The effect of distraction techniques (finger puppet plays) on the postoperative pain relief in children

Play provides an autraumatic care to cope with stressfull situations and connect between home and hospital. This research was conducted to determine the effect of other techniques of pulling attention (finger puppet plays) on the postoperative pain relief in children and study Turkish adapiton of Children's Hospital of Eastern Ontario Pain Scale (CHEOPS) in Young Children. In the first step, the validity and reliability study of CHEOPS in Young Children was conducted Zonguldak Women's Obstetrics and Gynecology Hospital between AprilJune 2016. 20 children for pre-application and 60 children for the appliaction of the scale were included in the study. For reliability, high correlation rates were obtained by observing independence between observers (researcher-nurse) and reliability of parallel form (CHEOPS-Wong Baker Scale) (%98.6,%94.8) (%94.4,%94.1). The Cronbach's alpha value was found 0.912, and the reliability and validity of the CHEOPS was established. In the second step, an intervention with puppets was made to reduce the pain of a child underwent day-to-day surgery and determine the levels satisfaction of the parents about this situation. This step was conducted with 90 children who underwent surgery between June-August 2016 in the same hospital. Children assigned to control (routine care), experiment 1 (nurse playing puppet play) and experiment 2 (parent playing puppet play) groups as randomize. After the intervention the pain of the children by CHEOPS and the satisfaction of the parents by PedsQL Health Care Satisfaction Scale were examined. The children's pain in the control group was found higher than the children's pain in the experimental group 1 and the experimental group 2 (p=0.00<0.05). The parents' satisfaction in the control group was found lower than the parent's satisfaction in experiment 1 and 2 groups (p=0.00<0.05). These findings show that finger puppet plays are effective in postoperative pain relief in children.