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Appropriate procedures to increase the adherence of children to blood collection: A cross-sectional study
Hideki Yui1, Sanae Otawa2, Sayaka Horiuchi2
1Department of Health Sciences University of Yamanashi Chuo Yamanashi Japan.
Insights
Providing children with information and reassurance can improve their experience with blood collection. Simple strategies can transform negative feelings about venipuncture into positive ones.
Area of Science:
- Pediatric Health
- Medical Procedures
- Child Psychology
Background:
- Venipuncture (blood collection) often causes fear and pain in children.
- Health checkups involving blood collection can be a source of anxiety for pediatric patients.
Purpose of the Study:
- To investigate factors influencing children's satisfaction with health checkups involving blood collection.
- To identify strategies for improving children's perception of venipuncture procedures.
Main Methods:
- Two studies were conducted: a questionnaire survey (n=492) and structured interviews (n=20).
- Participants were healthy 7-8-year-old children undergoing blood collection with topical anesthesia.
Main Results:
- Positive assessment of blood collection was encouraged by: providing pamphlets, stating small blood volume, explaining topical anesthesia risks/benefits, swift procedure, praise/thanks, and explaining research use.
- Six key strategies were identified to foster positive child experiences during venipuncture.
Conclusions:
- Children's negative feelings toward blood collection can be shifted to positive ones.
- Appropriate measures to mitigate pain and fear are effective in improving pediatric patient satisfaction.
Background And Aim:
Venipuncture for blood collection elicits fear and pain in children. We investigated factors that affect satisfaction with health checkups that included blood collection in healthy 7-8-year-old children who underwent blood collection with topical anesthesia.
Method:
Two studies, one questionnaire survey, and the other structured interviews were conducted to gather insights and understand the emotions of 492 and 20 children, respectively.
Results:
We found that the following six points can be applied to encourage children to assess their experience of blood collection positively: (1) prior information using a pamphlet; (2) telling the children that the volume of blood drawn will be small; (3) carefully explaining the risk and benefit of topical anesthesia; (4) conducting the blood collection process swiftly; (5) praising and thanking the children's effort and cooperation; and (6) explaining the results of the research to the children if their blood is going to be used for research.
Conclusion:
The findings indicate that with appropriate measures to reduce pain and fear, children's initial negative feelings toward blood collection can be replaced by positive feelings after the procedure.
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