Advances in Nursing & Midwifery

Abstract

Abstract:

Background and aim

west and is also prominent in the developing countries in the world. The disease and its treatment

consisting of chemotherapy, radiation therapy and surgery can cause pain. The nurses are

responsible to reduce the mental and physical effects of the pain. Localized cooling may reduce the

pain of sub cutaneous injections considerably. The aim of this study was to determine the effect of

cold pack on pain induced by GCSF injection in cancerous children attended to selected hospital in

Tehran(Iran) in 2010.

Method and materials

A cross-over clinical trial was conducted to assess the usefulness of ice pack for relieving pain

induced by GCSF injections . A convenience sample of 35 children with cancer receiving GCSF

injections were included in the study. These children were randomly assigned to either application

of ice pack for a duration of 3 minutes prior to s.c injection of GCSF or routin care. crossing over

for the next day of injection .The site of injection was The upper most of the of arm and the amount

of prescribed GCSF was atmost 0/5-1 cc for each injection . All injections was carried out by the

same nurse. The data collection tools were a demographic questionnaire (age, sex, and birth

order,and etc) and behavioural criteria of cheopes for pain assessment .The injection was done by

one nurse and pain evaluation was evaluated by another nurse who had no idea about the manner of

injection each time.Data were data analysed by SPSS 16 .

Result

The analysis of repeated measures showed The mean age of children was 8.5 years with Standard

deviation of 2.17.Repeated measures analysis showed a significant difference of pain score between

ice pack and control group .

The analysis also showed that the only contributing variable was the age of childe (P=0.023). The

older children, reported more pain severity after and during injection.

Conclusions:

The result of this study showed the useful effect of ice pack in reduction pain during subcutaneous

injections in children. Using this method for reducing pain will result in better cooperation of

children in following-up their treatment appoinments .It is recommended that more research should

be done in this area.

Key words:

Chemotherapy – Ice pack- pain- GCSFinjection. S.C injection