Format

Send to

Choose Destination
See comment in PubMed Commons below
Hu Li Za Zhi. 2014 Apr;61(2 Suppl):S68-75. doi: 10.6224/JN.61.2.68.

[Reducing the pain of intravenous injections in preschool children].

[Article in Chinese; Abstract available in Chinese from the publisher]

Author information

1
Department of Nursing, Linkou Chang Gung Memorial Hospital, Taiwan, ROC.
2
Department of Nursing, Linkou Chang Gung Memorial Hospital, Taiwan, ROC. m22096@cgmh.org.tw.

Abstract

in English, Chinese

BACKGROUND & PROBLEMS:

Peripheral intravenous catheter insertion is a significant source of stress for preschoolers during hospitalization. An average of about 85% of pediatric patients at our general pediatric unit are preschoolers. An average 71% of these exhibit severe pain-related behavior during intravenous insertions. The factors influencing this pain experience may include inappropriate administration of analgesics by nurses, non-pharmacologic pain management, and inappropriate clinical settings.

PURPOSE:

This project worked to develop a strategy to reduce the incidence of severe injection pain in preschool children from 71.0% to 36.0% and to achieve a capacity improvement target of 50%.

RESOLUTIONS:

We implemented the following: 1) arranged a relevant training program for pediatric nurses; 2) revised hospital standards for pediatric intravenous insertions; and 3) enhanced analgesic administration and non-pharmacologic pain management through creating child-friendly clinical settings and providing interactive toys.

RESULTS:

After implementing the above mentioned interventions, the incidence of severe pain-related behavior in pediatric patients decreased from 71.0% to 19.7%, a result that greatly exceeded expectations.

CONCLUSIONS:

This project demonstrated an effective approach to reducing severe intravenous-insertion pain in preschoolers and increasing pediatric care quality.

KEYWORDS:

intravenous insertion; pain; preschooler

PMID:
24677010
[Indexed for MEDLINE]
PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Loading ...
    Support Center