The impact of the difficult vascular access, fear, and anxiety level in children on the success of first-time phlebotomy


ÖZALP GERÇEKER G., AYAR D., ÖZDEMİR E. Z., BEKTAŞ M.

JOURNAL OF VASCULAR ACCESS, vol.19, no.6, pp.620-625, 2018 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 19 Issue: 6
  • Publication Date: 2018
  • Doi Number: 10.1177/1129729818765598
  • Journal Name: JOURNAL OF VASCULAR ACCESS
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Page Numbers: pp.620-625
  • Keywords: Child, phlebotomy, difficult intravenous access, fear, anxiety, CLINICAL-PREDICTION RULE, PERIPHERAL INTRAVENOUS CANNULATION, DISTRACTION CARDS, STATE ANXIETY, PAIN, VENIPUNCTURE, VALIDATION, INSERTIONS, SCALE, SCORE
  • Dokuz Eylül University Affiliated: Yes

Abstract

Purpose: This study aimed to investigate the success of first-time phlebotomy and the affecting factors in children between 4 and 10 years of age. Methods: This descriptive, comparative, and cross-sectional study was conducted on 155 children who underwent phlebotomy. The Sociodemographic Data Form, the Children's Anxiety Meter-State, the Children's Fear Scale, and the Difficult Intravenous Access score were used to collect the data for the study. The relationship between the success of first-time phlebotomy, mean pre-phlebotomy fear and anxiety score, and Difficult Intravenous Access score were examined. The variables affecting the success of first-time phlebotomy were assessed by regression analysis. Results: Phlebotomies failed in 18.1% of children. A statistically significant relationship was found between the success of first-time phlebotomy, Children's Anxiety Meter-State, Children's Fear Scale mean scores assessed by the researchers, and Difficult Intravenous Access score. Factors affecting the success of first-time phlebotomy include difficult vascular access, age, mean Children's Anxiety Meter-State score, mean Difficult Intravenous Access score, and duration of the last phlebotomy performed. These factors explain 42% of the total factors affecting the success of first-time phlebotomy. Conclusion: Child's fear, anxiety before phlebotomy, and difficult vascular access affects the first-time phlebotomy success.