Effect of play therapy in reduction of postoperative pain perception among the children aged 6-12 years in All India Institute of Medical Sciences, Patna

Authors

  • Saima Department of Child Health Nursing, College of Nursing, AIIMS, Patna, Bihar, India
  • Ramya S. Department of Child Health Nursing, College of Nursing, AIIMS, Patna, Bihar, India
  • Hansmukh Jain Department of Child Health Nursing, College of Nursing, AIIMS, Patna, Bihar, India
  • Amit Kumar Sinha Department of Paediatrics Surgery, AIIMS, Patna, Bihar, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20253483

Keywords:

Play therapy, Postoperative pain, Pediatric surgery, Wong-Baker FACES pain rating scale, Non-pharmacological intervention

Abstract

Background: Postoperative pain in children remains a significant concern, often leading to delayed recovery and distress. This study evaluated the effect of play therapy on postoperative pain among children aged 6-12 years in AIIMS Patna.

Methods: A quasi-experimental, non-randomized control group design was used. The 54 children meeting inclusion criteria were selected through non-probability convenience sampling from pediatric surgery wards. Demographic data were collected from parents and children. Pain was assessed on postoperative days 1-4 using the Wong-Baker FACES pain rating scale (WBPS). The experimental group received 50 minutes/day of play therapy; the control group received standard care without intervention. Data were analyzed using descriptive and inferential statistics.

Results: In the experimental group, 16 (59.3%) children reported ‘pain whole lot.’ 6 (22.2%) ‘pain even more.’ and 5 (18.5%) ‘pain little more.’ In the control group, 14 (51.9%) experienced ‘pain even more’ and 13 (48.1%) ‘pain whole lot.’ Post-test mean pain scores were 1.37±0.742 (experimental) and 3.37±0.792 (control) at p=0.001, confirming significant reduction in pain with play therapy. Experimental group pre-test mean was 3.41±0.797, with a mean difference of 2.04 post-therapy (p=0.001). Control group change was not significant (p=0.537). Significant associations were found between age (p<0.013) and postoperative sedation (p<0.012) with post-test scores in the experimental group; no associations were observed in the control group.

Conclusions: Play therapy is effective in reducing postoperative pain perception in children aged 6-12 years.

Metrics

Metrics Loading ...

References

Child health. Available at: https://www.who.int/healthtopics/child-health. Accessed on 10 May 2025.

Deshpande R, Shah MR. Effectiveness of play therapy on pain and anxiety in children post surgery. Int J Health Sci Res. 2019;9(4):84-9.

Chitra B. A study to assess the effectiveness of play therapy in reducing post-operative pain among children aged 2- 5 years who have undergone abdominal surgeries in Institute of child health and hospital for children, Chennai. Thesis at College of Nursing, Madras Medical College, Chennai. 2016.

Davidson F, Snow S, Hayden JA, Chorney J. Psychological interventions in managing postoperative pain in children: a systematic review. PAIN. 2016;157(9):1872-86. DOI: https://doi.org/10.1097/j.pain.0000000000000636

Datta P. Pediatric Nursing. Available at: https://www.scribd.com/document/686221608/Parul-Datta-Pediatric-Nursing-5E. Accessed on 11 May 2025.

Bharathi M, Natekar DS. A Study to Evaluate the Effectiveness of Play Therapy in Reducing Post-Operative Pain among Children Aged 6-12 Years Admitted in Post-Operative Wards, in a Selected Hospital at Bengaluru. Int J Innovat Sci Res Technol. 2018;3(11):281-2.

Sethi D, Shaini PC, Kumari H, Umar M, Karthika S, Deepa NR, et al. Evaluating the efficacy of midwifery led-care unit for optimizing maternal and infant health outcomes in India: an evidence based systematic review. Int J Reprod Contracept Obstet Gynecol. 2025;14:1292-300. DOI: https://doi.org/10.18203/2320-1770.ijrcog20250877

Umar M, Tripathi S, Saima, Pandey PK, Kumari A, Kumari J, et al. Early initiation of breastfeeding and associated factors among post-natal mothers in selected healthcare sectors, Rohtas, Bihar. Int J Community Med Public Health. 2024;11(8):3101-6. DOI: https://doi.org/10.18203/2394-6040.ijcmph20242170

Joseph L, Umar M, Kumari S, Kumar D, Kumari M. A school based cross-sectional study to assess the health problems and health status among school going children at Akhorigola, Rohtas District, Bihar. Int J Community Med Public Health. 2024;11(6):2362-5. DOI: https://doi.org/10.18203/2394-6040.ijcmph20241500

Ahmed SA, Ibrahim IA, Mobarak A, Hassan AM. Effect of Aromatherapy Massage on Postoperative Pain Among School Age Children. Assiut Scientific Nursing J. 2020;8(20):91-102. DOI: https://doi.org/10.21608/asnj.2020.90501

Sadhasivam S, Chidambaran V, Olbrecht VA, Esslinger HR, Zhang K, Zhang X, et al. Genetics of pain perception, COMT and postoperative pain management in children. Pharmacogenomics. 2014;15(3):277-84. DOI: https://doi.org/10.2217/pgs.13.248

Garimella V, Cellini C. Postoperative Pain Control. Clin Colon Rectal Surg. 2013;26(3):191-6. DOI: https://doi.org/10.1055/s-0033-1351138

El Sayed R, El-Ghazaly M, Elsheikh O, Atia FM. The Effect of a Planned Play Program as a Nursing Intervention in Reducing Post-operative Pain among Children Undergoing Abdominal Surgeries. IOSR J Nursing Health Sci. 2019;8(1):09-11.

RN AG BSN. Lydia Hall: Care, Cure, Core Nursing Theory. Nurseslabs. 2014. Available at: https://nurseslabs.com/lydia-e-halls-care-cure-core theory/. Accessed on 10 May 2025.

Jiménez-Moreno C, Aristizábal-Nieto JK, Giraldo-Salazar OL. Classification of Facial Expression of Post-Surgical Pain in Children: Evaluation of Convolutional Neural Networks. Visión Electrónica. 2021;15(1):7-16. DOI: https://doi.org/10.14483/22484728.17425

Şahiner Y, Özçiftçi S, Doğan G, Önen Özdemir S, Demir E. The effect of parent and child operational stress on postoperative pain level in children. Ann Clin Analytical Med. 2020;11(3):S207-13. DOI: https://doi.org/10.4328/ACAM.20247

Downloads

Published

2025-10-28

How to Cite

Saima, S., R., Jain, H., & Sinha, A. K. (2025). Effect of play therapy in reduction of postoperative pain perception among the children aged 6-12 years in All India Institute of Medical Sciences, Patna. International Journal of Contemporary Pediatrics, 12(11), 1797–1804. https://doi.org/10.18203/2349-3291.ijcp20253483

Issue

Section

Original Research Articles