Asian Nurs Res.
2017 Dec;11(4):261-267. 10.1016/j.anr.2017.10.002.
Effectiveness of Cognitive-behavioral Program on Pain and Fear in School-aged Children Undergoing Intravenous Placement
- Affiliations
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- 1Banqiao District Public Health Center, Department of Health, New Taipei City, Taiwan.
- 2Department of Allied Health Education and Digital Learning, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan.
- 3Department of Public Health and Center of Biostatistics, College of Medicine, Chang Gung University, Taoyuan, Taiwan.
- 4Department of Pediatric, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.
- 5Department of Pediatric, Chang Gung Memorial Hospital, Linkou Branch, Taoyuan, Taiwan.
- 6School of Nursing, National Yang-Ming University, Taipei, Taiwan. chiwenchen@ym.edu.tw
- KMID: 2416430
- DOI: http://doi.org/10.1016/j.anr.2017.10.002
Abstract
- PURPOSE
This study aimed to evaluate the effects of cognitive-behavioral program on pain and medical fear in hospitalized school-aged children receiving intravenous (IV) placement.
METHODS
This study used an quasi-experimental design. Thirty-five participants were assigned to the experimental group and 33 to the control group in the acute internal medicine ward of a children's hospital. The cognitive-behavioral program entailed having the patients read an educational photo book about IV placement before the procedure and having them watch their favorite music video during the procedure. The outcome measures were numeric rating scales for pain intensity and fear during the procedure.
RESULTS
After applying the cognitive-behavioral program, the mean scores on pain and fear decreased in the experimental group. However, the difference in pain intensity between these two groups was nonsignificant. The intensity of fear in the experimental group was significantly lower than that in the control group.
CONCLUSION
In this study, the cognitive-behavioral program used with school-aged hospitalized children promoted less fear during IV placement. The results of this study can serve as a reference for empirical nursing care and as care guidance for clinical IV injections involving children.
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