The Effectiveness of Cognitive-Behavioral Strategies on Pain and Fear in School-age Children Undergoing Intravenous Injection

• Main Authors: Hsieh, Yi-Chuan, 謝宜娟
• Other Authors: Chen, Chi-Wen
• Format: Others
• Language: zh-TW
• Published: 2015
• Online Access: http://ndltd.ncl.edu.tw/handle/77248039738081468092

碩士 === 輔仁大學 === 護理學系碩士班 === 103 === Background and aim: Intravenous (IV) injection is a fearful medical procedure of hospitalized children. Domestic scholars focus on toddler and preschool children of hospitalized children whose afraid to accept IV injection. Based on research study school-age child patients has receiving lack and less attention on IV injection. Therefore, this study aimed to investigate the cognitive-behavioral strategies in the school-age child patients receiving IV injection due to pain and fear degree. Methods: A quantitative and experimental method with random selection was used for this study. Participants were sick children aged full 6 years to less than 13 years of primary school age who received IV injection. Data were collected from both groups at IV injection before, during and after the three time points. The subjective indicators using Numerical Rating Scale measure the injection pain and fear of degree; objective indicator includes heart rate, respiratory rate, blood pressure and finger surface temperature. Cognitive-behavioral strategies include before injection providing with photo book, which procedures give the message of visual and sensory. During the procedure patient children are encourage to watch and listen to the music of their choice music video, to lead distraction to reduce injection pain and fear degree. Statistical analysis included the descriptive Statistics, χ 2- test, Independent t-test, paired t-test and repeated measure ANOVA. SPSS 22.0 software was used for the data analysis. Results: The 68 children patients were randomly selected to experimental 35 children and 33 children patient control group. The results showed that the school-age child patients undergoing IV injection procedures after cognitive-behavioral strategies. Two group children patients of asses both their pain degree, heart rate, respiration rate, blood pressure and finger surface temperature, indicating a parallel statistically significant difference. When the control group, patients in the experimental group, if showed significant improvement in the fear degree (t = -3.08，p = .004) and fear degree change amount ( t = -2.78， p = .007). Study results is the significantly effectiveness of cognitive-behavioral strategies on pain and fear in school-age children undergoing IV injection. Conclusion: The results of cognitive-behavioral strategies in the school-age child patients undergoing IV injection, Cognitive-behavioral strategies include before injection providing with photo book which the procedures give the message of visual and sensory. During the procedure patient children that are encourage to watch and listen to the music of their choice music video that lead to distraction and reduce injection pain and fear degree, which result a promoting comfort and positive injection experience for school-age children of patients.