Zelić, Vlatka.
(2006).
Comparison of local anaesthetic versus cognitive technique for reducing pain in children.
Diploma Thesis. Filozofski fakultet u Zagrebu, Department of Psychology.
[mentor Arambašić, Lidija].
Abstract
Numerous studies have shown the influence of psychological factors on pain sensation, as well as efficacy of cognitive methods in its prevention. The objective of this study was to examine whether there was a difference in efficacy of cognitive method in pain prevention (distraction) and pharmacological method (EMLA cream) during venepuncture in hospitalised children. It is well known that routine diagnostic procedures are significant sources of stress in such children. The pharmacological methods that are mostly applied in pain prevention are rather expensive, may cause adverse side-effects and may be rather complicated in their application (as it is the case with EMLA cream). The said study was carried out on 64 children (10 to 18 years) randomly assigned to two treatment groups. In one group, in which pain was prevented by applying the cognitive technique, there were 16 boys and 15 girls. The group in which pharmacological technique was applied consisted of 15 boys and 18 girls. The obtained results neither show any statistically significant difference in efficacy of a particular technique regarding gender, nor any statistically significant difference in efficacy generally. The fact that cognitive techniques are easier to apply, more economic and not known to cause any side-effects, justifies their application in pain prevention during venepuncture in hospitalised children.
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