Distraction Technique for pain reduction in Peripheral Venous Catheterization: randomized, controlled trial

Distraction Technique for pain reduction in Peripheral Venous Catheterization: randomized, controlled trial

Authors

  • Ihor Balanyuk Intensive Care Unit, IRCCS Humanitas, Rozzano, Milan, Italy.
  • Giuseppina Ledonne Department of nursing, Degree Course in Nursing, University of Milan, ASST Fatebenefratelli Sacco, Luigi Sacco Teaching Hospital, Milan, Italy.
  • Marco Provenzano Department of nursing, Istituto Clinico Beato Matteo, Vigevano, Pavia, Italy.
  • Roberto Bianco Department of Radiodiagnostics, ASST Fatebenefratelli Sacco, Luigi Sacco Teaching Hospital, Milan, Italy.
  • Cristina Meroni Department of nursing, ASST Fatebenefratelli Sacco, Luigi Sacco Teaching Hospital, Milan, Italy.
  • Paola Ferri Department of Diagnostic, Clinical and Public Health Medicine, University of Modena and Reggio Emilia, Italy
  • Loris Bonetti Oncology Institute of Southern Switzerland, Nursing research and development unit, Ente Ospedaliero Cantonale, Bellinzona, Switzerland. http://orcid.org/0000-0003-0694-0880

Keywords:

Distraction, Fear, Peripheral venous catheter, Procedural pain perception, Local anaesthetic, nurse

Abstract

Background and aim of the work: Procedural pain during Peripheral Venous Catheterization (PVC) is a significant issue for patients. Reducing procedure-induced pain improves the quality of care and reduces patient discomfort. We aimed to compare a non-pharmacological technique (distraction) to anaesthetic cream (EMLA) for the reduction of procedural pain during PVC, in patients undergoing Computerized Tomography (CT) or Nuclear Magnetic Resonance (NMR) with contrast. Methods: This is a Prospective, Randomized Controlled Trial. The study was carried out during the month of October 2015. A total of 72 patients undergoing PVC were randomly assigned to the experimental group (distraction technique, n=36) or control group (EMLA, n=36). After PVC, pain was evaluated by means of the numeric pain-rating scale (NRS). Pain perception was compared by means of Mann-Whitney Test. Results: The average pain in the distraction group was 0.69 (SD±1.26), with a median value of 0. The average pain in the EMLA group was 1.86 (SD±1.73), with a median value of 2. The study showed a significant improvement from the distraction technique (U=347, p<.001, r=.42) with respect to the local anaesthetic in reducing pain perception. Conclusions/Implication for practice: Distraction is more effective than local anaesthetic in reducing of pain-perception during PVC insertion. This study is one of few comparing the distraction technique to an anaesthetic. It confirms that the practitioner-patient relationship is an important point in nursing assistance, allowing the establishment of trust with the patient and increasing compliance during the treatment process.

 

Author Biography

Loris Bonetti, Oncology Institute of Southern Switzerland, Nursing research and development unit, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.

PhD, Tutor Corso di Laurea in Infermieristica, Università degli Studi di Milano, Sezione Ospedale Sacco, Milano

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Published

21-02-2018

How to Cite

1.
Distraction Technique for pain reduction in Peripheral Venous Catheterization: randomized, controlled trial. Acta Biomed [Internet]. 2018 Feb. 21 [cited 2024 Jun. 22];89(4-S):55-63. Available from: https://www.mattioli1885journals.com/index.php/actabiomedica/article/view/7115