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Children's Pain, Fear, and Anxiety During Invasive Procedures
Şenay Çelikol1, Esra Tural Büyük2, Osman Yıldızlar3
11 Clinical Nursing, Ondokuz Mayis University Hospital, Samsun, Turkey.
Insights
Distraction techniques like music and video games significantly reduce children's fear and anxiety during blood draws. These methods effectively lower medical procedure fear and state anxiety levels in pediatric patients.
Area of Science:
- Pediatric healthcare
- Child psychology
- Medical procedure interventions
Background:
- Pediatric blood draws can induce significant fear and anxiety.
- Effective strategies are needed to mitigate procedural distress in children.
- Current methods may not sufficiently address children's emotional responses.
Purpose of the Study:
- To evaluate the impact of music and video games on fear and anxiety during pediatric blood draws.
- To compare the effectiveness of distraction techniques versus standard procedures.
- To quantify changes in fear and anxiety levels post-intervention.
Main Methods:
- A controlled study involving pediatric patients undergoing blood draws.
- Experimental group: distraction with music and video games during the procedure.
- Control group: standard blood draw procedure.
- Pre- and post-procedure assessments using the Fear of Medical Procedure Scale and State Anxiety Inventory.
Main Results:
- Statistically significant reductions in average total scores on the Fear of Medical Procedure Scale were observed across all groups (p < .05).
- The experimental group demonstrated notable decreases in both fear and state anxiety levels.
- Distraction methods proved effective in managing procedural distress.
Conclusions:
- Music and video games are effective interventions for reducing fear and anxiety in children during blood draws.
- Implementing distraction techniques can improve the pediatric blood draw experience.
- These findings support the use of entertainment-based distractions in clinical settings.
Abstract:
This study was conducted to find out the effects of different means of games used during pediatric blood draw on the levels of procedure-induced fear and anxiety. Patient descriptive information form and selected scales were completed for both the experimental and control group before the blood drawing procedure. During the blood draw procedure, the children in the experimental group listened to music and watched video games. Following the blood draw procedure, the children were given the Fear of Medical Procedure Scale and State Anxiety Inventory for a second time. The results of the study showed that differences between pre- and postprocedure average total scores of Fear of Medical Procedure Scale were statistically significant for all groups (p < .05). As a conclusion, it was found that making children listen to music or watch a video during blood draw was effective in decreasing their medical procedure fear levels and state anxiety.