Effectiveness of Coping Strategies on Pain and Fear of Hospitalization among Children admitted at Kovai Medical Center and Hospital, Coimbatore

This present study entitled “Effectiveness of Coping Strategies on Pain and Fear of Hospitalization among Children Admitted at Kovai Medical Center and Hospital, Coimbatore. OBJECTIVES: 1. Describe the level of pain and fear among children admitted in hospital. 2. Evaluate the effectiveness of pain and fear of children in medical play. 3. Evaluate the effectiveness of pain and fear of children in balloon blowing. 4. Compare the effectiveness of medical play and balloon blowing in regarding pain and fear. 5. Correlate the level of pain and fear of children in both groups. 6. Associate the demographic and clinical variables of children with pain and fear of hospitalization among both groups. METHODS: Design: True Experimental Two Group Pretest and Posttest design. Conceptual Frame Work: The study was based on Modified Katherine Kolcaba’s Comfort Theory (2011). Setting: The Study was conducted at Peadiatric wards of Kovai Medical Center and Hospital, Coimbatore. Sample: Totally 60 samples were enrolled in this study, 30 children in Medical Play Group and 30 were Balloon Blowing Group. Data Collection: A formal permission for the collection of data was obtained from Chairman and Hospital Authority. The respondents were selected on non-purposive sample technique. After maintaining a good rapport with the caregiver and children, the required data were collected. RESULTS: The level of pain pre and posttest pain with medical play “t” value 12.042 and with balloon blowing “t” value 14.432and using Wong-baker faces pain score which was significant (p < 0.01). The level of fear pre and posttest fear with medical play “t” value 13.664 and with balloon blowing “t” value 12.213 using modified child medical fear score which was significant (p < 0.01). It shows that intervention is effective in reduction of pain and fear among children in both groups. • The post test pain in both groups the paired “t”test the obtained value were 0.320 and the post test pain in both groups the paired “t”test the obtained value were 0.527.there was no significant between post pain and fear in both groups. Both intervention are effective to reduce pain and fear. • Correlation between pain and fear exist in both group. • The association between level of pain and sex in which χ² value is 7.813 in sex which was significant at p < 0.05.There was an association between the sex and level of pain in medical play. • The association between level of pain and age in which χ² value is 9.314 which was significant at p < 0.05 .There is significant relationship between age and the level of pain in balloon blowing. • Association between number of previous admission and level of pain “F” value is 4.466 which was significant at p < 0.05 and the level of fear the ‘F’ value is 7.753 which was significant at p < 0.01. Hence therefore there was an association between number of previous admission and level of fear in medical play