Çocuklara uygulanan bölgesel invaziv işlemlerde ağrı düzeyinin değerlendirilmesi
DOI:
https://doi.org/10.5281/zenodo.10431252Keywords:
Ağrı yönetimi, çocuk, intravenöz uygulama, invaziv girişim, venöz kan almaAbstract
ABSTRACT
Aim: This study was conducted to evaluate the pain level experienced during venous blood collection and intravenous catheter application in children in terms of procedure type and application area.
Method: The data of the study, which was conducted comparatively in a cross-sectional design, was collected by observation and measurement between August and September 2022. The sample of the study consisted of 153 children between the ages of 2 and 16 who applied to the emergency department of a university hospital. Research data were collected with the "Wong Baker Facial Expression Rating Scale" and "Patient Information and Follow-up Form". In the study, parents, the child and an observer separately evaluated the level of pain experienced during venous blood collection and intravenous catheter application procedures. In addition to descriptive statistics, independent groups t test, ANOVA and Kruskal Wallis H test were used to analyze the data.
Results: 61 (39.9%) of the children included in the study were evaluated by venous blood collection and 92 (60.1%) by intravenous catheter application. 60 (39.2%) of the procedures were performed on the hand, 60 (39.2%) on the forearm and 33 (21.6%) on the lower extremity. It was found that as the age, height and weight of the children increased, the pain intensity scores of the observers decreased significantly. It was determined that the severity of pain was higher in girls. It was observed that parents found the intensity of pain higher in the venous blood collection procedure, and children found the intensity of pain higher in the procedures applied to the lower extremities.
Conclusion: In this study, it was concluded that the pain levels measured during venous blood collection and intravenous catheter application differed significantly according to demographic characteristics, procedure and region. In terms of demographic characteristics, it is recommended to conduct studies on individuals sensitive to pain, not to use the lower extremity in invasive procedures unless necessary, and conduct further studies that do not include procedure type and individual differences.
Key Words: Pain management, child, intravenous administration, invasive procedure, venous blood collection
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