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Related Experiment Videos

Indwelling catheters used from the onset of diabetes decrease injection pain and pre-injection anxiety.

Ragnar Hanas1, Peter Adolfsson, Karin Elfvin-Akesson

  • 1Department of Pediatrics, Uddevalla Hospital, Uddevalla, Sweden. ragnar.hanas@bll.se

The Journal of Pediatrics
|April 16, 2002
PubMed
Summary

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Indwelling catheters significantly reduced injection pain and anxiety in children with diabetes. This method offers a less painful alternative for insulin delivery at diabetes onset.

Area of Science:

  • Pediatric Endocrinology
  • Diabetes Management
  • Pain Management

Background:

  • Type 1 diabetes management in children requires frequent insulin injections.
  • Injection pain and anxiety are significant challenges for pediatric patients.
  • Current injection methods can lead to distress and reduced adherence.

Purpose of the Study:

  • To evaluate indwelling catheters as aids for insulin injections in children with diabetes.
  • To assess the impact of indwelling catheters on injection pain and pre-injection anxiety.
  • To compare the efficacy of indwelling catheters versus standard needles for insulin delivery.

Main Methods:

  • Open, controlled randomized study involving 41 pediatric patients (aged 1-15 years).
  • Utilized a 10-cm Visual Analog Scale (VAS) with faces for pain and anxiety scoring.

Related Experiment Videos

  • Employed local anesthetic cream before catheter insertions; control group used standard insulin pens.

    • Main Results:

    • Indwelling catheters significantly reduced injection pain and parental anxiety compared to standard needles (P < .05).
    • Children and nurses also reported significantly lower pain scores with catheter use.
    • Long-term follow-up showed sustained reduction in injection pain and problems with catheter use.

    Conclusions:

    • Indwelling catheters provide evident relief from pre-injection anxiety and injection pain in pediatric diabetes management.
    • This innovative approach can improve the experience of insulin injections for children newly diagnosed with diabetes.
    • A significant proportion of patients continued using indwelling catheters long-term, indicating patient acceptance and benefit.