成人静脉置管期间热机械刺激的效果：一项前瞻性随机研究。

Effects of Thermomechanical Stimulation During Intravenous Catheter Insertion in Adults: A Prospective Randomized Study.

作者信息

Redfern Roberta E, Micham Jennifer, Sievert Deana, Chen John T

机构信息

ProMedica Toledo Hospital, Toledo, Ohio (Dr Redfern, Ms Micham); ProMedica Metro Hospitals, Toledo, Ohio (Ms Sievert); and Bowling Green State University, Bowling Green, Ohio (Dr Chen). Roberta E. Redfern, PhD, is a clinical research scientist at ProMedica Toledo Hospital, where she conducts research related to clinical and nursing practice, patient safety, and outcomes. Jennifer Micham, MSN, RN-BC, is the coordinator of the Nurses Improving Care for Healthsystem Elders program for ProMedica Toledo Hospital and a doctoral student with a focus on cognitive processing at the University of Toledo. Deana Sievert, MSN, RN, is the metro chief nursing officer for ProMedica Metro Hospitals in Toledo, Ohio. Her focus is on improving patients' experiences. She is a doctoral student at Ohio State University, Columbus, Ohio. John T. Chen, PhD, is a professor in the Department of Mathematics and Statistics at Bowling Green State University in Bowling Green, Ohio, where he conducts research in statistical methodologies and data analytics in biostatistics.

出版信息

J Infus Nurs. 2018 Sep/Oct;41(5):294-300. doi: 10.1097/NAN.0000000000000294.

DOI:10.1097/NAN.0000000000000294

PMID:30188451

Abstract

This was an open-label, randomized clinical trial comparing the effects of thermomechanical stimulation (Buzzy) versus no intervention in 105 adults undergoing intravenous (IV) catheter insertion before elective orthopedic surgical procedures. A visual analog scale was used to measure pain; satisfaction questionnaires were administered after IV catheter insertion. There was no significant difference in the mean pain score between the experimental (n = 49) and control (n = 56) groups (2.52 vs 2.43, P = .86). Subjects who reported higher preprocedure anxiety benefited most from the test intervention. It was determined that the application of cold and vibration is not universally effective for pain prevention during IV catheter insertion or for improvement in patient satisfaction in preoperative care.

摘要

这是一项开放标签的随机临床试验，比较了热机械刺激（Buzzy）与无干预措施对105名择期骨科手术前接受静脉（IV）导管插入术的成年人的影响。使用视觉模拟量表测量疼痛；在插入IV导管后发放满意度问卷。实验组（n = 49）和对照组（n = 56）之间的平均疼痛评分无显著差异（2.52对2.43，P = .86）。报告术前焦虑程度较高的受试者从测试干预中获益最大。研究确定，在IV导管插入过程中应用冷刺激和振动对于预防疼痛或提高术前护理患者满意度并非普遍有效。