Yıl: 2023 Cilt: 45 Sayı: 2 Sayfa Aralığı: 159 - 164 Metin Dili: İngilizce DOI: 10.14744/etd.2022.13707 İndeks Tarihi: 23-05-2023

Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety

Öz:
Objective: Children can experience less pain and anxiety by being informed and distracted. Our goal was to assess the effectiveness of providing information and using an active distraction technique to treat pediatric venipuncture-related pain and anxiety in children. Materials and Methods: One hundred forty-two children between the ages of 3 and 8 years were randomized into three groups: the informed, the informed and distracted, and the control. In the informed group, information was provided to the parents and children in written and verbal forms; in the informed and distracted group, information was also provided to the parents and children while allowing the children to play a puzzle game on the tablet; and in the control group, the routine injection procedure was performed. Parents and an independent observer completed two separate forms to rate the pain and terror of the children. Results: According to the parents/caregivers, fear and pain experience were found to be significantly lower in the informed and distracted group (p=0.001 for pain; p=0.005 for fear) than in the control and the informed groups. Moreover, according to the independent observer, fear and pain experience were similarly found to be significantly lower in the informed and distracted group (p=0.002 for pain; p<0.001 for fear) than in the other two groups. According to the independent observer, the anxiety of the parents was significantly found to be lower in the informed and distracted group (p=0.007) than in the other two groups. Conclusion: Children and their families experience stress as a result of painful procedures. It may be possible to lessen the pain and anxiety that children experience during invasive operations by informing, preparing, and distracting them.
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  • 1. Duff AJ, Gaskell SL, Jacobs K, Houghton JM. Management of distressing procedures in children and young people: time to adhere to the guidelines. Arch Dis Child 2012; 97(1): 1–4.
  • 2. Flowers SR, Birnie KA. Procedural preparation and support as a standard of care in pediatric oncology. Pediatr Blood Cancer 2015; 62(Suppl 5): S694–723.
  • 3. Inan G, Inal S. The impact of 3 different distraction techniques on the pain and anxiety levels of children during venipuncture: A clinical trial. Clin J Pain 2019; 35(2): 140–7.
  • 4. Murphy G. Distraction techniques for venepuncture: a review. Paediatr Nurs 2009; 21(3): 18–20.
  • 5. Wang ZX, Sun LH, Chen AP. The efficacy of non-pharmacological methods of pain management in school-age children receiving venepuncture in a paediatric department: a randomized controlled trial of audiovisual distraction and routine psychological intervention. Swiss Med Wkly 2008; 138(39-40): 579–84.
  • 6. Gezginci E, Suluhan D, Caliskan MB. Is tablet-based interactive distraction effective on pain and anxiety during circumcision in children? A randomized controlled trial. Turk J Urol 2021; 47(6): 518–25.
  • 7. Xiang H, Shen J, Wheeler KK, Patterson J, Lever K, Armstrong M, et al. Efficacy of Smartphone Active and Passive Virtual Reality Distraction vs Standard Care on Burn Pain Among Pediatric Patients: A Randomized Clinical Trial. JAMA Netw Open 2021; 4(6): e2112082.
  • 8. Susam V, Friedel M, Basile P, Ferri P, Bonetti L. Efficacy of the Buzzy System for pain relief during venipuncture in children: a randomized controlled trial. Acta Biomed 2018; 89(6-S): 6–16.
  • 9. Canbulat N, Inal S, Sönmezer H. Efficacy of distraction methods on procedural pain and anxiety by applying distraction cards and kaleidoscope in children. Asian Nurs Res (Korean Soc Nurs Sci) 2014; 8(1): 23–8.
  • 10. McKinley S, Coote K, Stein-Parbury J. Development and testing of a Faces Scale for the assessment of anxiety in critically ill patients. J Adv Nurs 2003; 41(1): 73–9.
  • 11. Wong DL, Baker CM. Pain in children: comparison of assessment scales. Pediatr Nurs 1988; 14(1): 9–17.
  • 12. Mahoney L, Ayers S, Seddon P. The association between parent’s and healthcare professional’s behavior and children’s coping and distress during venepuncture. J Pediatr Psychol 2010; 35(9): 985–95.
  • 13. Romito B, Jewell J, Jackson M, Ernst K, Hill V, Hsu B, et al. Child life services. American Academy of Pediatrics 2021; 147(1): e2020040261.
  • 14. Ballard A, Le May S, Khadra C, Lachance Fiola J, Charette S, Charest MC, et al. Distraction kits for pain management of children undergoing painful procedures in the emergency department: A pilot study. Pain Manag Nurs 2017; 18(6): 418–26.
  • 15. Bijttebier P, Vertommen H. Coping with peer arguments in school-age children with bully/victim problems. Br J Educ Psychol 1998; 68(Pt 3): 387–94.
  • 16. McCarthy AM, Kleiber C, Hanrahan K, Zimmerman MB, Westhus N, Allen S. Impact of parent-provided distraction on child responses to an IV insertion. Child Health Care 2010; 39(2): 125–41.
  • 17. Koller D. Preparing children and adolescents for medical procedures. Child Life Council Evidence-Based Practice Statement 2007;1–13.
  • 18. Mason S, Johnson MH, Woolley C. A comparison of distractors for controlling distress in young children during medical procedures. J Clin Psychology Med Settings 1999; 6(3): 239–48.
  • 19. Wohlheiter KA, Dahlquist LM. Interactive versus passive distraction for acute pain management in young children: the role of selective attention and development. J Pediatr Psychol 2013; 38(2): 202–12.
  • 20. Pate JT, Blount RL, Cohen LL, Smith AJ. Childhood medical experience and temperament as predictors of adult functioning in medical situations. Child Health Care 2010; 25(4): 281–98.
  • 21. Shave K, Ali S, Scott SD, Hartling L. Procedural pain in children: a qualitative study of caregiver experiences and information needs. BMC Pediatr 2018; 18(1): 324.
  • 22. Jurdi S, Montaner J, Garcia-Sanjuan F, Jaen J, Nacher V. A systematic review of game technologies for pediatric patients. Comput Biol Med 2018; 97: 89–112.
APA Isiyel E, Yurttas M, perktaş e, Özmert E, TEKSAM O (2023). Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. , 159 - 164. 10.14744/etd.2022.13707
Chicago Isiyel Emel,Yurttas Melahat,perktaş ezgi,Özmert Elif Nursel,TEKSAM OZLEM Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. (2023): 159 - 164. 10.14744/etd.2022.13707
MLA Isiyel Emel,Yurttas Melahat,perktaş ezgi,Özmert Elif Nursel,TEKSAM OZLEM Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. , 2023, ss.159 - 164. 10.14744/etd.2022.13707
AMA Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. . 2023; 159 - 164. 10.14744/etd.2022.13707
Vancouver Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. . 2023; 159 - 164. 10.14744/etd.2022.13707
IEEE Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O "Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety." , ss.159 - 164, 2023. 10.14744/etd.2022.13707
ISNAD Isiyel, Emel vd. "Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety". (2023), 159-164. https://doi.org/10.14744/etd.2022.13707
APA Isiyel E, Yurttas M, perktaş e, Özmert E, TEKSAM O (2023). Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. Erciyes Medical Journal, 45(2), 159 - 164. 10.14744/etd.2022.13707
Chicago Isiyel Emel,Yurttas Melahat,perktaş ezgi,Özmert Elif Nursel,TEKSAM OZLEM Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. Erciyes Medical Journal 45, no.2 (2023): 159 - 164. 10.14744/etd.2022.13707
MLA Isiyel Emel,Yurttas Melahat,perktaş ezgi,Özmert Elif Nursel,TEKSAM OZLEM Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. Erciyes Medical Journal, vol.45, no.2, 2023, ss.159 - 164. 10.14744/etd.2022.13707
AMA Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. Erciyes Medical Journal. 2023; 45(2): 159 - 164. 10.14744/etd.2022.13707
Vancouver Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety. Erciyes Medical Journal. 2023; 45(2): 159 - 164. 10.14744/etd.2022.13707
IEEE Isiyel E,Yurttas M,perktaş e,Özmert E,TEKSAM O "Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety." Erciyes Medical Journal, 45, ss.159 - 164, 2023. 10.14744/etd.2022.13707
ISNAD Isiyel, Emel vd. "Effect of an Active Distraction Method for Pediatric Venipuncture-Related Pain and Anxiety". Erciyes Medical Journal 45/2 (2023), 159-164. https://doi.org/10.14744/etd.2022.13707