“EFFECTIVENESS OF ICE APPLICATION PRIOR TO INTRAMUSCULAR INJECTION, IN REDUCTION OF PAIN AMONG CHILDREN IN SELECTED HOSPITAL, HASSAN.’’

ROOPA Y N
Page No. 69-75

BACKGROUND: Intramuscular is the common route for administration of immunization and is a painful procedure which requires effective pain management. Immunization is the safest and most effective way to prevent serious illness and death, intramuscular injection. The study was conducted in Pediatric Outpatient department in SSM and MANGALA Hospital, at Hassan. To reduce the pain among children. METHODOLOGY: The chosen research methodology for this study was a Quantitative approach, the research design employed was a true experimental research design was used for this study. A sample size of 60 children and age is 3-12 yrs, who meet the inclusion criteria is chosen for this study, in that 30 will be taken for control group and 30 will be taken for experimental group. Sampling involves gathering information from selected individual MODIFIED FLACC (Face, Leg Movement, Activity, Cry, and Consolobility) pain scale was used its Developed by Sandra Merkel, MS, RN, Terrivoeoel-Lewis, MS, RN, and Shobha Malviya, MD was used to assess the pain level. The participants of the present study will be selected by non-probability Purposive sampling technique in which the children who satisfies the inclusion criteria were selected and categorized as ‘A’ and ‘B’. The children who are categorized ‘A’ was assigned to control group and categorized ‘B’ to experimental group. In the experimental group, the child was placed in a comfortable position on the bed [Supine position] and a small ice pack is made with ice cube and terry wash cloth. The site was identified and ice pack was applied over the area for 60 seconds. Once an ice cube application is over, the intramuscular injection was administered at intramuscular site. Conducted on 2022 in Pediatric Outpatient department in SSM and MANGALA Hospital RESULTS: The overall study represents that cold application is effective on reducing the pain obtained ‘t’ value is 4.35 significant at 0.05 level. This concludes that experimental group experienced less pain than control group. Hence, the ice application prior to intramuscular immunization had effect on reducing the pain during intramuscular injection. CONCLUSION: The cold application can be used as an effective technique on reduce pain during IM injection among children receiving intramuscular injection. It is a simple effective independent nursing intervention to enhance children comfort and safety with minimal or no risk to children.
Key words: Pain, Intramuscular injection, Cold application, Immunizationa