Intradermal normal saline solution, self-selected music, and insertion difficulty effects on intravenous insertion...

Area of Science:

• Pain Management
• Medical Interventions
• Patient Comfort

Background:

• Intravenous (IV) catheter insertion is often associated with significant pain and distress.
• Effective strategies to mitigate IV insertion pain are crucial for patient well-being and procedural success.

Purpose of the Study:

• To compare the effects of self-selected music and intradermal normal saline injections on IV catheter insertion pain intensity and distress.
• To evaluate music's role in attenuating pain associated with IV insertion difficulty.

Main Methods:

• Prospective, randomized, controlled study involving 110 adult patients undergoing IV therapy.
• Patients were assigned to receive an intradermal saline injection, listen to music, or be in a control group.
• Pain intensity, distress, and insertion difficulty were measured using visual analog scales.

Main Results:

• The saline injection group reported significantly higher pain intensity and distress compared to the music and control groups combined.
• Failed IV insertions were associated with significantly higher pain distress scores.
• Insertion difficulty positively correlated with pain intensity and distress, an effect attenuated by music.

Conclusions:

• Intradermal saline injections increase IV insertion pain, difficulty, and failure rates compared to music or routine insertion.
• Listening to preferred music can reduce IV insertion pain and its association with insertion difficulty.
• Further research is needed to explore interventions for IV insertion pain and failure.