Hamide Jometondoki, Fereshteh Ghorat, Mohammad Hassan Rakhshani, Hasan Khalili,
Volume 16, Issue 2 (11-2019)
Abstract
Background: Intravenous catheterization is one of the most common invasive interventions in the nursing profession which is associated with pain and patient dissatisfaction. The aim of the present study was to investigate the effect of topical lavender essential oil on the severity of pain caused by intravenous catheterization.
Methods: This randomized clinical trial performed on 66 elective surgery candidates in Shahid Beheshti Hospital of Sabzevar in 2017. The eligible patients was recruited through convenient sampling method considering inclusion criteria they were then randomly allocated into intervention (n=33) and placebo (n=33) groups using permutation blocks. 3 puffs of lavender essential oil were used onto the insertion sites of patients in the intervention group, while in the placebo group there were applied 3 puffs of distilled water. Severity of pain was measured using Visual Analogue Scale (VAS) at immediate, 5 and 10 minutes after intravenous catheterization. Data was presented descriptive statistics and analyzed using Chi-square and Mann-Whitney in SPSS-16. The P-value less than 0.05 considered significant.
Results: The mean score of pain severity in the intervention group immediately, 5 minutes and 10 minutes after the intravenous catheterization was 3.00±2.23, 1.36±1.08 and 0.51±1.14, while in patient of placebo group was 5.72±2.46, 3.12±2.23 and 1.8±1.50 respectively, there was a statistically significant difference between groups.
Conclusions: The present study showed that the use of topical lavender essential oil is effective in decreasing pain severity caused by the intravenous catheter insertion. Therefore, the topical lavender essential oil can be used to prevent pain in patients before catheter insertion.
Mohammed Attaallah Ahmed , Al-Musawi Khatam M ,
Volume 22, Issue 1 (3-2025)
Abstract
Background: Under ethical and legal professional obligations, nurses are required to utilize evidence-based methods to enhance the experience of children during intravenous cannulation. Non-pharmacological pain management techniques are increasingly employed in clinical settings, as they can be implemented without incurring additional costs or requiring extra time. The aim of this randomized controlled trial is to evaluate the effectiveness of a Buzzy device and distraction cards in reducing pain associated with peripheral intravenous catheter (PIVC) insertion among school-aged children.
Methods: A randomized controlled trial study was conducted on 221 school-age children patients who underwent PIVC in emergency departments. Three groups of patients were randomly assigned using a lottery method: the Buzzy device group (n=73), the distraction cards group (n=71), and the control group (n=77) receiving the standard procedure without any interventions. The children were asked to evaluate the pain level immediately following PIVC using the Wong-Baker Faces Pain Scale. Using SPSS (version 26), the independent t-test, Fisher's exact test, analysis of variance, and chi-square test were used to analyze the data.
Results: Children in the intervention groups experienced significantly less pain during the PIVC procedure compared to those in the control group, with a pain score of 5.45 ± 1.67 (p = 0.0001). There was no statistically significant difference in pain reduction between the two intervention methods: the distraction cards (2.54 ± 1.37) and the Buzzy device (2.43 ± 1.60), both showing effectiveness (p = 0.0001).
Conclusion: The results of this study indicate that both the Buzzy device and distraction cards effectively reduce pain levels during intravenous cannulation when compared to the control group. Furthermore, the two strategies demonstrated equivalent effectiveness in pain reduction, as their outcomes were nearly identical. Therefore, it is recommended that these therapeutic approaches be employed to manage and alleviate pain associated with PIVC.
