Background: Hospitalized pediatric patients experience pain, fear, and distress during intravenous catheterization. This study investigates the effects of a picture book on reducing distress caused by intravenous (IV) catheterization among school-aged children.
Methods: seventy four Pediatric emergency room patients age 6-12 years old requiring Iv Infusion were enrolled in this randomized clinical trial. The intervention, providing a description of the IV catheterization procedure using a picture book, was compared to the same description of the procedure without a picture book (standard of care). Subject distress was measured using the Observation Scale of Behavior Distress Revised (OSBD_R) which assigns a score to eight observable behaviors. Before, during, and after the procedure at 15-second intervals (measured using a timer), a trained observer assigned an OSBD_R score of distress. A total score of 22 is considered maximum distress. The primary endpoint for the study was OBSD_R score difference in Phase 3 (Performing catheterization procedure, attaching and infusion therapy). Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis.
Results: The mean distress score in third phases for the intervention group (0.667 ± 0.610) was significantly less than that of the control group (3.218 ± 1.799). A significant difference in distress score was observed before and after the intervention (p< 0.001).
Conclusions: Children’s distress due to IV catheterization can be reduced with a simple, nonpharmacological picture book intervention. The children’s orientation on the IV catheterization plays a significant role in controlling and reducing their distress during and after the intervention. We suggested using the picture book to reduce the children distress before Intravenous Catheterization.
Figure 1
Figure 2
Figure 3
This is a list of supplementary files associated with this preprint. Click to download.
{"primaryId":"undefined","secondaryId":"BPED-D-20-00416","acdcId":"undefined","revision":"1","timestamp":"2020-06-02T12:57:46","document":"supplements","linkRel":"supplement"}
{"primaryId":"undefined","secondaryId":"BPED-D-20-00416","acdcId":"undefined","revision":"1","timestamp":"2020-06-02T12:57:46","document":"supplements","linkRel":"supplement"}
Loading...
Posted 08 Jun, 2020
On 08 Jun, 2020
On 07 Jun, 2020
Received 07 Jun, 2020
Invitations sent on 01 Jun, 2020
On 31 May, 2020
On 30 May, 2020
On 30 May, 2020
On 28 Apr, 2020
Received 27 Apr, 2020
Received 22 Apr, 2020
On 21 Apr, 2020
On 16 Apr, 2020
Invitations sent on 01 Apr, 2020
On 23 Mar, 2020
On 22 Mar, 2020
On 22 Mar, 2020
On 21 Mar, 2020
Posted 08 Jun, 2020
On 08 Jun, 2020
On 07 Jun, 2020
Received 07 Jun, 2020
Invitations sent on 01 Jun, 2020
On 31 May, 2020
On 30 May, 2020
On 30 May, 2020
On 28 Apr, 2020
Received 27 Apr, 2020
Received 22 Apr, 2020
On 21 Apr, 2020
On 16 Apr, 2020
Invitations sent on 01 Apr, 2020
On 23 Mar, 2020
On 22 Mar, 2020
On 22 Mar, 2020
On 21 Mar, 2020
Background: Hospitalized pediatric patients experience pain, fear, and distress during intravenous catheterization. This study investigates the effects of a picture book on reducing distress caused by intravenous (IV) catheterization among school-aged children.
Methods: seventy four Pediatric emergency room patients age 6-12 years old requiring Iv Infusion were enrolled in this randomized clinical trial. The intervention, providing a description of the IV catheterization procedure using a picture book, was compared to the same description of the procedure without a picture book (standard of care). Subject distress was measured using the Observation Scale of Behavior Distress Revised (OSBD_R) which assigns a score to eight observable behaviors. Before, during, and after the procedure at 15-second intervals (measured using a timer), a trained observer assigned an OSBD_R score of distress. A total score of 22 is considered maximum distress. The primary endpoint for the study was OBSD_R score difference in Phase 3 (Performing catheterization procedure, attaching and infusion therapy). Chi-square, Mann-Whitney and Wilcoxon tests were used for data analysis.
Results: The mean distress score in third phases for the intervention group (0.667 ± 0.610) was significantly less than that of the control group (3.218 ± 1.799). A significant difference in distress score was observed before and after the intervention (p< 0.001).
Conclusions: Children’s distress due to IV catheterization can be reduced with a simple, nonpharmacological picture book intervention. The children’s orientation on the IV catheterization plays a significant role in controlling and reducing their distress during and after the intervention. We suggested using the picture book to reduce the children distress before Intravenous Catheterization.
Figure 1
Figure 2
Figure 3
Loading...