Effectiveness of pain relief by "touch-relaxation" upon Redon suction drain removal in children aged 7 to 17: results of a multicenter randomized trial / Agnès Bergeron ; Pascale Beloni ; Jean Toniolo ; Noémie Marchat ; Vincent Rousseau ; A. Labrunie ; Valérie Delaide ; Sylvie Dallière ; Brigitte Preneuf-Pauthier ; Emilie Maréchal ; Gaëlle Jouaneau ; Hubert Lardy ; Laurent Fourcade in Recherche et avancées en sciences infirmières, N°1/2025 ([01/01/2025])  

Public ISBD [article]  inRecherche et avancées en sciences infirmières > N°1/2025 [01/01/2025] Titre : Effectiveness of pain relief by "touch-relaxation" upon Redon suction drain removal in children aged 7 to 17: results of a multicenter randomized trial Titre original : Efficacité du soulagement de la douleur par le « toucher-détente » lors du retrait d’un drain de Redon chez les enfants de 7 à 17 ans : résultats d’un essai multicentrique randomisé Type de document : document électronique Auteurs : Agnès Bergeron, Auteur ; Pascale Beloni, Auteur ; Jean Toniolo, Auteur ; Noémie Marchat, Auteur ; Vincent Rousseau, Auteur ; A. Labrunie, Auteur ; Valérie Delaide, Auteur ; Sylvie Dallière, Auteur ; Brigitte Preneuf-Pauthier, Auteur ; Emilie Maréchal, Auteur ; Gaëlle Jouaneau, Auteur ; Hubert Lardy, Auteur ; Laurent Fourcade, Auteur Année de publication : 2025 Langues : Anglais (eng) Mots-clés : Ablation  Douleur  Drain de redon  Enfant  Massage  Toucher  Pratique avancée en soins infirmiers Résumé : Background: Redon drain removal is a source of pain and anxiety for the children despite the Equimolar Mixture of Oxygen and Nitrous Oxide (EMONO) use. This observation prompted our teams to develop a non-pharmacological technique, referred to as "touch-relaxation", as a treatment in its own right, to improve the care of children. Our study aimed to assess to what extent “touch-relaxation", in association with the routine pain management method, contributes to altered pain perception upon Redon drain removal. Methods: We conducted an open-label multicenter randomized controlled clinical trial. We randomized 232 children aged 7 to 17 years and in 2 parallel groups: an experimental group with EMONO and "touch-relaxation", and a control group with EMONO only. The primary outcome was the difference in pain between the two groups. Pain was assessed using a visual analog scale (VAS). Results: From 2014 to 2018, 232 patients were recruited and 231 were analyzed: 117 in the experimental group and 114 in the control group. Children had been admitted for abdominal (48.1%; n = 111) or orthopedic surgery (46.3%; n = 107). The use of “touch-relaxation” with usual care was associated with a significantly lower proportion of children with VAS ≥ 4 (21.7%; n = 25) than in the control group (33.6%; n = 37) (p = 0.0459) upon Redon drain removal. Conclusions: "Touch-relaxation" reduces the child's perception of pain, thereby making the provision of care easier and reducing the degree of pain experienced. We recommend the use of "Touch-relaxation" as an easy and suitable additional pain management tool for nurses. En ligne : https://doi.org/10.25965/reasci.152 Permalink : http://cdocs.helha.be/pmbgilly/opac_css/index.php?lvl=notice_display&id=93650 [article] Effectiveness of pain relief by "touch-relaxation" upon Redon suction drain removal in children aged 7 to 17: results of a multicenter randomized trial = Efficacité du soulagement de la douleur par le « toucher-détente » lors du retrait d’un drain de Redon chez les enfants de 7 à 17 ans : résultats d’un essai multicentrique randomisé [document électronique] / Agnès Bergeron, Auteur ; Pascale Beloni, Auteur ; Jean Toniolo, Auteur ; Noémie Marchat, Auteur ; Vincent Rousseau, Auteur ; A. Labrunie, Auteur ; Valérie Delaide, Auteur ; Sylvie Dallière, Auteur ; Brigitte Preneuf-Pauthier, Auteur ; Emilie Maréchal, Auteur ; Gaëlle Jouaneau, Auteur ; Hubert Lardy, Auteur ; Laurent Fourcade, Auteur . - 2025. Langues : Anglais (eng) in Recherche et avancées en sciences infirmières > N°1/2025 [01/01/2025] Mots-clés : Ablation  Douleur  Drain de redon  Enfant  Massage  Toucher  Pratique avancée en soins infirmiers Résumé : Background: Redon drain removal is a source of pain and anxiety for the children despite the Equimolar Mixture of Oxygen and Nitrous Oxide (EMONO) use. This observation prompted our teams to develop a non-pharmacological technique, referred to as "touch-relaxation", as a treatment in its own right, to improve the care of children. Our study aimed to assess to what extent “touch-relaxation", in association with the routine pain management method, contributes to altered pain perception upon Redon drain removal. Methods: We conducted an open-label multicenter randomized controlled clinical trial. We randomized 232 children aged 7 to 17 years and in 2 parallel groups: an experimental group with EMONO and "touch-relaxation", and a control group with EMONO only. The primary outcome was the difference in pain between the two groups. Pain was assessed using a visual analog scale (VAS). Results: From 2014 to 2018, 232 patients were recruited and 231 were analyzed: 117 in the experimental group and 114 in the control group. Children had been admitted for abdominal (48.1%; n = 111) or orthopedic surgery (46.3%; n = 107). The use of “touch-relaxation” with usual care was associated with a significantly lower proportion of children with VAS ≥ 4 (21.7%; n = 25) than in the control group (33.6%; n = 37) (p = 0.0459) upon Redon drain removal. Conclusions: "Touch-relaxation" reduces the child's perception of pain, thereby making the provision of care easier and reducing the degree of pain experienced. We recommend the use of "Touch-relaxation" as an easy and suitable additional pain management tool for nurses. En ligne : https://doi.org/10.25965/reasci.152 Permalink : http://cdocs.helha.be/pmbgilly/opac_css/index.php?lvl=notice_display&id=93650

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