%0 Journal Article
%T Distraction technique for pain reduction in Peripheral Venous Catheterization: randomized, controlled trial
%A Cristina Meroni
%A Giuseppina Ledonne
%A Ihor Balanyuk
%A Loris Bonetti
%A Marco Provenzano
%A Paola Ferri
%A Roberto Bianco
%J Archive of "Acta Bio Medica : Atenei Parmensis".
%D 2018
%R 10.23750/abm.v89i4-S.7115
%X Background and aim of the work: Procedural pain during Peripheral Venous Catheterization (PVC) is a significant issue for patients. Reducing procedure-induced pain improves the quality of care and reduces patient discomfort. We aimed to compare a non-pharmacological technique (distraction) to anaesthetic cream (EMLA) for the reduction of procedural pain during PVC, in patients undergoing Computerized Tomography (CT) or Nuclear Magnetic Resonance (NMR) with contrast. Methods: This is a Prospective, Randomized Controlled Trial. The study was carried out during the month of October 2015. A total of 72 patients undergoing PVC were randomly assigned to the experimental group (distraction technique, n=36) or control group (EMLA, n=36). After PVC, pain was evaluated by means of the numeric pain-rating scale (NRS). Pain perception was compared by means of Mann-Whitney Test. Results: The average pain in the distraction group was 0.69 (SD¡À1.26), with a median value of 0. The average pain in the EMLA group was 1.86 (SD¡À1.73), with a median value of 2. The study showed a significant improvement from the distraction technique (U=347, p<.001, r=.42) with respect to the local anaesthetic in reducing pain perception. Conclusions/Implication for practice: Distraction is more effective than local anaesthetic in reducing of pain-perception during PVC insertion. This study is one of few comparing the distraction technique to an anaesthetic. It confirms that the practitioner-patient relationship is an important point in nursing assistance, allowing the establishment of trust with the patient and increasing compliance during the treatment process
%K distraction
%K fear
%K peripheral venous catheter
%K procedural pain perception
%K local anaesthetic
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357630/