Informatics Publishing Limited

Rose Mary Jose , B. Sulochana ¹, Sheela Shetty ²

Affiliations
1 Department of Medical Surgical, IN
2 Department of Child Health Nursing, Manipal College of Nursing, Manipal University, Manipal, IN

Abstract

Skin tapping is an effective technique for reduction of pain response during injection. The present study used this technique during DPT injection. A post test only control group design was adopted for the study. The sampling design was purposive sampling with random allocation of treatment using chit method with non replacement technique. The sample size was sixty; thirty each in experimental and control group. The study revealed that the pain response was less in experimental group. Majority, i.e. 24 (80%) of the infants in experimental group had mild pain whereas only 5(16.66%) of the infants in control group experienced mild pain. Independent t test was done to establish the effectiveness of skin tap technique. The t value was found to be 7.401 at p<0.001. It also revealed the association between the pain scores and selected variables like gender and weight of the child. The ÷2 value for gender was 0.033 and weight was 3.032 in experimental group while it was 1.356 for gender and 9.710 for weight in control group. The study concluded that the pain scores in experimental group was independent of the selected variables such as gender and weight, while gender was independent and weight was dependent in control group.

Keywords

Skin Tapping, Pain Response, Infants, DPT Injection.

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Mathew Romeo ¹, B. Sulochana ², Nayak Malathi G. ³

Affiliations
1 M.Sc. Nursing Student, Department, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, IN
2 Associate Professor, Fundamental Nursing Department, Department, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, IN
3 Associate Professor in Community Health Nursing, Department, Manipal College of Nursing, Manipal Academy of Higher Education, Manipal, Karnataka, IN

Abstract

Introduction: Peripheral Intra-Venous Cannulation (PIVC) is the second most common invasive procedure performed on in-patients, with an estimated 80% of patients requiring a peripheral cannula and about 69% of PIVC insertions were failed due to occlusion, infiltration, phlebitis and dislodgement. Aims: To assess the effectiveness of a comprehensive nurse-patient strategy in the care of PIVCs on clinical outcome. Materials and Method: A quasi-experimental, post-test-only design was used. 30 subjects from each groups, i.e experimental and control group, were observed for development of PIVC complications. Education was provided to nurses and patients in the experimental group regarding how to prevent the early removal of PIVCs. The obtained data were analyzed and interpreted using descriptive and inferential statistics to compare the clinical outcomes among the groups. Result: The results shows that there is significant difference was observed in duration of PIVCs. Among the experimental group, after implementation of the Nurse-Patient Strategy, 66.66% of the PIVCs stayed more than three days (72 hours) whereas in the control group it was 40%. The pain and swelling were mostly observed complications in PIVC. Conclusion: A comprehensive nurse-patient strategy has proved effective to increase the practice of flushing PIVCs, which in turn improves their indwelling period.

Keywords

Infusion, education, thrombosis, duration

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