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The Effects of Two Methods on Venipuncture Pain in Children: Procedural Restraint and Cognitive-Behavioral

Fatma Yilmaz Kurt1, Aynur Aytekin Ozdemir2, Selma Atay3

  • 1Department of Child Health Nursing, School of Health, Canakkale Onsekiz Mart University, Canakkale, Turkey.

Pain Management Nursing : Official Journal of the American Society of Pain Management Nurses
|October 20, 2019
PubMed

Insights

A cognitive-behavioral intervention package (CBIP) significantly reduced venipuncture pain in children compared to procedural restraint (PR). This finding highlights a less painful approach for pediatric blood collection.

Area of Science:

  • Pediatric Nursing
  • Pain Management
  • Child Psychology

Background:

  • Invasive procedures in children can cause significant fear, anxiety, and pain.
  • These negative emotions can adversely impact a child's overall treatment and care experience.
  • Effective pain management strategies are crucial in pediatric healthcare settings.

Purpose of the Study:

  • To evaluate the effectiveness of a cognitive-behavioral intervention package (CBIP) versus procedural restraint (PR) in managing venipuncture pain in children.
  • To compare pain levels experienced by children undergoing venipuncture using different intervention methods.
  • To identify optimal strategies for reducing procedural pain in pediatric patients.

Main Methods:

  • A quasi-experimental study design was employed.
  • Participants were children aged 6-12 years undergoing venipuncture in a Turkish hospital's pediatric blood collection service.
  • Children were divided into two groups: one receiving PR and the other receiving CBIP, with pain assessed using the Visual Analog Scale (VAS) and Wong-Baker FACES (WB-FACES) Pain Rating Scale.

Main Results:

  • Children in the CBIP group reported significantly lower mean pain scores on both the VAS (2.43 ± 2.02) and WB-FACES (2.80 ± 2.49) scales.
  • In contrast, children in the PR group reported higher mean pain scores: VAS (5.90 ± 3.22) and WB-FACES (8.70 ± 2.22).
  • The difference in pain scores between the two groups was statistically significant (p < .05).

Conclusions:

  • The cognitive-behavioral intervention package (CBIP) is more effective in reducing venipuncture pain in children than procedural restraint (PR).
  • CBIP offers a promising, less painful alternative for managing procedural pain in pediatric populations.
  • Implementing CBIP can improve the experience of children undergoing necessary medical procedures.
Abstract

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