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Effects of evidence-based nursing intervention on pain control and venipuncture quality in pediatric patients
Wen-Ming Tang1, Ying-Mei Zhang2, An-Yin Luo3
1Department of Minimally Invasive Surgery, The Second People's Hospital of Hunan Province (Brain Hospital of Hunan Province) Changsha 410007, Hunan, China.
Insights
Evidence-based nursing significantly reduces pain and stress during pediatric intravenous infusions. This approach improves procedural success, lowers complications, and increases child and parent satisfaction.
Area of Science:
- Pediatric Nursing
- Pain Management
- Evidence-Based Practice
Background:
- Intravenous infusion is a common pediatric procedure associated with significant pain and stress.
- Painful procedures can lead to treatment resistance and negative psychological responses in children.
Purpose of the Study:
- To evaluate the effectiveness of evidence-based nursing interventions for painless intravenous infusion in children.
Main Methods:
- A retrospective study of 220 children undergoing intravenous infusion.
- Comparison between a control group (conventional nursing) and an observation group (evidence-based nursing).
Main Results:
- The evidence-based nursing group experienced delayed onset and shorter duration of crying and pain.
- This group showed improved puncture success rates, reduced complications, and lower physiological stress indicators.
- Child compliance and parental satisfaction were significantly higher in the evidence-based nursing group.
Conclusions:
- Evidence-based nursing effectively minimizes pain and stress during pediatric intravenous infusions.
- This nursing approach enhances procedural quality, patient compliance, and overall satisfaction.
Background:
Intravenous infusion is one of the most common therapeutic procedures in pediatric clinical practice. However, the pain caused by the procedure often triggers strong stress responses in children and may even lead to resistance to treatment. This study aimed to investigate the effectiveness of evidence-based nursing for painless intravenous infusion in children.
Methods:
A total of 220 children who required intravenous infusion and were admitted to the Second People's Hospital of Hunan Province from June 2023 to December 2024 were retrospectively enrolled. According to the actual nursing regimen received, they were categorized into a control group (receiving conventional nursing, n=110) and an observation group (receiving evidence-based nursing, n=110). The nursing effects were compared between the two groups.
Results:
In the observation group, the onset of crying and pain face occurred later, with shorter durations, and lower FPS-R and FLACC scores compared to the control group (all P<0.05). The observation group also showed significantly higher rates of one-time successful puncture (89.1% vs. 71.8%), painless puncture (77.3% vs. 64.5%), and other puncture quality indicators, as well as lower rates of infusion complications (all P<0.05). Heart rate and mean arterial pressure were significantly lower in the observation group (P<0.05). Both child compliance (89.1% vs. 76.4%) and parental satisfaction (94.5% vs. 80.9%) were significantly higher in the observation group (P<0.05).
Conclusion:
Application of evidence-based nursing intervention in children undergoing intravenous infusion can effectively reduce pain, improve patient compliance, and decrease stress response, thereby enhancing puncture and infusion quality.
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