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Cognitive‐Behavioral Interventions for IV Insertion Pain
Author(s) -
Jacobson Ann F.
Publication year - 2006
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)64000-3
Subject(s) - medicine , distress , cognition , randomized controlled trial , psychological intervention , physical therapy , surgery , clinical psychology , psychiatry
• INSERTION OF AN IV CATHETER is a commonly performed and painful procedure. The use of cognitive‐behavioral interventions (CBIs) may decrease pain by diverting the patient's attention to stimuli other than pain. • THIS RANDOMIZED, CONTROLLED TRIAL examined the effect of three CBIs—music, kaleidoscope, and guided imagery—on IV insertion pain in 324 patients. • NO STATISTICALLY SIGNIFICANT differences in IV insertion pain were found among the treatment and control groups or between choosing versus being assigned a CBI. Insertion attempts were more difficult in women, and insertion difficulty was correlated with pain intensity and pain distress. Pain intensity was related to insertion site and catheter gauge. AORN J 84 (December 2006) 1031‐1048. © AORN, Inc, 2006.