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两种方法对短外周静脉留置针穿刺时疼痛和焦虑的影响:一项随机对照试验。

The impact of two methods on pain and anxiety during short peripheral cannula placement: A randomized controlled trial.

作者信息

Rişvan Mihriban, Su Serpil

机构信息

Konya Provincial Directorate of Health Meram State Hospital, Konya, Turkey.

Department of Fundamental Nursing, Necmettin Erbakan University Faculty of Nursing, Konya, Turkey.

出版信息

J Vasc Access. 2025 Jul;26(4):1371-1378. doi: 10.1177/11297298241278787. Epub 2024 Sep 19.

DOI:10.1177/11297298241278787
PMID:39297296
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12260204/
Abstract

AIM AND OBJECTIVES

This study aimed to determine the impact of virtual reality glasses and ball squeezing methods on reducing pain and anxiety in adult patients undergoing short peripheral cannula placement.

METHODS

The pretest-posttest parallel group randomized controlled experimental study was conducted in a university hospital with 111 patients. Patients were randomly assigned to one of three groups: the VR group ( = 37), the ball squeezing group ( = 37), and the control group ( = 37). Descriptive information form, Numeric Rating Scale, Visual Analogue Scale for Anxiety, and State-Trait Anxiety Inventory-State were used for data collection.

RESULTS

There was no statistically significant difference between the groups in terms of sociodemographic characteristics ( > 0.05). The pain score of the patients in the control group was found to be statistically significantly higher than that of the patients in the virtual reality glasses and ball squeezing groups ( < 0.05). While the mean anxiety scores of the virtual reality glasses and ball squeezing groups significantly decreased after the intervention, they increased significantly in the control group ( < 0.05).

CONCLUSIONS

The study found that virtual reality glasses and ball squeezing were effective distraction methods to reduce pain and anxiety in patients undergoing short peripheral cannula placement.

摘要

目的

本研究旨在确定虚拟现实眼镜和挤压球方法对减轻接受外周短导管置入的成年患者疼痛和焦虑的影响。

方法

在一家大学医院对111例患者进行了前后测平行组随机对照实验研究。患者被随机分为三组之一:虚拟现实组(n = 37)、挤压球组(n = 37)和对照组(n = 37)。使用描述性信息表、数字评定量表、焦虑视觉模拟量表和状态-特质焦虑量表-状态进行数据收集。

结果

在社会人口学特征方面,各组之间无统计学显著差异(P>0.05)。发现对照组患者的疼痛评分在统计学上显著高于虚拟现实眼镜组和挤压球组患者的疼痛评分(P<0.05)。干预后,虚拟现实眼镜组和挤压球组的平均焦虑评分显著降低,而对照组则显著升高(P<0.05)。

结论

该研究发现,虚拟现实眼镜和挤压球是减轻接受外周短导管置入患者疼痛和焦虑的有效分散注意力方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0e/12260204/60a2b876d9d1/10.1177_11297298241278787-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0e/12260204/60a2b876d9d1/10.1177_11297298241278787-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c0e/12260204/60a2b876d9d1/10.1177_11297298241278787-fig1.jpg

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Int Emerg Nurs. 2024 Feb;72:101386. doi: 10.1016/j.ienj.2023.101386. Epub 2023 Nov 18.
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The effect of a hand puppet-based therapeutic play for preschool children on the fear and pain associated with blood collection procedure.基于手偶的治疗性游戏对学龄前儿童采集血样相关的恐惧和疼痛的影响。
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The effect of rose oil aromatherapy and hand-holding on pain due to peripheral intravenous catheter insertion.
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Nurs Open. 2023 Mar;10(3):1270-1280. doi: 10.1002/nop2.1449. Epub 2022 Nov 6.
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The effect of new device on pain and comfort levels in individuals undergoing peripheral intravenous cannula insertion.新装置对接受外周静脉置管术个体的疼痛和舒适度水平的影响。
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