San Carlo Canavese, Italy
San Carlo Canavese, Italy

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Gazzelloni A.,Bambino Gesu Childrens Hospital | Maio M.,San Carlo Hospital Potenza | Romano M.,San Carlo Hospital Potenza | Marcone I.,San Carlo Hospital Potenza | And 2 more authors.
Nursing children and young people | Year: 2016

ETHICAL ISSUES: dignity and humanity.INTRODUCTION: Venepuncture represents traumatic experience in childhood due to pain and discomfort.AIMS: To compare the efficacy of a participatory approach with preliminary ice application to the skin.METHODS: Two age-groups (respectively 3-7 and *8 years) were considered during day-hospital, hospitalization, and ER accesses. Venepuncture was described to patients with fables or illustration according to the age-group. Ice or cool-water-pack was randomly applied to skin for one minute before venepuncture. Pain measurement scales were Wong-Baker and VAS.RESULTS: Preliminary data (55 patients) showed that the 3-7 years age group had better pain tolerance with a participatory approach, whilst ice was better in the older group. Generally previous venepunctures seem to worsen pain feeling.DISCUSSION: Imagination seems to influence pain feeling in the 3-7 age group, while ice is more important in the older group. Previous experiences mark negatively successive venepunctures.CONCLUSIONS: Participatory approaches can be cost-effective and influences positively venepuncture in the future.


PubMed | San Carlo Hospital Potenza and Bambino Gesu Childrens Hospital
Type: Journal Article | Journal: Nursing children and young people | Year: 2016

Theme:dignity and humanity.Venepuncture represents traumatic experience in childhood due to pain and discomfort.To compare the efficacy of a participatory approach with preliminary ice application to the skin.Two age-groups (respectively 3-7 and *8 years) were considered during day-hospital, hospitalization, and ER accesses. Venepuncture was described to patients with fables or illustration according to the age-group. Ice or cool-water-pack was randomly applied to skin for one minute before venepuncture. Pain measurement scales were Wong-Baker and VAS.Preliminary data (55 patients) showed that the 3-7 years age group had better pain tolerance with a participatory approach, whilst ice was better in the older group. Generally previous venepunctures seem to worsen pain feeling.Imagination seems to influence pain feeling in the 3-7 age group, while ice is more important in the older group. Previous experiences mark negatively successive venepunctures.Participatory approaches can be cost-effective and influences positively venepuncture in the future.

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