The Effect of Nursing Program Focusing Pain Reduction on Fear of Intravenous Catheterization among Preschoolers

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Krongkaew Subprasert
Waraporn Chaiyawat
Suwimon Rojnawee


Purpose: To study the effect of the nursing programs focusing pain reduction on fear of intravenous catheterization among preschoolers.

Design: Quasi-experimental research

Methods: The Samples consisted of 60 preschoolers who received intravenous catheterization and were admitted to Ratchaburi hospital. There were assigned to experimental and control groups by random assignment and matched pair technique using age and previous catheterization experience. Preschoolers in the control group received conventional fear reduction nursing care, while those in the experiment group were prepared by a nursing program focusing pain reduction. Data were collected by preschoolers’ fear of intravenous catheterization observation scale. Its content validity was established by 5 experts and the content validity index (CVI) was .98. Its interrater reliability coefficient was .94. Data were analyzed by descriptive statistics and the independent t-test.

Result: It was found that fear of intravenous catheterization preschoolers receiving nursing programs focusing on pain reduction was significantly lower than fear of nursing at a statistical level of .05.

Conclusion: ผลการศึกษานี้แสดงให้เห็นว่าโปรแกรมการพยาบาลเน้นการลดความเจ็บปวดสามารถลดความกลัวการใส่สายสวนทางหลอดเลือดดำของเด็กวัยก่อนเรียนได้

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Research articles


Alisa S, Khunkaew S, Udomlerd M. Managing

Fear Needle Pain in Children: Nursing

Practice in Pediatric care. Journal of The

Royal Thai Army Nurses 2017; 8 (suppl):

-31. (in Thai)

World Health Organization. Pocket book of

hospital care for children: guidelines for

the management of common childhood

illnesses. 2nd ed. Swithcerland: World

Health Organization; 2013.

Salmela M, Aronen ET, Salanterä S. The

experience of hospital-related fears of

-to 6-year-old children. Child: care,

health and development 2011; 37(5):


Khamenkan K. Intravenous cannulation

Procedure in Pediatric Patients: Nursing

Strategies to success. Journal of Nursing

Science & Health 2012; 35(2): 131-9.

(in Thai)

Chivanon N. The Role of Nurses in Reducing

Separation Anxiety in Pre-school

Children. Journal of Phrapokklao

Nursing College 2016; 27(2): 123-32.

(in Thai)

LeBaron S, Zeltzer L. Assessment of acute

pain and anxiety in children and

adolescents by self-reports, observer

reports, and a behavior checklist.

Journal of consulting and clinical

psychology 1984; 52(5): 729-38.

Hockenberry MJ, Wilson D. Wong’s nursing

care of infants and children. 10th ed.

St. Louis, Missouri: Elsevier Mosby; 2015.

Chaiyawat W, Jezewski MA. Thai school-age

children’s perception of fear. Journal

of transcultural nursing 2006; 17(1):


Lininger RA. Pediatric peripheral IV insertion

success rates. Pediatric nursing 2003;

(5): 351-4.

Prabmeechai S, Rueangworaboon S. The

Effect of Animation Media on Knowledge

and Self-Care Behavior of School-Age

Children with Thalassemia. Nursing

Journal of the Ministry of Public Health

; 27(2): 96-109. (in Thai)

Muris P. Normal and abnormal fear and

anxiety in children and adolescents.

USA: Elsevier; 2010.

Phupeng D. Effect of distraction by parents

on fear among preschoolers receiving

intravenous fluid infusion [Master’s

thesis in Nursing Program]. Chiang Mai:

Chiang Mai University; 2010.

Hedén L, von Essen L, Ljungman G. The

relationship between fear and pain

levels during needle procedures in

children from the parents’ perspective.

European Journal of Pain 2016; 20(2):


Karlsson K, Englund ACD, Enskär K, Rydström

I. Parents’ perspectives on supporting

children during needle-related medical

procedures. International journal of

qualitative studies on health and

well-being 2014; 9(1): 23759. Doi:


Ruksrithong T, Chaiyawat W. The Effect of

Nursing Care to Relieve Pain and

Parental Participative Nursing Care on

Fear among Preschoolers Receiving

Intravenous Fluid Infusion. Journal

of Nursing Science Chulalongkorn

University 2016; 28(1): 67-78. (in Thai)

Baxter AL, Cohen LL, McElvery HL, Lawson

ML, Von Baeyer CL. An integration of

vibration and cold relieves venipuncture

pain in a pediatric emergency department.

Pediatric emergency care 2011;

(12): 1151-6.

Fetzer SJ. Reducing venipuncture and

intravenous insertion pain with eutectic

mixture of local anesthetic: a metaanalysis.

Nursing research 2002; 51(2):


Sadeghi T, Mohammadi N, Shamshiri M,

Bagherzadeh R, Hossinkhani N. Effect of

distraction on children’s pain during

intravenous catheter insertion. Journal

for Specialists in Pediatric Nursing 2013;

(2): 109-14. Doi: 10.1111/jspn.12018.

Ngo SC. “An evidence-based protocol of

using BUZZY in reducing pain level of

pediatric patients during venipuncture”,

Secil A, Fatih C, Gokhan A, Alpaslan GF,

Gonul SR. Efficacy of vibration on

venipuncture pain scores in a pediatric

emergency department. Pediatric

emergency care 2014; 30(10): 686-8.

Polit DF, Beck CT. Nursing research: Principles

and methods. New York: Lippincott

Williams & Wilkins; 2004.

Grove SK, Burns N, Gray J. The practice of

nursing research: Appraisal, synthesis,

and generation of evidence. 6th ed.

St. Louis: Elsevier Health Sciences; 2012.

Sangnimitchaikul W, Chaiyawat W. The Effect

of Preparation for Hospitalization on

Fear of Preschool Children. Thai Journal

of Nursing Council 2007; 22(4) 38-49.

(in Thai)

kerdmongkhol K, Chaiyawat W. The Effect

of Giving Concrete Objective Information

with Maternal Participation on Fear

of Intravenous Infusion among

Preschoolers. Journal of Nursing Science

Chulalongkorn University 2016; 28(2):

-34. (in Thai)

Wong DL, Hockenberry-Eaton M, Wilson D,

Winkelstein ML, Schwartz P. Wong’s

Essentials of Pediatric Nursing. 6th ed.

St. Louis, Missouri: Elsevier Mosby; 2001.