Emergencies Clinical Trial
Official title:
Venopuncture in Pediatric Emergency Department Using Koala's Distraction Method. Randomized Clinical Trial
NCT number | NCT05453305 |
Other study ID # | PI21/218 |
Secondary ID | |
Status | Completed |
Phase | N/A |
First received | |
Last updated | |
Start date | June 1, 2021 |
Est. completion date | June 30, 2022 |
Verified date | May 2022 |
Source | Instituto de Investigación Sanitaria Aragón |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Interventional |
A randomized clinical trial will be performed. Patients aged 3 and 4 years who attend the pediatric emergency service of the Miguel Servet Hospital in Zaragoza and require venipuncture will be selected. In the control group, traditional venipuncture will be performed, placing the child in supine position on the stretcher with the limb to be punctured in decline. In the intervention group, the DAK method will be used, where the adult will hold the child simulating a hug. A professional will take care of immobilizing the chosen limb, and the nurse will perform the venipuncture. The researchers believe that 3 and 4-year-old children subjected to venipuncture using the Koala Attachment Distraction method present a lower level of stress and pain, as well as their companions a lower level of anxiety, compared to those subjected to physical restraint. Condition of disease: Patients aged 3 and 4 years, who attend the pediatric emergency service of the Miguel Servet Hospital in Zaragoza and require venipuncture. Intervention: Traditional venipuncture, in supine position on the stretcher with the limb to be punctured in decline. + DAK method, simulating a hug.
Status | Completed |
Enrollment | 220 |
Est. completion date | June 30, 2022 |
Est. primary completion date | June 30, 2022 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 3 Years to 4 Years |
Eligibility | Inclusion Criteria: - Children aged 3 and 4 years who require venipuncture in the Emergency Department. - To signature of the informed consent by the patient's companion. Exclusion Criteria: - Children with psychomotor retardation, due to difficulties in assessing stress and pain in this group of patients. - Cancer patients with subcutaneous reservoir. - Patients with diabetes mellitus or other pathologies that imply alterations in the sensitivity of the skin. - Children classified as priority level I or II in triage. - Children with special needs and/or classified as "minimum waiting". - Children with an inability to understand and express the language (linguistic barrier). - Previous administration of analgesic, sedative or relaxing drugs. - Prior venipuncture less than 24 hours. |
Country | Name | City | State |
---|---|---|---|
Spain | Hospital Universitario Miguel Servet | Zaragoza |
Lead Sponsor | Collaborator |
---|---|
Instituto de Investigación Sanitaria Aragón |
Spain,
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* Note: There are 13 references in all — Click here to view all references
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To measure changes in the child's pain during venipuncture using the Koala Attachment Distraction (DAK) method. | The observer will assess child pain using Face, Legs, Activity and Consolability (FLACC) scale, each category is scored 0-2. Total score goes from 0, which indicates relaxed and comfortable to 10, severe pain. | Two time points: Baseline (previous venipuncture) and during procedure (blood draw) | |
Primary | To measure changes in the child's stress during venipuncture using the Koala Attachment Distraction (DAK) method. | Stress will be recorded with Groningen Distress Scale (GDS) which goes from 1 (calm not cry) to 5 (agitated, physical resistance y screaming). | Two time points: Baseline (previous venipuncture) and during procedure (blood draw) | |
Secondary | To measure changes in the level of pain in the child's venipunctured using physical restraint and compare to the DAK method. | The observer will assess child pain using Face, Legs, Activity and Consolability (FLACC) scale, each category is scored 0-2. Total score goes from 0, which indicates relaxed and comfortable to10, severe pain. | Two time points: Baseline (previous venipuncture) and during procedure (blood draw) | |
Secondary | To measure changes in the level of stress in the child's venipunctured using physical restraint and compare to the DAK method. | Stress will be recorded with Groningen Distress Scale (GDS) which goes from 1 (calm not cry) to 5 (agitated, physical resistance y screaming). | Two time points: Baseline (previous venipuncture) and during procedure (blood draw) | |
Secondary | To measure the changes in the level of perceived anxiety of companions when performing venipuncture with the DAK method and physical restraint. | The companion will be given the State part of the State/Trait Anxiety Questionnaire(STAI) Result goes from 0 to 30, being higher scores higher anxiety levels. | Two time points: Baseline (previous venipuncture) and immediately after procedure (blood draw), where companion must recall their perceived emotions during venipuncture. |
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