Comparative Effectiveness of Animated Video Versus Storytelling Distraction on Procedural Pain in Preschool Children During Intravenous Insertion
DOI:
https://doi.org/10.35960/vm.v19i2.2204Keywords:
Procedural pain, Pediatric nursing, Animated video distraction, Storytelling, Preschool childrenAbstract
Intravenous (IV) insertion is a common invasive procedure in preschool children and frequently causes pain and distress because of limited developmental ability to understand and cope with the procedure. Effective non-pharmacological strategies are essential to reduce procedural pain and support atraumatic pediatric care. This study aimed to compare the effectiveness of animated video distraction and storytelling in reducing pain during IV insertion among children aged 3-5 years. A quasi-experimental posttest-only design was conducted in the emergency department of a tertiary hospital. Thirty-two preschool children were recruited using purposive sampling and non-randomly allocated to an animated video group (n = 16) or a storytelling group (n = 16). Pain intensity during IV insertion was assessed using the Face, Legs, Activity, Cry, and Consolability (FLACC) scale. Data were analyzed using descriptive statistics, the Shapiro-Wilk test, and the Mann-Whitney U test. Most children in both groups experienced moderate pain following intervention. The animated video group demonstrated a lower mean FLACC score (3.94) compared to the storytelling group (4.75). Statistical analysis revealed a significant difference in pain levels between the two interventions (Z = -2.015; p = 0.044; effect size r = 0.36), indicating greater effectiveness of animated video distraction. Both distraction methods reduced procedural pain, although animated video distraction was associated with significantly lower pain than storytelling in this single-site emergency department sample. These findings support the integration of audiovisual distraction into pediatric nursing practice to improve comfort and cooperation during IV insertion while future randomized studies are recommended to confirm these results.
References
Akhani, P., Mendpara, S., Palan, B., & Harsoda, J. (2014). Gender differences in response to experimental pain among medical students from a western state of India. Original Article, 2(1), 13–17. http://dx.doi.org/10.5195/ijms.2014.69
Anggraeni, L. D., & Widiyanti. (2019). Distraction techniques: Telling stories to decrease pain for preschool children during infusion. Jurnal Keperawatan Indonesia, 22(1), 23–30. https://doi.org/10.7454/jki.v22i1.887
Balamurali. (2025). Effectiveness of cartoon watching for distraction in reducing pain during venipuncture among preschool children: A randomized control trial. Caspian Journal of Pediatrics, June, 1–6.
Candra. (2023). Pengaruh distraksi menonton film kartun terhadap kenyamanan (nyeri) pada anak usia prasekolah yang mengalami pemasangan infus di RSUD Taman Husada Bontang. Jurnal Cakrawala Ilmiah, 3(4), 1031–1038.
Danianti. (2024). Perbedaan efektivitas terapi audiovisual dan coolpack terhadap tingkat nyeri pada prosedur pengambilan darah anak usia pra sekolah. Jurnal Ilmu Keperawatan dan Kebidanan, 2(1). https://doi.org/10.61132/protein.v2i1.98
Dewi. (2023). Pengaruh terapi bermain storytelling (bercerita) terhadap tingkat nyeri saat prosedur invasif pada anak prasekolah di Rumah Sakit Dr. Bratanata Kota Jambi. Jurnal Ners, 7, 1652–1658. https://doi.org/10.31004/jn.v7i2.16946
Ernawati. (2023). Pengaruh distraksi menonton kartun terhadap nyeri pada anak yang dipasang infus di RSD Dr. H. Soemarno Sosroatmodjo Tanjung Selor. Aspiration of Health Journal, 01(02), 273–280. https://doi.org/10.55681/aohj.v1i2.107
Fatmawati. (2019). Difference in pain scale when installation infusion in children given and not distracted techniques. Jurnal Life Birth, 3(April), 1–14. https://doi.org/10.37362/jlb.v3i1.290
Herrera. (2025). Use of virtual reality in the reduction of pain after the administration of vaccines among children in primary care centers in Central Catalonia: Randomized clinical trial. PLOS ONE, 1–17. https://doi.org/10.1371/journal.pone.0322840
Hidayah. (2022). Efek terapi kartun animasi pada nyeri anak usia prasekolah saat pemasangan infus di Rumah Sakit Azra Bogor. Journal of Management Nursing, 323–328. https://doi.org/10.53801/jmn.v3i2.168
Hidayati, H. B., Amelia, E. G. F., Turchan, A., Rehatta, N. M., Atika, & Hamdan, M. (2021). Pengaruh usia dan jenis kelamin pada skala nyeri pasien trigeminal neuralgia. AKSONA, 1(2), 53–56. https://doi.org/10.20473/aksona.v1i2.149
Immawati, I., Utami, I. T., Nurhayati, S., Dewi, T. K., & Sari, B. P. (2022). Metode penurunan nyeri akibat tindakan invasif pada anak usia pra sekolah (3–6 tahun) dengan video animasi, story telling, dan nafas dalam. Jurnal Wacana Kesehatan, 7(1), 12–20. https://doi.org/10.52822/jwk.v7i1.404
Lestari, D. H., & Suminar, E. (2024). Efektivitas teknik distraksi audiovisual terhadap derajat kecemasan hospitalisasi pada anak prasekolah. Indonesian Journal of Professional Nursing, 5(1), 33–40. https://doi.org/10.30587/ijpn.v5i1.6461 .
Mawaddah, E., Rusmini, R., Mardiatun, M., & Ningsih, M. U. (2021). Penerapan konsep atraumatic care saat pemasangan infus dan venipunktur pada anak. Jurnal Keperawatan Terpadu (Integrated Nursing Journal), 3(1), 17–27. https://doi.org/10.32807/jkt.v3i1.99
Mustofa, I. H., Verawati, M., & Sari, R. M. (2021). Studi komparatif skala nyeri saat pemasangan infus pada anak yang diberikan teknik distraksi audio visual menonton animasi kartun dan teknik relaksasi tarik nafas dalam di RSI Siti Aisyah Kota Madiun. Health Sciences Journal, 5(1), 1–13. https://doi.org/10.24269/hsj.v5i1.664
Nasution, F., Hazmi, D., Khairunnisa, K., & Mardiah, M. (2023). Perkembangan kognitif anak menurut teori Piaget. Mimbar Kampus: Jurnal Pendidikan dan Agama Islam, 22(2), 412–419. https://doi.org/10.47467/mk.v22i2.3018
Nurafriani, N., Asdar, F., Irmayani, I., & Haris, H. (2019). Pengaruh distraksi visual terhadap tingkat nyeri pada anak usia pra sekolah saat pemasangan infus di BLUD RSUD H. Padjonga Daeng Ngalle Kabupaten Takalar. Jurnal Ilmiah Kesehatan Diagnosis, 14(2), 192–196. https://doi.org/10.35892/jikd.v14i2.158
Setiawati, & Novikasari, L. (2021). Aplikasi pemberian teknik distraksi terhadap skala nyeri anak selama prosedur medis. Holistik Jurnal Kesehatan, 15(1).
Shen, T., Wang, X., Xue, Q., Zhang, X., Liu, Y., & Chen, D. (2023). Active versus passive distraction for reducing procedural pain and anxiety in children: A meta-analysis and systematic review. Italian Journal of Pediatrics, 49, 109. https://doi.org/10.1186/s13052-023-01518-4
Suri, O. I., Susilawati, S., Pasaribu, S. D. M., & Lestari, M. (2022). Pengaruh teknik distraksi bercerita terhadap intensitas nyeri saat pemasangan infus. Jurnal Kesehatan, 13(Suppl. 1), 26–31. https://doi.org/10.35730/jk.v13i0.787
Sugiyono. (2023). Metode Penelitian Kuantitatif, Kualitatif, dan R&D (Cetakan ke-5). Bandung: Alfabeta. ISBN: 978-602-289-533-6.
Tambunan, N. R., Fitri, N. L., & Pakarti, A. T. (2025). Implementasi relaksasi autogenik terhadap nyeri pasien pasca apendiktomi. Jurnal Cendikia Muda, 5(3), 436–443.
Tasman, S. G. R., Putri, F. A., & Maulina, T. (2022). Validation of the Indonesian Version of the Face, Legs, Activity, Cry, and Consolability (FLACC) Scale in Postoperative Cleft Lip and/or Cleft Palate Patients. The Open Dentistry Journal, 16, e187421062202090. https://doi.org/10.2174/18742106-v15-e2202090
Triana, N. Y., & Haniyah, S. (2024). Efektivitas audiovisual film kartun dengan storytelling terhadap nyeri prosedur invasif anak prasekolah. Journal of Nursing and Health, 9(4), 505–514. https://doi.org/10.52488/jnh.v9i4.439
Lameky, V. Y., & Parinussa, N. (2025). Efektivitas terapi storytelling terhadap penurunan kecemasan anak prasekolah selama hospitalisasi di Rumah Sakit Sumber Hidup Ambon. Media Kesehatan Politeknik Kesehatan Makassar, 20(1), 55–62. https://doi.org/10.32382/medkes.v20i1.1412
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