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Effectiveness of Cartoon Animation Shows on Behavioral Response during Intravenous Cannulation Procedure among Preschool Children

Baby Uma K, S.S. Sharmila Jansi Rani, Ian Clement

Abstract


Pain is an unpleasant experience perceived by the children undergoing painful invasive procedures in
the hospital. This study was aimed to assess the effectiveness of animated cartoon shows on behavioral
response during intravenous cannulation procedure among preschool children in selected hospital at
Kanyakumari District. Methods: Quasi-experimental post-test only control group design study was
conducted in Gerdi Gutperle Agasthier Muni childcare center, Vellamadam at Kanyakumari District.
Convenient sampling technique was used to select 100 samples in experimental group and 100 samples
in control group. The investigator collected the demographic data from parents/care givers of samples
in the experimental and control group. Samples in experimental group were shown cartoon animated
shows through LCD 5 min prior to intravenous cannulation and continued during procedure and
finished 5 min after the procedure has been completed. Samples in control group received only routine
care during intravenous cannulation procedure. Behavioral response to pain was assessed by FLACC
pain scale during intravenous cannulation procedure for samples in both experimental and control
group. Results: The overall post-test level of behavioral response to pain showed that, majority of the
samples (60%) had mild pain, 40% had moderate pain and none of them had severe pain during
intravenous cannulation among preschool children in experimental group but in control group, 58%
had moderate pain and 42% had severe pain. The overall post-test level of Mean behavioral response
score was less among preschool children in experimental group (3.48) with SD 1.36, than in control
group (6.26) with SD 2.08. The Mean difference was 2.78. The calculated ‘t’ value was 11.35 which is
greater than the table value. It was statistically significant at p<0.000 level. Findings of this study
revealed that animated cartoon show was an effective distraction strategy in reducing pain and
behavioral response among preschool children undergoing intravenous cannulation.


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