Cognitive-Behavioral Interventions for IV Insertion Pain

• Published in: AORN journal Vol. 84; no. 6; pp. 1031,1034,1038 - 1032,1036,1048
• Main Author: Jacobson, Ann F.
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2006; Elsevier Science Publishers; John Wiley & Sons, Inc
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Care and treatment; Catheters; Choice Behavior; Clinical trials; Cognitive Behavioral Therapy - methods; Cognitive therapy; Female; Humans; Imagery (Psychotherapy); Infusions, Intravenous - adverse effects; Injections, Intravenous; Male; Methods; Middle Aged; Music; Nurses; Pain; Pain - etiology; Pain - psychology; Pain Management; Psychological aspects; Sex Factors; Surgery; United States
• ISSN: 0001-2092; 1878-0369
• DOI: 10.1016/S0001-2092(06)64000-3

• INSERTION OF AN IV CATHETER is a commonly performed and painful procedure. The use of cognitive-behavioral interventions (CBIs) may decrease pain by diverting the patient's attention to stimuli other than pain. • THIS RANDOMIZED, CONTROLLED TRIAL examined the effect of three CBIs—music, kaleidoscope, and guided imagery—on IV insertion pain in 324 patients. • NO STATISTICALLY SIGNIFICANT differences in IV insertion pain were found among the treatment and control groups or between choosing versus being assigned a CBI. Insertion attempts were more difficult in women, and insertion difficulty was correlated with pain intensity and pain distress. Pain intensity was related to insertion site and catheter gauge. AORN J 84 (December 2006) 1031-1048. © AORN, Inc, 2006.