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Effects of Thermomechanical Stimulation During Intravenous Catheter Insertion in Adults: A Prospective Randomized
Roberta E Redfern1, Jennifer Micham, Deana Sievert
1ProMedica Toledo Hospital, Toledo, Ohio (Dr Redfern, Ms Micham); ProMedica Metro Hospitals, Toledo, Ohio (Ms Sievert); and Bowling Green State University, Bowling Green, Ohio (Dr Chen). Roberta E. Redfern, PhD, is a clinical research scientist at ProMedica Toledo Hospital, where she conducts research related to clinical and nursing practice, patient safety, and outcomes. Jennifer Micham, MSN, RN-BC, is the coordinator of the Nurses Improving Care for Healthsystem Elders program for ProMedica Toledo Hospital and a doctoral student with a focus on cognitive processing at the University of Toledo. Deana Sievert, MSN, RN, is the metro chief nursing officer for ProMedica Metro Hospitals in Toledo, Ohio. Her focus is on improving patients' experiences. She is a doctoral student at Ohio State University, Columbus, Ohio. John T. Chen, PhD, is a professor in the Department of Mathematics and Statistics at Bowling Green State University in Bowling Green, Ohio, where he conducts research in statistical methodologies and data analytics in biostatistics.
Abstract:
This was an open-label, randomized clinical trial comparing the effects of thermomechanical stimulation (Buzzy) versus no intervention in 105 adults undergoing intravenous (IV) catheter insertion before elective orthopedic surgical procedures. A visual analog scale was used to measure pain; satisfaction questionnaires were administered after IV catheter insertion. There was no significant difference in the mean pain score between the experimental (n = 49) and control (n = 56) groups (2.52 vs 2.43, P = .86). Subjects who reported higher preprocedure anxiety benefited most from the test intervention. It was determined that the application of cold and vibration is not universally effective for pain prevention during IV catheter insertion or for improvement in patient satisfaction in preoperative care.
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