Dokuz Eylül University Nursing Faculty, İzmir, Turkey.
Ege University Nursing Faculty, İzmir, Turkey.
Pain Manag Nurs. 2022 Apr;23(2):220-224. doi: 10.1016/j.pmn.2021.01.013. Epub 2021 Mar 9.
AIMS: The aim of this study was to examine the effects of the Valsalva maneuver during peripheral intravenous catheter (PIVC) insertion on procedure-related pain.
This work was a prospective randomized controlled study.
Study was conducted in the orthopedics clinic of a university hospital.
PARTICIPANTS/SUBJECTS: METHODS: The sample of patients (N = 110) was allocated to the Valsalva maneuver group (n = 55) and control group (n = 55) by using blocked randomization to reduce bias and achieve balance according to age and gender. Pain was evaluated by using Numerical Rating Scale. Systolic/diastolic blood pressure and heart rate before and after the PIVC placement was recorded.
The patients in the intervention group had less severe pain during the PIVC insertion than the patients in the control group (p ˂ .001). After PIVC placement, systolic blood pressure was significantly reduced in both groups (p = .008), no other variables changed significantly. No clinical complication related to the Valsalva maneuver occurred in the intervention group.
Valsalva maneuver can be used as a non-pharmacologic method to reduce pain during PIVC placement.
目的：本研究旨在探讨外周静脉置管（PIVC）过程中施行瓦尔萨尔瓦动作（Valsalva maneuver）对相关操作疼痛的影响。
本工作为前瞻性随机对照研究。
研究在一所大学医院的骨科诊室进行。
参与者/受试者：方法：采用区组随机化方法将患者（N=110）分为施行瓦尔萨尔瓦动作组（n=55）和对照组（n=55），以减少偏倚并根据年龄和性别实现均衡。采用数字评分量表评估疼痛。记录 PIVC 放置前后的收缩压/舒张压和心率。
干预组患者在 PIVC 插入过程中的疼痛程度明显轻于对照组（p＜.001）。PIVC 放置后，两组的收缩压均显著降低（p=0.008），其他变量无明显变化。干预组未发生与瓦尔萨尔瓦动作相关的临床并发症。
瓦尔萨尔瓦动作可作为减轻 PIVC 置管过程中疼痛的非药物方法。
