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Effectiveness of Cognitive-behavioral Program on Pain and Fear in School-aged Children Undergoing Intravenous

Yi-Chuan Hsieh1, Su-Fen Cheng2, Pei-Kwei Tsay3

  • 1Banqiao District Public Health Center, Department of Health, New Taipei City, Taiwan.

Asian Nursing Research
|January 2, 2018
PubMed

Insights

A cognitive-behavioral program significantly reduced medical fear in hospitalized children undergoing intravenous (IV) placement. While pain reduction was not significant, the program offers valuable guidance for pediatric nursing care during IV procedures.

Area of Science:

  • Pediatric Nursing
  • Child Psychology
  • Pain Management

Background:

  • Hospitalized children often experience significant pain and fear during intravenous (IV) procedures.
  • Effective interventions are needed to mitigate distress associated with IV placement in pediatric patients.

Purpose of the Study:

  • To evaluate the impact of a cognitive-behavioral program on pain and medical fear in school-aged children during IV placement.
  • To assess the efficacy of a novel intervention for managing procedural anxiety in hospitalized children.

Main Methods:

  • A quasi-experimental design was employed with 68 hospitalized school-aged children.
  • The experimental group received a cognitive-behavioral program including an educational photo book and music video.
  • Pain and fear were measured using numeric rating scales during IV placement.

Main Results:

  • The cognitive-behavioral program led to decreased pain and fear scores in the experimental group.
  • A statistically significant reduction in fear intensity was observed in the experimental group compared to the control group.
  • No significant difference in pain intensity was found between the groups.

Conclusions:

  • The cognitive-behavioral program effectively reduced fear associated with IV placement in hospitalized children.
  • This intervention serves as a valuable reference for empirical nursing care and clinical guidance for pediatric IV injections.
  • Further research may explore optimizing the program for greater pain reduction.
Abstract

Keywords:
childrenfearneedlepain

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