Evaluating the Impact of the Valsalva Maneuver on Pain Relief During Intravenous Cannulation in Patients at Selected Hospitals in Tirupati, Andhra Pradesh


Year : 2024 | Volume : 13 | Issue : 03 | Page : –
    By

    Archana Reddy,

  1. Professor, Department of Community Health Nursing, Sree Vidyanikethan College of Nursing, Mohan Babu University, Tirupathi, Andhra Pradesh, India

Abstract

Pain can be defined as an unpleasant tactile sensation, arousing sensory experience, and an emotional response that is linked to any type of tissue, cell, or skin damage. Pain is a very common and a primary reason for which people seek health care. Among all the non-pharmacological methods for pain relieving, the Valsalva maneuver is one of the methods which is found effective in reducing the level of pain a person is experiencing during the procedure of intravenous cannulation. This method is both simple to execute and cost-effective. It involves guiding the patient to perform a forceful exhalation after inhaling, either by pinching the nose or against a closed airway. The study has several objectives: to evaluate the pain levels experienced by patients undergoing intravenous cannulation in both the experimental and control groups; to examine how effectively the Valsalva Maneuver reduces pain during this procedure; and to analyze the relationship between posttest pain levels and various demographic factors. The research employed a True Experimental design, specifically a pretest/posttest control group framework. A total of 60 participants were included in the study, with 30 assigned to the experimental group and 30 to the control group, chosen through simple random sampling. The research took place at Rush Hospital in Tirupati, Andhra Pradesh, and data was gathered using a numerical pain rating scale ranging from 0 to 10. Results indicated a significant relationship between posttest pain levels and selected demographic variables such as age, gender, body mass index, cannulation site, previous cannulations, cannula size, and prior knowledge of the Valsalva Maneuver, leading to the acceptance of hypothesis H2. To assess the Valsalva Maneuver’s effectiveness, a paired t-test yielded a value of 14.98 for the experimental group, which was significant at the 0.05 level, indicating a notable difference in pain levels before and after the intervention in both groups. Additionally, an unpaired t-test result of 4.42, also significant at the 0.05 level, confirmed that the Valsalva Maneuver effectively alleviates pain in patients undergoing intravenous cannulation, thus supporting hypothesis H1.

Keywords: Valsalva maneuver, intravenous cannulation, pain assessment, experimental group, healthcare, tissue damage

[This article belongs to Research & Reviews : A Journal of Medical Science and Technology (rrjomst)]

How to cite this article:
Archana Reddy. Evaluating the Impact of the Valsalva Maneuver on Pain Relief During Intravenous Cannulation in Patients at Selected Hospitals in Tirupati, Andhra Pradesh. Research & Reviews : A Journal of Medical Science and Technology. 2024; 13(03):-.
How to cite this URL:
Archana Reddy. Evaluating the Impact of the Valsalva Maneuver on Pain Relief During Intravenous Cannulation in Patients at Selected Hospitals in Tirupati, Andhra Pradesh. Research & Reviews : A Journal of Medical Science and Technology. 2024; 13(03):-. Available from: https://journals.stmjournals.com/rrjomst/article=2024/view=182663


References

  1. Hinkle JL, Cheever KH, Overbaugh K. Brunner & Suddarth’s Textbook of Medical Surgical Nursing. 13th ed. Wolters Kluwer; 2010.pp. 463–467.
  2. Campbell JP. Pain: the fifth vital sign. Am Pain Soc. 1995.
  3. Movahedi AF, Rostamio S, Salsali M, Keikhaee B, Moradi A. Effect of local refrigeration prior to venipuncture on pain-related responses in school-age children. Aust J Adv Nurs. 2006;24(2):51–55.
  4. Herr K, Coyne PJ, McCaffery M, Manworren R, Merkel S. Pain assessment in the patient unable to self-report: position statement with clinical practice recommendations. Pain Manag Nurs. 2011;12(4):230–250. doi: 10.1016/j.pmn.2011.10.002.
  5. National Center for Complementary and Integrative Health. Complementary, alternative, or integrative health: What’s in a name? [Internet]. 2021 [cited 2024 Sep 24]. Available from: https://nccih.nih.gov/health/integrative-health
  6. Kreitzer MJ, Koithan M. Integrative nursing. Oxford: Oxford University Press; 2018.
  7. Melzack R, Wall PD. Pain mechanisms: A new theory. Science. 1965;150(3699):971–979. doi: 10.1126/science.150.3699.971.
  8. McCaffery M, Pasero C. Pain: clinical manual. 2nd ed. St. Louis: Mosby; 1999.
  9. Taddio A, et al. Effect of topical anesthetic on pain during immunization in infants: A randomized controlled trial. JAMA. 1997;277(18):1461–1467.
  10. American Pain Society. Principles of analgesic use in the treatment of acute pain and cancer pain. 5th ed. Glenview, IL: American Pain Society; 2003.

Regular Issue Subscription Original Research
Volume 13
Issue 03
Received 03/09/2024
Accepted 16/09/2024
Published 13/11/2024


Loading citations…