Saju Alka Sara, Prasad Lilly, Reghuraman Menaka, Karl Sampath Immanuel
Department of Paediatric Nursing Christian Medical College Vellore Tamil Nadu India.
Present address: Maidstone and Tunbridge Wells NHS Trust Pembury UK.
Paediatr Neonatal Pain. 2019 Oct 31;1(2):39-44. doi: 10.1002/pne2.12009. eCollection 2019 Dec.
Every child who contacts a healthcare setting has a potential for intravenous cannulation (IV) procedure and related pain, fear, and distress. Many of the healthcare professionals recognize that there is a lack of intervention to prevent multiple cannulation attempts and to reduce pain and distress inflicted to children during IV cannulation. A quasi-experimental study was undertaken in pediatric patients to study the effect of a vein-viewing device (VTorch) on IV cannulation procedure. The number of cannulation attempts and time taken for successful cannulation were assessed with the use of this device (experimental group, n = 159) and compared it with the standard procedure (control group, n = 159). The effect of this device in cannulation associated pain, fear, and behavioral distress were also evaluated among these children. Using Vein-viewing device as an aid for IV cannulation significantly reduced the time taken for cannulation ( = .003) and the number of cannulation attempts ( = .03). In addition, there was a significant increase in the first-attempt cannulation success rate with the use of this device ( = .04). The use of vein-viewing device did not have any direct effect on cannulation associated pain, fear, or behavioral distress among the study participants. The results of this study may aid in improving the quality of intravenous access procedure in pediatric patients.
每个前往医疗机构就诊的儿童都有可能接受静脉插管操作以及由此带来的疼痛、恐惧和痛苦。许多医护人员认识到，在预防多次插管尝试以及减少静脉插管过程中给儿童造成的疼痛和痛苦方面，缺乏相应的干预措施。一项针对儿科患者的准实验研究开展了，以探讨静脉观察设备（VTorch）对静脉插管操作的影响。使用该设备（实验组，n = 159）评估插管尝试次数和成功插管所需时间，并将其与标准操作（对照组，n = 159）进行比较。还在这些儿童中评估了该设备在插管相关疼痛、恐惧和行为痛苦方面的影响。使用静脉观察设备辅助静脉插管显著减少了插管所需时间（P =.003）和插管尝试次数（P =.03）。此外，使用该设备首次插管成功率显著提高（P =.04）。在研究参与者中，使用静脉观察设备对插管相关疼痛、恐惧或行为痛苦没有任何直接影响。本研究结果可能有助于提高儿科患者静脉通路操作的质量。
