Highlights
- •Approved by the Committee of Ethics in Shahid Beheshti University of Medical Sciences (IR.SBMU.PHARMACY.REC.1399.321).
- •Playing with Legos had a greater effect on reducing postoperative pain in children than listening to music.
- •Nurses are encouraged to provide an appropriate condition for children to play with Legos after surgery.
Abstract
Purpose
The present study aimed to compare the effectiveness of music and playing with Lego
in postoperative management pain in children.
Design and methods
In this three-group quasi-experimental study, the participants in this interventional
study were 96 children aged 6 to 12 years admitted to the pediatric surgery ward of
Mofid Hospital and Medical Center in Tehran. The participants were selected using
convenience sampling. They were then randomly placed into three intervention groups.
Pain intensity was measured for the participants in all three groups before the intervention.
The intervention was performed in two 15-min sessions with an interval of 5 min in
three intervention groups. Then pain intensity was measured using the Oucher Pain
Scale before the intervention and in four intervals: Immediately after the intervention,
half an hour, one hour, and 3 h after the intervention, respectively. Pain intensity
was also measured at the same time intervals for the participants in the control group.
The collected data were analyzed with SPSS-25 software using descriptive statistics,
the Bonferroni test, and Tukey's test.
Results
The data showed that the three groups were identical in terms of demographic characteristics
(p > 0.05).A comparison of the music listening group and the control group showed statistically
significant difference in terms of postoperative pain (P < 0.05).However, the data showed significant differences between the control group
and the Lego group in terms of pain intensity immediately after the intervention,
half an hour, one hour, and 3 h after the intervention, respectively (p < 0.05).The data also revealed a significant difference between the children in the
music group and the Lego group at all phases (p < 0.05), and the children in the Lego
group reported less pain after the intervention compared to the children in the music
listening group. Nevertheless, there was a statistically significant difference between
the three groups in terms of reported pain intensity half an hour, one hour, and three
hours after the intervention (p < 0.05).
Conclusion
The results showed that playing with Legos had a greater effect on reducing postoperative
pain in children than listening to music. Thus, nurses are recommended to make arrangements
for children to play with Legos after surgery.
Practice implication
Playing with Legos can be used to control postoperative pain in school-age children
in medical centers and wards of pediatric hospitals.
Keywords
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Article info
Publication history
Published online: December 20, 2022
Accepted:
November 19,
2022
Received in revised form:
November 19,
2022
Received:
June 7,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
