Neurological Disorders
Conditions
Interventions
Intervention group: The nurse facilitates attention redirection (distraction) through casual conversation. The nurse delivers the following standardized verbal prompts at each phase. Application of
I am going to apply a tourniquet to help visualize your vein. Please make a fist with your thumb tucked in."
Disinfection and selection of the puncture site: "
Did you sleep well last night? / Is there anything you are having trouble with during your hospital stay?"
During needle insertion and blood collection: "
Do you remember what you ate last night? / Were there any hospital meals that you particularly enjoyed? / Are you able to eat? / Is the seasoning to your taste? / What topics have you been talking abo
Needle removal and hemostasis: "
re finished. Thank you for your cooperation. Please wait a moment until the bleeding stops."
Control group: Blood collection is performed according to the standard procedure, with only routine explanations related to venipuncture. In each phase, the nurse provides only the following standardi
We will collect blood from this site. / I'
m going to disinfect the area where the needle will be inserted, so it may feel cold."
I am going to insert the needle now, so it may be painful. If you feel strong pain or a tingling
Sponsors
Kawasaki City College of Nursing
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Inpatients at the Department of Neurology, Kindai University Hospital, who are aged 18 years or older and are right-handed. 2. Capable of communicating in Japanese, understanding the study details, and providing written informed consent. 3. Scoring 20 points or higher on the Revised Hasegawa's Dementia Scale (HDS-R). 4. Expected hospital stay of 5 days or more.
Exclusion criteria
Exclusion criteria: 1. HDS-R score < 20 2. Inability to communicate in Japanese 3. Hearing impairment that makes normal conversation difficult even with hearing aids 4. Expected length of hospital stay at enrollment < 5 days 5. Clinically confirmed hypoalgesia 6. Acute or unstable psychiatric disorders (e.g., schizophrenia, bipolar disorder, major depressive disorder) 7. Skin abnormalities at the venipuncture site or medically inappropriate for upper-limb venipuncture (e.g., post-mastectomy, vascular shunt) 8. Failure to complete venipuncture on the first attempt 9. STAI (Form JYZ): Stage 5 on either STAI-S or STAI-T 10. Use of medications that may acutely affect pain or affective-state assessments Exclusion: opioid analgesics; regular use of antipsychotics (excluding PRN use); steroid pulse therapy or within 3 days after completion Rescheduling: NSAIDs or acetaminophen within 5 hours; benzodiazepine anxiolytics within 24 hours; PRN antipsychotics within 72 hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale (VAS) Score for Pain : Administered within 3 minutes immediately following venipuncture. | — |
Secondary
| Measure | Time frame |
|---|---|
| Visual Analogue Scale (VAS) for Pleasantness/Unpleasantness : Administered within 3 minutes immediately following venipuncture. Visual Analogue Scale (VAS) for Satisfaction with Venipuncture : Administered within 3 minutes immediately following venipuncture. State-Trait Anxiety Inventory (STAI) (New Japanese Edition, Form JYZ) : Administered between enrollment and prior to venipuncture. Profile of Mood States, 2nd Edition (POMS 2): Japanese Adult Short Form : Administered immediately before and within 10 minutes following venipuncture. | — |
Countries
Japan
Contacts
Public ContactTakafumi Okayama
Kawasaki City College of Nursing Graduate School of Nursing
Outcome results
None listed