The Effect Of Diverting The Children's Attention To A Different Point During Phlebotomy

Afyonkarahisar Health Sciences University256 enrolled

Overview

This study aimed to investigate the effect of diverting the children's attention to a different point during phlebotomy which is an invasive procedure with acute pain. This is a randomized controlled experimental study. The study was conducted with two groups: the intervention group (n=127) and the control group (n=129). The control group was applied to standard phlebotomy procedures. In contrast, the intervention group had a piece of equipment that looks like a blood tube in front of them during the phlebotomy process to divert their attention from the phlebotomy process to the equipment.

The equipment used for the intervention group was designed and developed by the researchers with the project support of TÜBİTAK BİDEB 2209A in 2016. It is an equipment that looks like a blood tube with a fixed arm on the right and a moving arm on the left with a total height of 80 cm. It has some answers to common questions of parents as well as the key concerns of the children " Will it hurt me?"

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

256

Conditions

Pain and Anxiety of Children During Phlebotomy

Interventions

Eligibility

Sex: ALLMin age: 7 YearsMax age: 12 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * making a request for the phlebotomy * being in the 7-12 age group * having the consent of the parent * willing to participate in the research * with the history of invasive procedure * not using any medication with analgesic effect in the last 12 hours * without any communication barriers of either child or the parent * with a normal level of consciousness during the process * without the history of passing out during the phlebotomy Exclusion Criteria: * not being in the 7-12 age group * not having the consent of the parent * not willing to participate in the research * without the history of invasive procedure * had medication with analgesic effect in the last 12 hours * with communication barriers of either child or the parent * with an abnormal level of consciousness during the process * with the history of passing out during the phlebotomy

Outcomes

Primary Outcomes

Assessment of Children's Anxiety Level Change

Children's Fear Scale is an instrument with five different face images changing from neutral (0= no fear) to most scared (4= with the most fear) to evaluate the scare level of the children during the procedure.

Time frame: Twice ( Immediately after the procedure and 14 days after the procedure)

Secondary Outcomes

Revised Face Pain Scale (FPS-R)

The FPS-R is a scale to measure how children feel in their inner world than how their faces look. It is designed on the widely accepted 0-to-10 metric according to the chosen face. "0" equals "No pain" and "10" equals "Very much pain."

Time frame: Twice ( During the procedure and 5-10 minutes after the procedure)