Reducing Fear Degree in Preschool Children during Intravenous Injection

Wednesday, 1 August 2012

Yen-Hua Cho, RN1
Hui-Tzu Liu, RN1
Yi-Chuan Hsieh, RN1
Chun-Chu Chang, MSN2
(1)Nursing Department, Chang Gung Memorial Hospital Linkou, Taoyuan, Taiwan
(2)Nursing Department of Chang Gung Memorial Hospital, Linkou, Taiwan, Taoyouan, Taiwan

Learning Objective 1: Learners will be able to understand the fear factors of preschool children during intravenous injection.

Learning Objective 2: Learners will be able to understand reducing fear degree in preschool children during intravenous injection of nursing.

Purpose: Children hospitalized immediately perform intravenous injections of invasive treatment, so that feel great fear. In a Children Medical ward, monthly average of about 80 pre-school children need to perform intravenous injections, found that 91.1% of them have fearing behavior. 77.8% has severe fear, and struggling hard to reject the injection. The intractable behavior consumes more human and material resources, and leads the bad impression from their family with result of less trusting and phlegmatic invective, while increasing the nurse-patient tensions. Therefore, purpose to reduce the cases of the severe injection fear of preschool children from 77.8% down to 38.9%.

Methods:  Since August 1, 2009 to April 30, 2010, our team members through the observation and interviews found from past negative experiences, lacking the prior preparation of communication, the sense of control children injection, and default of cognitive behavioral strategies from nursing staff are the primary reasons. We developed of solutions strategy reference from research paper and books. Our proposal methods include therapeutic games, choose injection position, and the use of cognitive behavioral strategies to divert attention and other measures designed a set of "standard operating procedures for children intravenous."

Results: The experiment results shows that preschool children with severe fear of injection decrease from 77.8% down to 37.8%. Results of 40% improved.  

Conclusion: The main goal of our project is to reduce the fear of children for vaccinated with more cooperative, and trying to enhance the children's positive treatment experience, thus leads the quality of nursing care.