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Procedural pain and emotions in children during Covid -19 vaccination
Hnyková, Veronika ; Raudenská, Jaroslava (advisor) ; Vlachová, Marie (referee)
Premises: This thesis focuses on mapping the share of fear and procedural pain during Covid-19 vaccination of children aged 5 to 18 years. Objectives: The aim of the bachelor thesis was to map the extent of fear and procedural pain during Covid-19 vaccination and to determine which factors influence them. Methodology: Data collection for this bachelor thesis took place at the vaccination centre of the Motol University Hospital and Thomayer University Hospital. The statistical dataset was collected from 39 children meeting inclusion and exclusion criteria. The questionnaire survey was conducted personally by approaching the parent whose child was vaccinated against Covid -19, obtaining the parent's written informed consent to provide information, obtaining the child's verbal consent, and then conducting a 5-10 minute joint interview while asking questions. Results: Based on the statistical data processing, a statistical dependency was confirmed in the perceived intensity of pain during injection between girls and boys. The differences lie in the fact that girls show a greater dispersion in responses, meaning they distinguish the perceived pain more, while boys generally report the same intensity of pain. From the analysis of hypotheses, a significant statistical correlation was also found between...
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Procedural pain in children in intensive care
Duchoň, Jan ; Javůrková, Alena (advisor) ; Sedlářová, Petra (referee)
Diploma thesis Proecdural pain in children in intensive care 11 ABSTRACT Background: This diploma thesis deals with the effect of the pharmacological approach of the topical anesthetic EMLA and the non-pharmacological approach of visual distract- ion on self-reported procedural pain and fear during the insertion of a peripheral venous catheter (appr. PVC) in children aged up 2 to 8 years in the intensive care environment. Objectives: The aim of the theoretical part of this thesis was to provide a systematic review of relevant studies that dealt with the effects of pharmacological and non-pharma- cological interventions used in the procedural pain and fear management in children aged up 6 to 18 years during the PVC insertion. The objective of the empirical part of the thesis was to determine whether the use of the topical anesthetic EMLA in children aged up 8 to 18 years undergoing PVC insertion is more effective in reducing procedural pain and fear than visual distraction and whether the level of procedural pain in these children with regard on the provided therapy is influenced by sociodemographic and clinical variables. Methods: A systematic search was conducted in five relevant databases on PRISMA parameters. N = 16 randomized trials were included in the systematic review. In the pros- pective,...
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Procedural Pain Relief in Premature Neonates
DUDARCOVÁ, Terezie
This Bachelor's thesis deals with the topic of procedural pain management in preterm newborns. Procedural pain is caused during medical procedures. Long-term exposure to pain has a variety of consequences, which is why it is very important to pay attention to the procedural pain prevention management. The first aim of the thesis was to explore the possibilities of assessing procedural pain in premature neonates. The second aim was to map the available methods of procedural pain management, followed by the final goal to identify the possibilities of involving mothers of premature neonates in the procedural pain prevention management. The research part of the paper was based on a qualitative investigation by means of questioning and observation. Data collection was carried out using in-depth interviews with paediatric nurses and mothers of premature neonates. Next part of the research involved observation of paediatric nurses during painful procedures. The information obtained was logged in observation sheets. Research has shown that there is currently a great effort to reduce the number of painful procedures that preterm newborns have to undergo. It was found that when evaluating procedural pain, all circumstances must be taken into account and not evaluated only according to a given scale. According to the research, the most effective of the non-pharmacological methods of pain relief is direct contact between mother and child. Pharmacological methods of pain relief are used in rare cases. It was also confirmed that there is currently a great effort to involve parents in the care of preterm newborns, but this needs to be further intensified and fathers need to be engaged more, for example. The results obtained from the research can be used in the education of paediatric nurses. An educational leaflet for mothers has also been developed.
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