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Learning Objective 1: The learner will be able to understand coping behaviour during blood sampling in children aged 3–6 years.
Learning Objective 2: The learner will be able to understand that it is important to take into consideration the child’s age and parent’s prediction before blood sampling.
Methods: Fifty-two children aged 3–6 years were observed during blood sampling and their behaviour was analysed on the basis of the Manifest Upset and Cooperation Scales (Koseki, 1984). Prior to the procedure, their parents responded to a questionnaire prepared by the Manifest Upset and Cooperation Scales and the Kinder Infant Development Scale regarding the prediction of their child’s behaviour and their child’s developmental age, respectively. Permission for this study was granted following an ethical examination by the concerned facility.
Results: The average age of children was 4.3 ± 1.1 years, (32 boys and 20 girls), and all children had undergone blood sampling previously. To examine the coping behaviour while drawing blood, 3.0 were selected according to the median of the Manifest Upset Score from the time of entering the blood sampling room until the needle drawing blood was extracted. The median from extraction of the needle drawing blood until the child left the blood sampling room was 1.0. The Cooperation Score was also the same. The children did not settle down effectively and were uncooperative after entering the blood sampling room until the needle was extracted. Significant correlation was observed between the coping behaviour while drawing blood and ‘parents’ prediction’, ‘developmental age’, and ‘age’. We conducted multiple regression analysis considering ‘coping behaviour’ as the dependent variable, and ‘parents’ prediction’ was shown as a correlating factor. Then we analysed ‘parents’ prediction’ as the dependent variable, and ‘age’ was shown as a correlating factor. ‘Age’ and ‘parents' prediction’ were shown to influence coping behaviour during blood sampling.
Conclusion: The present study suggests that medical staff need preparation during blood extraction. Moreover, it is important to take into consideration the child’s age and parent’s prediction before blood sampling.