Pain and Anxiety of Children During Phlebotomy
Conditions
Brief summary
This study aimed to investigate the effect of diverting the children's attention to a different point during phlebotomy which is an invasive procedure with acute pain. This is a randomized controlled experimental study. The study was conducted with two groups: the intervention group (n=127) and the control group (n=129). The control group was applied to standard phlebotomy procedures. In contrast, the intervention group had a piece of equipment that looks like a blood tube in front of them during the phlebotomy process to divert their attention from the phlebotomy process to the equipment.
Detailed description
The equipment used for the intervention group was designed and developed by the researchers with the project support of TÜBİTAK BİDEB 2209A in 2016. It is an equipment that looks like a blood tube with a fixed arm on the right and a moving arm on the left with a total height of 80 cm. It has some answers to common questions of parents as well as the key concerns of the children Will it hurt me?
Interventions
DEVICEEquipment to divert the focus of children
The equipment was placed in an area where the children would be able to see easily during the blood collection process. It was turned on as soon as the children sat on to the chair where the process would take place to divert the focus of the children at the equipment.
Sponsors
Afyonkarahisar Health Sciences University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
7 Years to 12 Years
Healthy volunteers
Yes
Inclusion criteria
* making a request for the phlebotomy * being in the 7-12 age group * having the consent of the parent * willing to participate in the research * with the history of invasive procedure * not using any medication with analgesic effect in the last 12 hours * without any communication barriers of either child or the parent * with a normal level of consciousness during the process * without the history of passing out during the phlebotomy
Exclusion criteria
* not being in the 7-12 age group * not having the consent of the parent * not willing to participate in the research * without the history of invasive procedure * had medication with analgesic effect in the last 12 hours * with communication barriers of either child or the parent * with an abnormal level of consciousness during the process * with the history of passing out during the phlebotomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Assessment of Children's Anxiety Level Change | Twice ( Immediately after the procedure and 14 days after the procedure) | Children's Fear Scale is an instrument with five different face images changing from neutral (0= no fear) to most scared (4= with the most fear) to evaluate the scare level of the children during the procedure. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Revised Face Pain Scale (FPS-R) | Twice ( During the procedure and 5-10 minutes after the procedure) | The FPS-R is a scale to measure how children feel in their inner world than how their faces look. It is designed on the widely accepted 0-to-10 metric according to the chosen face. 0 equals No pain and 10 equals Very much pain. |
Countries
Turkey (Türkiye)
Outcome results
None listed