The Effect of Non-Pharmacological Pain Management Using Behavioural Intervention on Pain Scale and Oxygen Saturation Among Preschool Children Undergoing Invasive Procedures
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Dinda rizqiatus
Wesiana Heris Santy
Nety Mawarda Hatmanti
Yurike Septianingrum
Abstract
Pain during invasive medical procedures is a major stressor for preschool children and
may trigger physiological responses such as oxygen saturation decline due to crying and
anxiety. This study aimed to analyze the effect of behavioural intervention on pain scale
and oxygen saturation in preschool children undergoing intravenous procedures. This
research was conducted using a quasi-experimental post-test only control group design.
A total of 80 children aged 3–6 years undergoing intravenous insertion at RSI Jemursari
Surabaya were selected through purposive sampling and divided equally into
intervention and control groups. Pain intensity was assessed using the FLACC Scale,
while oxygen saturation was measured using a pulse oximeter. Mann–Whitney U test
was used for statistical analysis. The mean pain score in the intervention group (3.44)
was significantly lower than in the control group (7.57). Meanwhile, the mean oxygen
saturation in the intervention group (98%) was higher than in the control group
(94.12%). Statistical analysis showed a significant difference between both variables
(p=0.001). Behavioural intervention is effective in reducing pain and preventing oxygen
desaturation in preschool children during invasive procedures. This intervention can be
recommended as a non-pharmacological approach in pediatric nursing practice.
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Copyright (c) 2026 Dinda rizqiatus, Wesiana Heris Santy, Nety Mawarda Hatmanti, Yurike Septianingrum
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