Impact of the PIKSEC App on Intravenous Insertion Success, Pain, and Emotional Manifestation in Pediatric Patients: a Non-Randomized Controlled Trial

Zonguldak Bulent Ecevit University100 enrolled

Overview

The study employed a post-test non-randomized controlled trial to assess the impact of the PİKSEÇ (Peripheral Intravenous Catheter Selection) application on the success of peripheral intravenous catheter (PIVC) placement, as well as on the pain and emotional level scores of hospitalized preschool children aged 3-6 years. In preschool children, aged 3-6 years, who were hospitalized, anxiety about losing body integrity is commonly observed. Children tend to think that all the material inside their bodies can come out through a wound or hole during invasive procedures. Therefore, it becomes crucial to reduce anxiety related to invasive procedures in children of this age group. In this context, the study aimed to be conducted in preschool children.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

SUPPORTIVE_CARE

Masking

NONE

Enrollment

100

Conditions

Nurse's Role Peripheral Venous Catheterization Pain Emotional Stress

Interventions

PİKSEÇOTHER

In designing the PİKSEÇ application, the Turkish validity and reliability version of the 'Difficult Intravenous Access Score' and a literal translation of the miniMAGIC instructions were utilized. The application serves as a guideline for nurses during peripheral intravenous catheter insertion, taking into account parameters such as the patient's age, urgency status, anxiety, and vein characteristics, providing tailored suggestions. By utilizing the application, nurses can follow evidence-based guidelines more efficiently, ensuring a faster and more practical adherence to the PIVC intervention procedure, ultimately contributing to a safer peripheral intravenous catheter insertion process.

Routine careOTHER

The pediatric unit's PIVC insertion process will be routinely performed in routine care.

Eligibility

Sex: ALLMin age: 3 YearsMax age: 6 YearsHealthy volunteers:

Medical Language ↔ Plain English

Inclusion Criteria: * Being a child in the 3-6 age group * PIVC to be inserted * Parents volunteering their child to participate in the study and signing the consent form * Parents are literate Exclusion Criteria: * Physical and mental disabilities, * The parent has an obstacle to communication (being mentally stable, etc.)

Outcomes

Primary Outcomes

PIVC success rate at first insertion

Time frame: From the day the first sample was included in the study to the day the last sample was included, an estimated 4 months.

Number of PIVC attempts

Time frame: Starts with the first PIVC attempt in each sample and ends with the successful PIVC attempt, an estimated 15 minutes.. Can be between 1 and 4 attempts.

PIVC attempts duration

It starts with the attachment of the tourniquet during the first PIVC attempt and ends with the fixation of the PIVC.

Time frame: Measured with a stopwatch for 4 months.

Wong-Baker Faces Pain Rating Scale Score during PIVC attempt

The Wong-Baker Faces Pain Rating Scale has a minimum score of 0 and a maximum score of 5. An increase in score means an increase in pain.

Time frame: It starts with the attachment of the tourniquet during the first PIVC attempt and ends with the fixation of the PIVC, an estimated 2 minutes.

Emotional Indicators Scale in Children Score during PIVC attempt

The scale has a minimum score of 5 and a maximum score of 25. An increase in the score indicates a worsening of the emotional state.

Time frame: It starts with the attachment of the tourniquet during the first PIVC attempt and ends with the fixation of the PIVC, an estimated 2 minutes..