Presentatörer: Lena Hedén, Associate Professor, RN, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Ida Kleye, PhD-student, RN, Faculty of Caring Science, Work Life and Social Welfare, University of Borås, Borås, Sweden

Background: Children still report needle procedures as the worst source of fear and pain during care and treatment. A psychological intervention distraction is suggested to reduce children’s fear and pain during needle procedures. However, for those children who prefer to have control and to be involved in care, distraction may be distressing. Thus, an intervention iCanChoose (iCC) aiming to reduce fear and pain during needle procedures was developed based on the children’s preferred choices.

Aim: To examine whether children experience less fear or pain using iCC and if there were any differences between the intervention group and the control group regarding heart rate, time required for the procedure, success rate for the needle insertion, and patient satisfaction.

Method: A total of 105 children 6-12 years of age participated. The intervention group (n=65) received standard care plus iCC intervention and the control group (n=40) received standard care only. The children self-reported levels of pain, fear and satisfaction. Pain behavior, heart rate, procedure time and success rate of the needle insertion were measured.

Results: Child self-reported fear or pain levels did not reveal any differences between intervention compared with controls. However, according to observations the effects of the intervention were lower fear and pain, decreased procedure time, and more children in the intervention group were satisfied with the needle procedure compared with the children in the control group.

Conclusion: The iCanChoose intervention provides reduced observed distress related to fear and pain in children undergoing a needle procedure and reduced total procedure time.