Reducing pain associated with port insertion in children with cancer Signs and Symptoms
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Pediatric cancer diagnosis (Western medicine criteria) 2. Undergoing port catheter needle insertion 3. Age 4–12 years 4. Stable vital signs 5. Platelet count >20,000/µl, no acute bleeding tendency 6. Child willing to receive acupressure 7. Parents provide informed consent
Exclusion criteria
Exclusion criteria: 1. Unstable vital signs (fever, shortness of breath, tachycardia, low blood pressure) 2. Skin infection, injury, or ulcer at the massage site 3. Severe comorbidity (cardiovascular, infectious diseases) 4. Unable to cooperate with acupressure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The effect of acupressure on pain and fear during Port-A needle insertion in pediatric cancer patients measured using the Faces Pain Scale – Revised (FPS-R) and Children’s Fear Scale (CFS) before and after the Port-A access injection | — |
Secondary
| Measure | Time frame |
|---|---|
| The following secondary outcome measures were assessed before and after the Port-A access injection: 1. Physiological indicators (respiration, heart rate, blood pressure, mean arterial pressure) measured using standard procedures 2. Parental observation of the child’s pain and fear measured using the Faces Pain Scale – Revised (FPS-R) and Children’s Fear Scale (CFS) 3. Blinded nurse assessment of the child’s behavioral responses measured using the Children’s Emotional Manifestation Scale (CEMS) 4. Assessment of the correlation among pain, fear, and anxiety measured using the Children’s Anxiety Meter–State (CAMS), Faces Pain Scale–Revised (FPS-R), and Children’s Fear Scale (CFS) | — |
Countries
Taiwan