Effectiveness of ICE Application v/s Manual Pressure at Li4 Prior to Intramuscular Injection in Reduction of Pain among Children (15-18 Months) in Selected Immunization Clinics at Mangalore

Atraumatic care is one of the important trend in pediatric nursing. Evaluative quasi experimental post test only control group design was used. Purposive sampling technique was used to select 90 sample. The data was obtained by baseline proforma and FLACC scale. The study showed that majority of children receiving manual pressure showed mild behavioural response (83.3 %) to pain, ice application showed moderate response (73.3 %) and routine care showed severe response (96.7 %) to pain. The study found that there is significant difference between the behavioural response to pain among children with manual pressure at LI4 area (t58= 27.31) and ice application (t58=13.13). The study concluded that manual pressure is effective than ice application. Study also found that there is significant association between the educational status of mothers, reaction of children towards health personnel in experimental group I and childs past experience to injection in control group and in experimental group I with behavioural response to pain at p 0.05 level of significance.