Clinical Pediatrics: Open Access
Open Access
ISSN: 2572-0775
ISSN: 2572-0775
Gamze Inan and Sevil Inal
Halic University, Turkey
Istanbul University, Turkey
Posters & Accepted Abstracts: Clin Pediatr
Statement of the Problem: Invasive procedures are important causes of pain and anxiety during hospitalization. This study aims to evaluate the effect of three different distractions on the pain and anxiety levels of children during phlebotomy. Methodology & Theoretical Orientation: This is a randomized controlled trial. The study was conducted with 180 children of 6-10 years age and data was collected in the month of August-November 2016. Participants were randomized in four groups; children in group one watched cartoons; children in group two played video games; children in group three were distracted by their parents� verbal interaction; whereas the children in group four experienced no distraction method during phlebotomy procedures. The level of anxiety and pain perception were evaluated independently based on children�s, observer nurses, and parent�s feedback. Children fear scale was used to evaluate anxiety level and Wong-Baker pain scale was used to evaluate pain perception level of children. Findings: Age, sex, previous phlebotomy experiences, and anxiety level prior to the procedures causes no significant difference (p>0.05). The difference between groups based on both the anxiety levels and pain scores during phlebotomy was statistically significant (p>0.05). The lowest level of anxiety and pain perception was reported in group two (playing video games). The pain and anxiety scores observed both in cartoons group and parental interaction group were significantly lower than the control group (p<0.05). Conclusion & Significance: Distraction methods via playing video games, watching cartoons, and interaction with parents are effective on reduction of anxiety and pain perception of children during phlebotomy procedures.