The Effects of Two Methods on Venipuncture Pain in Children: Procedural Restraint and Cognitive-Behavioral Intervention Package

• Published in: Pain management nursing Vol. 21; no. 6; pp. 594 - 600
• Main Authors: Yilmaz Kurt, Fatma, Aytekin Ozdemir, Aynur, Atay, Selma
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2020
• Subjects: Nursing
• ISSN: 1524-9042; 1532-8635
• DOI: 10.1016/j.pmn.2019.09.002

Invasive interventions can produce fear, anxiety, and pain in children. This may negatively affect the children's treatment and care. This study was conducted to determine the effects of procedural restraint (PR) and cognitive-behavioral intervention package (CBIP) on venipuncture pain in children between 6-12 years of age. Quasi-experimental study. The study was conducted in the pediatric blood collection service of the hospital in Turkey between October 1, 2015, and April 1, 2016. The population of the study consisted of children admitted to the blood collection service during the study period who met the inclusion criteria. The children included in the study were divided into two groups. Group 1 (n = 31) received PR in accordance with routine clinical practice. Group 2 (n = 30) received the CBIP. The data were collected by the researchers using a questionnaire, the visual analog scale (VAS), and the Wong-Baker FACES (WB-FACES) Pain Rating Scale. The children in the PR group had a mean VAS score of 5.90 ± 3.22 and a mean WB-FACES score of 8.70 ± 2.22. The children in the CBIP group had a mean VAS score of 2.43 ± 2.02 and a mean WB-FACES score of 2.80 ± 2.49. A statistically significant difference was found between the mean VAS and WB-FACES pain scores of the groups (p < .05). The results of this study showed that the children in the CBIP group had a lower pain level during venipuncture compared to those restrained for the procedure.