[Reducing the pain of intravenous injections in preschool children].

Abstract

BACKGROUND & PROBLEMS:

Peripheral intravenous catheter insertion is a significant source of stress for preschoolers during hospitalization. An average of about 85% of pediatric patients at our general pediatric unit are preschoolers. An average 71% of these exhibit severe pain-related behavior during intravenous insertions. The factors influencing this pain experience may include inappropriate administration of analgesics by nurses, non-pharmacologic pain management, and inappropriate clinical settings.

PURPOSE:

This project worked to develop a strategy to reduce the incidence of severe injection pain in preschool children from 71.0% to 36.0% and to achieve a capacity improvement target of 50%.

RESOLUTIONS:

We implemented the following: 1) arranged a relevant training program for pediatric nurses; 2) revised hospital standards for pediatric intravenous insertions; and 3) enhanced analgesic administration and non-pharmacologic pain management through creating child-friendly clinical settings and providing interactive toys.

RESULTS:

After implementing the above mentioned interventions, the incidence of severe pain-related behavior in pediatric patients decreased from 71.0% to 19.7%, a result that greatly exceeded expectations.

CONCLUSIONS:

This project demonstrated an effective approach to reducing severe intravenous-insertion pain in preschoolers and increasing pediatric care quality.

• Authors: Ming-Ying Li, Chia-Wen Yu, Ya-Chun Yang, Chun-Chu Chang
• Journal: Hu li za zhi The journal of nursing (Hu Li Za Zhi) Vol. 61 Issue 2 Suppl Pg. S68-75 (Apr 2014) ISSN: 0047-262X [Print] China (Republic : 1949- )
• PMID: 24677010 (Publication Type: English Abstract, Journal Article)

Topics

• Child, Preschool
• Female
• Humans
• Injections, Intravenous (adverse effects)
• Male
• Pain (prevention & control)