak uygulama yapılan bebeklerde 8.710±1.346 ve kontrol grubundaki bebeklerde 9.152±1.661 olarak belirlendi ve FLACC Ağrı Ölçeği puan ortalamaları arasındaki farkın anlamlı olduğu görüldü (p<0.05). Çalışmada, pnömokok aşısı öncesi yapılan lokal soğuk ve sıcak uygulamanın aşıya bağlı gelişen ağrıyı azaltmada etkili olduğu, soğuk uygulamanın ise sıcak uygulamaya göre daha etkili olduğu sonucuna varıldı. Çalışmadan elde edilen sonuçlar doğrultusunda, bebeklerde aşıya bağlı gelişen ağrıyı azaltmada ilk tercih olarak soğuk uygulama veya sıcak uygulamanın hemşireler tarafından nonfarmakolojik yöntem olarak kullanılabileceği önerilmektedir.
This study was performed experimentally in order to investigate the efficacy of local hot and cold treatment methods in decreasing pain due to vaccine among 2-6 month babies who were brought to Family Health Centers (FHC) for pneumococcal vaccine. In the study, three groups were determined including first experimental group (which underwent local hot treatment), second experimental group (which underwent local cold treatment) and control group (which underwent no treatment); and the study was carried out with 96 babies in total. Newborn Identification Form and FLACC (Face Lakes Activity Cry Consolability) Pain Scale were used during data collection. Cold and hot treatment were applied to the babies in the experimental groups just before the vaccine. All groups underwent pneumococcal vaccine just after the treatment. Number, percentage, mean, standard deviation, Kolmogorov-Smirnov, Shapiro-Wilk, Spearman Correlation analysis and Mann Whitney U test were used to analyze data. No statistically significant difference was found between control and experimental groups in terms of characteristics such as sex, type of nutrition, month, gestational age, weight, height and head circumference. While there was not a statistically significant difference between groups in terms of mean FLACC Pain Scale scores before the treatment, mean scores after the treatment were determined as 5.531±1.934 among the babies who underwent cold treatment, 8.710±1.346 among the babies who underwent hot treatment and 9.152±1.661 among the babies in the control group; and the difference in mean FLACC Pain Scale scores was found to be significant (p<0.05). In the study, it was concluded that local cold and hot treatment applied before pneumococcal were effective in decreasing pain which developed due to the vaccine; and cold treatment was more effective compared to the hot treatment. Based on the results obtained from the study, it is suggested that firstly cold or hot treatment may be used as a nonpharmacological method by the nurses for decreasing pain due to the vaccine among the babies.
This study was performed experimentally in order to investigate the efficacy of local hot and cold treatment methods in decreasing pain due to vaccine among 2-6 month babies who were brought to Family Health Centers (FHC) for pneumococcal vaccine. In the study, three groups were determined including first experimental group (which underwent local hot treatment), second experimental group (which underwent local cold treatment) and control group (which underwent no treatment); and the study was carried out with 96 babies in total. Newborn Identification Form and FLACC (Face Lakes Activity Cry Consolability) Pain Scale were used during data collection. Cold and hot treatment were applied to the babies in the experimental groups just before the vaccine. All groups underwent pneumococcal vaccine just after the treatment. Number, percentage, mean, standard deviation, Kolmogorov-Smirnov, Shapiro-Wilk, Spearman Correlation analysis and Mann Whitney U test were used to analyze data. No statistically significant difference was found between control and experimental groups in terms of characteristics such as sex, type of nutrition, month, gestational age, weight, height and head circumference. While there was not a statistically significant difference between groups in terms of mean FLACC Pain Scale scores before the treatment, mean scores after the treatment were determined as 5.531±1.934 among the babies who underwent cold treatment, 8.710±1.346 among the babies who underwent hot treatment and 9.152±1.661 among the babies in the control group; and the difference in mean FLACC Pain Scale scores was found to be significant (p<0.05). In the study, it was concluded that local cold and hot treatment applied before pneumococcal were effective in decreasing pain which developed due to the vaccine; and cold treatment was more effective compared to the hot treatment. Based on the results obtained from the study, it is suggested that firstly cold or hot treatment may be used as a nonpharmacological method by the nurses for decreasing pain due to the vaccine among the babies.
Açıklama
Sağlık Bilimleri Enstitüsü, Hemşirelik Ana Bilim Dalı
Anahtar Kelimeler
Çocuk Sağlığı ve Hastalıkları, Child Health and Diseases
