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, cilt.19, sa.6, ss.620-625, 2018 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 19 Sayı: 6
  • Basım Tarihi: 2018
  • Doi Numarası: 10.1177/1129729818765598
  • Dergi Adı: JOURNAL OF VASCULAR ACCESS
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.620-625
  • Anahtar Kelimeler: 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 Üniversitesi Adresli: Evet

Özet

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.