The effect on pain of three different nonpharmacological methods in peripheral intravenous catheterisation in adults

Yılmaz, Dilek; Güneş, Ülkü Yapucu

doi:10.1111/jocn.14133

Cited by 26 publications

(36 citation statements)

References 41 publications

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“…In the study of Vr, Agnihotri, Sukhpal, and Bhalla (), in which the effect of valsalva manoeuver mechanism on pain was examined during the application of PIC, the pain score of the experimental group was found to be significantly lower than the control group. Yilmaz and Gunes () found that the techniques of squeezing a stress ball, blowing into a spirometer and in particular coughing are effective in reducing pain associated with the PIC insertion.…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, there are fewer studies using nonpharmacological interventions to reduce the pain of PIC insertion than studies using drugs for this purpose (Aygun et al, 2013;Suren et al, 2013;Yilmaz & Gunes, 2018;Zempsky et al, 2016). Most of the studies were performed in healthy adults (Aygun et al, 2013).…”

Section: What Does This Paper Contribute To the Wider Global Clinicalmentioning

confidence: 99%

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Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Başak

Duman

Demırtaş

2019

Journal of Clinical Nursing

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Aims and objectives This study aimed to determine the effect of methods of distraction to relieve pain associated with the peripheral intravenous catheter (PIC) insertion procedure, thus improving patient satisfaction. Specifically, we examined such effect by playing 3D videos with virtual reality goggles and showing pictures to the patient containing distractive optical illusions. Background In the literature, although the efficacy of various pharmacological methods for reducing pain associated with the insertion of PIC has been evaluated in adults, studies on nonpharmacological methods are limited. Methods The research was conducted with a randomised controlled single‐blind experimental study. The sample consisted of 120 patients. While nothing is applied to the control group, cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion is applied for distraction groups. The data collection form consisted of items that measured the sociodemographic characteristics of the patients and a visual analog scale. The CONSORT checklist was followed in reporting this study. This study is registered with ClinicalTrials.gov. No. NCT03945929. Results The mean pain level was 4.72 ± 3.15 in the control group and 3.41 ± 2.81 in the distraction groups and the difference was found to be statistically significant (p = .02). When the mean satisfaction level between the groups was compared, it was found to be 5.12 ± 3.41 in the control group and 8.07 ± 2.67 in the groups undergoing distraction methods. The difference between them was statistically significant (p = .01). Conclusions This study found that the use of cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion in adult patients were both effective. Relevance to clinical practice These distraction methods may be used to reduce pain due to PIC insertion in nonurgent and less urgent adult patients in the emergency department.

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Section: Discussionmentioning

confidence: 99%

Section: What Does This Paper Contribute To the Wider Global Clinicalmentioning

confidence: 99%

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Başak

Duman

Demırtaş

2019

Journal of Clinical Nursing

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“…Also, Valsalva maneuver was found to reduce pain during VP as effectively as the application of the eutectic mixture of local anesthetics [27]. In a recent study of Yilmaz and Güneş, where Valsalva maneuver, rubber ball squeezing, and CT were examined regarding their hypoalgesic effects during peripheral intravenous catheterization, CT was found to exert the strongest reduction in pain [28]. In contrast to other nonpharmacological methods, CT does not require any * n.s.…”

Section: Discussionmentioning

confidence: 99%

Mechanisms of “Cough-Trick” for Pain Relief during Venipuncture: An Experimental Crossover Investigation in Healthy Volunteers

Usichenko

Janner

Gagarine

et al. 2019

Pain Research and Management

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Objectives. The easily performed “cough-trick” (CT) reduces pain during venipuncture (VP), although the underlying mechanism remains unclear. The aim was to investigate the pain-reducing effect of CT during VP in comparison with two distraction methods, as well as under the influence of naloxone. Methods. 54 healthy male volunteers participated in 3 investigations. Pain during standardized VP with CT was compared to a “weak” distraction (squeezing a rubber ball; investigation 1; n=20) and to a “strong” distraction (inflating a tourniquet to a given pressure; investigation 2; n=21). In investigation 3 (n=13), pain at a VP without intervention was compared to pain at VP with CT under naloxone; pressure pain thresholds before and after naloxone administration were also measured. Pain was assessed using a 100 mm visual analogue scale. Data were compared within each sample using Student’s t-test for paired samples. Results. Pain intensity at VP with CT was lower than under “weak” distraction (mean difference 5 mm; 95% CI: 0.5 to 9.6; P=0.03). Pain levels under CT and “strong” distraction were comparable. There was no difference between pain under CT after naloxone infusion and pain without intervention. Pressure pain threshold decreased (mean difference 1 mm; 95% CI: 0.1 to 1.0 mm; P=0.02) after naloxone administration. Conclusion. Pain-reducing effect of CT during VP is superior to that of simple motor distraction and equivalent to a complex distraction method. This might be due to the activation of segmental pain inhibitory pathways during coughing indicated through the lack of pain reduction due to CT under opioid antagonist blockage.

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“…Bununla birlikte, Hudson ve arkadaşlarının (23) hastaların uyanık halde olduğu cerrahi işlemlerde dikkati başka yöne çekme amacı ile müzik, video izleme, iletişim ve stres topu kullanma şeklinde dört farklı aktif ve pasif distrasksiyon yöntemini karşılaştırdıkları çalışmalarında, işlem sırasında stres topu kullanan grubun video izleyen, müzik dinleyen ve kontrol grubuna göre ağrı düzeyinin anlamlı derecede az olduğu bildirilmiştir. Benzer şekilde, stres topu kullanılarak yapılan bir diğer çalışmada da stres topu kullanan grubun daha az ağrı hissettiği bulunmuştur (38). Buna karşın Gezginci ve ark.…”

Section: Discussionunclassified

Lipom eksizyonu sırasında stres küpü kullanımının ağrı ve anksiyete üzerine etkisi

2021

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Lokal anestezi altında gerçekleştirilen cerrahi işlemlerde bireylerde oluşan ağrı ve anksiyete yönetilmesi gereken önemli sağlık bakım sorunlarındandır. Bu araştırma lipom eksizyonu sırasında stres küpü kullanılarak dikkati başka yöne çekmenin ağrı ve anksiyete üzerine etkisinin değerlendirilmesi amacı ile gerçekleştirilmiştir. Gereç ve Yöntem: Araştırma 1 Ekim 2019-1 Mart 2020 tarihleri arasında gerçekleştirilmiştir. Lokal anestezi altında lipom eksizyonu yapılacak, 18 yaşından büyük, yeterli görme, işitme ve konuşma işlevlerine sahip, Türkçe bilen, çalışmaya katılmayı kabul eden bireyler çalışmaya dahil edilmiştir. Verilerin toplanmasında Kişisel Bilgi Formu, Durumluk Kaygı Envanteri ve Sayısal Derecelendirme Ölçeği kullanılmıştır. Çalışma müdahale grubunda 46 kontrol grubunda 46 olmak üzere toplam 92 bireyle gerçekleştirilmiştir. Müdahale grubu lipom eksizyonu sırasında stres küpü kullanmış, kontrol grubu hastanedeki rutin tedavisini almıştır. Bulgular: Katılımcıların %68,5'i erkek, %31,5'i kadındır. Araştırmaya katılan bireylerin yaş ortalaması müdahale (41,67±11,48) ve kontrol (44,59±13,83) grubunda benzerdir (p=0,275). Eksizyon işlemi sırasındaki ağrı şiddeti ortalamaları bakımından müdahale (2,67±1,69) ve kontrol (4,46±2,82) grubu arasında istatistiksel anlamlı bir fark vardır (p<0,001). Eksizyon işlemi öncesi müdahale (38,63±5,24) ve kontrol (40,39±6,04) grubunun anksiyete puan ortalamaları benzerdir (p=0,139). Girişim sonrası gruplar arasında (Müdahale grubu=42,63±5,26; Kontrol grubu= 41,76±5,50) anksiyete puan ortalamaları arasında anlamlı fark yoktur (p=0,440). Sonuç: Bu araştırma sonucunda yapılan girişimin lipom eksizyonu sırasındaki ağrıyı azalttığı ancak anksiyete üzerine etkisinin olmadığı belirlenmiştir. Bu girişimin lokal anestezi altında gerçekleştirilen lipom eksiyonlarında işlem sırasındaki ağrının azaltılmasında rutin olarak kullanılması önerilmiştir.

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The effect on pain of three different nonpharmacological methods in peripheral intravenous catheterisation in adults

Abstract: It is important that nurses should be aware of pain and stress experienced by patients during invasive procedures. For this reason, nurses should have knowledge of proven nonpharmacological methods which can reduce pain to a minimum.

Cited by 26 publications

References 41 publications

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Mechanisms of “Cough-Trick” for Pain Relief during Venipuncture: An Experimental Crossover Investigation in Healthy Volunteers

Lipom eksizyonu sırasında stres küpü kullanımının ağrı ve anksiyete üzerine etkisi

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