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An everyday phrase may harm your patients: the influence of negative words on pain during venous blood sampling
Johannes Ott1, Stefanie Aust, Kazem Nouri
1Department of Gynecology and Obstetrics, Medical University Vienna, Vienna, Austria.
Insights
Warning patients with the word "sting" before venous blood sampling significantly increases their pain perception. Using less alarming words like "beware" can reduce this unnecessary discomfort, improving the patient experience during this common procedure.
Area of Science:
- Medical Procedures
- Pain Perception Research
- Clinical Psychology
Background:
- Venous blood sampling is a frequent diagnostic procedure.
- Negative language can heighten pain perception and cause adverse reactions.
- Pre-procedure warnings may inadvertently increase patient discomfort.
Purpose of the Study:
- To investigate if common warnings during venous blood sampling influence pain perception.
- To determine if specific words like "sting" or "beware" affect pain levels.
- To assess methods for reducing unnecessary pain during blood draws.
Main Methods:
- 100 healthy participants were randomized into two groups: "sting" or "beware" warning.
- Participants received a warning immediately before needle insertion for venous blood sampling.
- Pain scores, blood pressure, and heart rate were measured before and after the procedure.
Main Results:
- 98 participants completed the study.
- The "sting" group reported significantly higher pain scores (2.7 ± 1.2) compared to the "beware" group (1.9 ± 1.1).
- The difference in pain perception was statistically significant (P=0.001).
Conclusions:
- Words associated with pain exacerbate the pain experienced during venous blood sampling.
- Avoiding negative or alarming language in pre-procedure warnings can minimize unnecessary patient pain.
- Simple linguistic adjustments can enhance patient comfort during routine medical procedures.
Objective:
Venous blood sampling is one of the most common diagnostic medical procedures performed in clinical practice. It has been shown that negatively loaded words may result in negative affective reactions and, consequently, in an increased perception of pain. We aimed to evaluate whether common warnings before venous blood sampling might induce unnecessary pain.
Methods:
We included 100 healthy participants (50 females, 50 males) who were randomized to one of the 2 study groups ("sting" vs. "beware"). Directly before insertion of the needle, the participants were warned with either the word "sting" or "beware." Venous blood sampling was performed according to a standardized protocol. Preinterventional and postinterventional blood pressure and heart rate, as well as pain scores after venous blood sampling, were evaluated.
Results:
There were 98 participants, 26.2 ± 3.2 years of age, who were included into the analysis. Participants experienced significantly more pain after having been warned with the word "sting" compared with the word "beware." The numeric rating scale results were 2.7 ± 1.2 versus 1.9 ± 1.1, respectively (P=0.001).
Discussion:
Words associated with pain increase the perception of pain during venous blood sampling. Omitting these words may be a simple and essential method by which to avoid unnecessary pain.
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