Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal
{"title":"在儿科急诊室使用考拉牵引法进行静脉穿刺:随机临床试验","authors":"Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal","doi":"10.1016/j.enfcle.2024.09.007","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>To assess, compare and relate the toddler’s pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.</div></div><div><h3>Method</h3><div>Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.</div></div><div><h3>Results</h3><div>A total of 113 participants aged 3 to 4 years participated in the trial (n<!--> <!-->=<!--> <!-->113). 50% (55) were girls, mean total age 3.83<!--> <!-->±<!--> <!-->0.59 years and accompanying persons 37.17<!--> <!-->±<!--> <!-->6.96. During the technique the mean pain in control and intervention groups was 5.64<!--> <!-->±<!--> <!-->3.30 and 3.87<!--> <!-->±<!--> <!-->3.01; stress, 3.25<!--> <!-->±<!--> <!-->1.22 and 2.67<!--> <!-->±<!--> <!-->1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.</div></div><div><h3>Conclusions</h3><div>Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.</div></div>","PeriodicalId":72917,"journal":{"name":"Enfermeria clinica (English Edition)","volume":"34 5","pages":"Pages 369-376"},"PeriodicalIF":0.0000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Venipuncture in pediatric emergency department by using Koala Attachment Distraction method: Randomized clinical trial\",\"authors\":\"Iria Quintela-Sánchez, Nieves Gasca-Roche, Tania Fernández-Merino, Laura Larena-Fernández, María López-Cabrejas, Josep Oriol Casanovas-Marsal\",\"doi\":\"10.1016/j.enfcle.2024.09.007\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Objective</h3><div>To assess, compare and relate the toddler’s pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.</div></div><div><h3>Method</h3><div>Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.</div></div><div><h3>Results</h3><div>A total of 113 participants aged 3 to 4 years participated in the trial (n<!--> <!-->=<!--> <!-->113). 50% (55) were girls, mean total age 3.83<!--> <!-->±<!--> <!-->0.59 years and accompanying persons 37.17<!--> <!-->±<!--> <!-->6.96. During the technique the mean pain in control and intervention groups was 5.64<!--> <!-->±<!--> <!-->3.30 and 3.87<!--> <!-->±<!--> <!-->3.01; stress, 3.25<!--> <!-->±<!--> <!-->1.22 and 2.67<!--> <!-->±<!--> <!-->1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.</div></div><div><h3>Conclusions</h3><div>Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.</div></div>\",\"PeriodicalId\":72917,\"journal\":{\"name\":\"Enfermeria clinica (English Edition)\",\"volume\":\"34 5\",\"pages\":\"Pages 369-376\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Enfermeria clinica (English Edition)\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S2445147924000833\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Enfermeria clinica (English Edition)","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2445147924000833","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Venipuncture in pediatric emergency department by using Koala Attachment Distraction method: Randomized clinical trial
Objective
To assess, compare and relate the toddler’s pain and anxiety during venipuncture by using either the Koala Attachment Distraction method or the physical restraint method and to evaluate the level of anxiety perceived by the companions in both groups.
Method
Randomised, single-blind, controlled clinical trial in two arms (control and intervention group) conducted in the paediatric emergency department of a tertiary university hospital. The study variables were pain and stress of the child and anxiety perceived by the accompanying persons in both groups at the time before and during the technique. The pain rating scale Face, Leg, Activity, Cry, Consolability; the Groningen stress scale and the STAI questionnaire were used.
Results
A total of 113 participants aged 3 to 4 years participated in the trial (n = 113). 50% (55) were girls, mean total age 3.83 ± 0.59 years and accompanying persons 37.17 ± 6.96. During the technique the mean pain in control and intervention groups was 5.64 ± 3.30 and 3.87 ± 3.01; stress, 3.25 ± 1.22 and 2.67 ± 1.24, respectively. No statistically significant differences were found in the assessment of anxiety between the groups.
Conclusions
Patients who underwent the Koala Attachment Distraction method venipuncture show a lower level of pain and anxiety than those who received physical restraint, and the anxiety perceived by the companion is similar in both groups.