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Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)
faezeh jahanpour
BPUMS
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6626-6184
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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.
Keywords
anxiety, pediatric, Intravenous Catheterization, education, picture book
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- supplement1.docx
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- supplement2.docx
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- CONSORTExtensionNPT2017FlowDiagram.doc
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On 31 May, 2020
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On 30 May, 2020
Editor invited
On 30 May, 2020
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Editorial decision: Major revision
On 28 Apr, 2020
Review #1 received
Received 27 Apr, 2020
Review #2 received
Received 22 Apr, 2020
Reviewer #2 agreed
On 21 Apr, 2020
Reviewer #1 agreed
On 16 Apr, 2020
Reviewers invited
Invitations sent on 01 Apr, 2020
Editor invited
On 23 Mar, 2020
First submitted
On 22 Mar, 2020
Editor assigned
On 22 Mar, 2020
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On 21 Mar, 2020
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Subject Areas
Pediatrics
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This preprint is under consideration at BMC Pediatrics. A preprint is a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Investigating the Effects of picture book on Reducing Distress Caused by Intravenous Catheterization among School-aged Children (randomized clinical trial)
faezeh jahanpour
BPUMS
Corresponding Author
ORCiD: https://orcid.org/0000-0001-6626-6184
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Under Revision
Version 2
Posted 08 Jun, 2020
No community comments so far
Editorial decision: Major revision
On 08 Jun, 2020
Reviewer #1 agreed
On 07 Jun, 2020
Review #1 received
Received 07 Jun, 2020
Reviewers invited
Invitations sent on 01 Jun, 2020
Editor assigned
On 31 May, 2020
Submission checks complete
On 30 May, 2020
Editor invited
On 30 May, 2020
No comments provided
Editorial decision: Major revision
On 28 Apr, 2020
Review #1 received
Received 27 Apr, 2020
Review #2 received
Received 22 Apr, 2020
Reviewer #2 agreed
On 21 Apr, 2020
Reviewer #1 agreed
On 16 Apr, 2020
Reviewers invited
Invitations sent on 01 Apr, 2020
Editor invited
On 23 Mar, 2020
First submitted
On 22 Mar, 2020
Editor assigned
On 22 Mar, 2020
Submission checks complete
On 21 Mar, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
Subject Areas
Pediatrics
License:
This work is licensed under a CC BY 4.0 License. Read Full License
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