فهرست نشریات علمی دسترسی آزاد ایران

Abstract:Background and aim: Cancer is the most common cause of morbidity in children over 1 year in thewest and is also prominent in the developing countries in the world. The disease and its treatmentconsisting of chemotherapy, radiation therapy and surgery can cause pain. The nurses areresponsible to reduce the mental and physical effects of the pain. Localized cooling may reduce thepain of sub cutaneous injections considerably. The aim of this study was to determine the effect ofcold pack on pain induced by GCSF injection in cancerous children attended to selected hospital inTehran(Iran) in 2010.Method and materials:A cross-over clinical trial was conducted to assess the usefulness of ice pack for relieving paininduced by GCSF injections . A convenience sample of 35 children with cancer receiving GCSFinjections were included in the study. These children were randomly assigned to either applicationof ice pack for a duration of 3 minutes prior to s.c injection of GCSF or routin care. crossing overfor the next day of injection .The site of injection was The upper most of the of arm and the amountof prescribed GCSF was atmost 0/5-1 cc for each injection . All injections was carried out by thesame nurse. The data collection tools were a demographic questionnaire (age, sex, and birthorder,and etc) and behavioural criteria of cheopes for pain assessment .The injection was done byone nurse and pain evaluation was evaluated by another nurse who had no idea about the manner ofinjection 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 Standarddeviation of 2.17.Repeated measures analysis showed a significant difference of pain score betweenice pack and control group .The analysis also showed that the only contributing variable was the age of childe (P=0.023). Theolder 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 subcutaneousinjections in children. Using this method for reducing pain will result in better cooperation ofchildren in following-up their treatment appoinments .It is recommended that more research shouldbe done in this area.Key words:Chemotherapy – Ice pack- pain- GCSFinjection. S.C injection