S-Space College of Nursing (간호대학) The Research Institute of Nursing Science (간호과학연구소) Perspectives in Nursing Science (간호학의 지평) Perspectives In Nursing Science (간호학의 지평) Volume 11 Number 1/2(2014)
입원 아동의 말초정맥 주사시 통증 반응
Peripheral Intravenous Injection Pain in Hospitalized Children
- 정준희; 안혜영
- Issue Date
- 서울대학교 간호과학연구소
- Perspectives in Nursing Science, Vol.11 No.2, pp. 144-152
- Purpose: The purpose of the study is to offer necessary data to develop nursing interventions to reduce intravenous injection pain and uneasiness among hospitalized children. Methods: A total of 200 patients aged 1-72 months were selected. Pain during intravenous cannulation was assessed using the Procedural Behavior Checklist (PBCL) and the Faces Pain Rating Scale (FPRS). Data were analyzed by t-test and ANOVA using the SPSS/WIN 12.0. Results: Younger patients showed higher pain response than older patients (F=33.87, p<.001). Children with respiratory diseases showed higher responses in FPRS and PBCL than children without respiratory disease (F=4.17, p=.017; F=25.31, p<.001, respectively). Children of preschool age showed higher pain response during IV cannulation than the comparison group (t=2.04, p=.045). Children who had previous experiences with hospitalization and injections showed higher response to pain than those without these experiences (t=2.05, p=.045). In regards to FPRS, patients who were recannulated showed more painful restarts compared with patients injected just once (t=-3.60, p<.001). In regards to PBCL, infants and toddlers (t=-4.88, p<.001) and preschoolers (t=-3.86, p<.001) showed high pain scores during recannulation. Conclusion: A sick child's response to pain may be worse as they feel more pain over time. These characteristics should be considered for development of nursing interventions.