Medical - Surgical Nursing Journal

Published by: Kowsar

Effect of Distraction Therapy on Physiological Indices and Pain Intensity Caused by Intra-Spinal Injection of Chemotherapy Drugs in Cancerous Children: A Clinical Trial

Sedigheh Fooladi ORCID 1 , Fereshteh Ghaljaei ORCID 2 , * , Asadollah Keikhaei 3 and Ghasem Miri-Aliabad ORCID 4
Authors Information
1 Nursing and Midwifery College, Zahedan University of Medical Sciences, Iran
2 Pediatric Department, Community Nursing Research Center, Nursing and Midwifery College, Zahedan University of Medical Sciences, Iran
3 Department of Anesthesia, School of Paramedics, Zahedan University of Medical Sciences, Zahedan, Iran
4 Pediatric Hematology-Oncology Department, Deputy of Treatment of Zahedan University of Medical Sciences, Iran
Article information
  • Medical - Surgical Nursing Journal: February 28, 2019, 8 (1); e90409
  • Published Online: April 8, 2019
  • Article Type: Research Article
  • Received: February 6, 2019
  • Accepted: March 17, 2019
  • DOI: 10.5812/msnj.90409

To Cite: Fooladi S, Ghaljaei F, Keikhaei A, Miri-Aliabad G. Effect of Distraction Therapy on Physiological Indices and Pain Intensity Caused by Intra-Spinal Injection of Chemotherapy Drugs in Cancerous Children: A Clinical Trial, Med Surg Nurs J. 2019 ; 8(1):e90409. doi: 10.5812/msnj.90409.

Copyright © 2019, Medical - Surgical Nursing Journal. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License ( which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.
1. Background
2. Objectives
3. Methods
4. Results
5. Discussion
  • 1. Ward E, DeSantis C, Robbins A, Kohler B, Jemal A. Childhood and adolescent cancer statistics, 2014. CA Cancer J Clin. 2014;64(2):83-103. doi: 10.3322/caac.21219. [PubMed: 24488779].
  • 2. Iyer NS, Balsamo LM, Bracken MB, Kadan-Lottick NS. Chemotherapy-only treatment effects on long-term neurocognitive functioning in childhood ALL survivors: A review and meta-analysis. Blood. 2015;126(3):346-53. doi: 10.1182/blood-2015-02-627414. [PubMed: 26048910].
  • 3. Ferreira EB, Cruz FO, Silveira RCCP, Reis PED. Distraction methods for pain relief of cancer children submitted to painful procedures: Systematic review. Revista Dor. 2015;16(2). doi: 10.5935/1806-0013.20150028.
  • 4. Fortier MA, Chung WW, Martinez A, Gago-Masague S, Sender L. Pain buddy: A novel use of m-health in the management of children's cancer pain. Comput Biol Med. 2016;76:202-14. doi: 10.1016/j.compbiomed.2016.07.012. [PubMed: 27479493]. [PubMed Central: PMC5639256].
  • 5. Sposito AM, Silva-Rodrigues FM, Sparapani Vde C, Pfeifer LI, de Lima RA, Nascimento LC. Coping strategies used by hospitalized children with cancer undergoing chemotherapy. J Nurs Scholarsh. 2015;47(2):143-51. doi: 10.1111/jnu.12126. [PubMed: 25639151].
  • 6. Hadadi Moghadam H, Kheirkhah M, Jamshidi Manesh M, Haghani H. [The impact of distraction technique on reducing the infant's pain due to immunization]. Horiz Med Sci. 2011;17(1):20-7. Persian.
  • 7. Thomas D, Kircher J, Plint AC, Fitzpatrick E, Newton AS, Rosychuk RJ, et al. Pediatric pain management in the emergency department: The triage nurses' perspective. J Emerg Nurs. 2015;41(5):407-13. doi: 10.1016/j.jen.2015.02.012. [PubMed: 25837698].
  • 8. Scarponi D, Pession A. Play therapy to control pain and suffering in pediatric oncology. Front Pediatr. 2016;4:132. doi: 10.3389/fped.2016.00132. [PubMed: 28008397]. [PubMed Central: PMC5143471].
  • 9. Zierhut H, Linet MS, Robison LL, Severson RK, Spector L. Family history of cancer and non-malignant diseases and risk of childhood acute lymphoblastic leukemia: A Children's oncology group study. Cancer Epidemiol. 2012;36(1):45-51. doi: 10.1016/j.canep.2011.06.004. [PubMed: 22018949]. [PubMed Central: PMC3962042].
  • 10. Vosoghi N, Chehrzad M, Abotalebi G, Atrkar Roshan Z. [Effects of distraction on physiologic indices and pain intensity in children aged 3-6 undergoing IV injection]. J Faculty Nurs Midwifery Tehran Univ Med Sci. 2011;16(3, 4):39-47. Persian.
  • 11. Beyer JE, Turner SB, Jones L, Young L, Onikul R, Bohaty B. The alternate forms reliability of the Oucher pain scale. Pain Manag Nurs. 2005;6(1):10-7. doi: 10.1016/j.pmn.2004.11.001. [PubMed: 15917740].
  • 12. Bao PP, Zheng Y, Wang CF, Gu K, Jin F, Lu W. Time trends and characteristics of childhood cancer among children age 0-14 in Shanghai. Pediatr Blood Cancer. 2009;53(1):13-6. doi: 10.1002/pbc.21939. [PubMed: 19260104].
  • 13. Farrokhnia M, Fathabadi J, Shahidi S. The effects of cognitive intervention on reduction of pain intensity, changes in the heart rate and blood oxygen saturation level. Pars Jahrom Univ Med Sci. 2011;9(3):27-34. doi: 10.29252/jmj.9.3.5.
  • 14. Sajedi F, Kashaninia Z, Rahgozar M, Noghabi FA. The effect of Kangaroo care on physiologic responses to pain of an intramuscular injection in neonates. Iran J Pediatr. 2007;17(4):339-44.
  • 15. Lal MK, Mc Clelland J, Phillips J, Taub NA, Beattie RM. Comparison of EMLA cream versus placebo in children receiving distraction therapy for venepuncture. Acta Paediatr. 2001;90(2):154-9. doi: 10.1111/j.1651-2227.2001.tb00277.x. [PubMed: 11236044].
  • 16. Van Hulle Vincent C. Nurses' perceptions of children's pain: A pilot study of cognitive representations. J Pain Symptom Manage. 2007;33(3):290-301. doi: 10.1016/j.jpainsymman.2006.08.008. [PubMed: 17349498].
  • 17. Mikaeili N, Fathi A, Kanani S, Samadifard HR. [A comparison of distraction techniques (bubble and cartoon) on reducing chemotherapy induced pain in children with cancer]. Iran J Cancer Care. 2016;1(1):15-23. Persian.
  • 18. Emami Zeydi A, Jafari H, Khani S, Esmaeili R, Gholipour Baradari A. [The effect of music on the vital signs and SpO2 of patients after open heart surgery: A randomized clinical trial]. J Mazandaran Univ Med Sci. 2011;21:73-82. Persian.
  • 19. Yoo H, Kim S, Hur HK, Kim HS. The effects of an animation distraction intervention on pain response of preschool children during venipuncture. Appl Nurs Res. 2011;24(2):94-100. doi: 10.1016/j.apnr.2009.03.005. [PubMed: 20974061].

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