Abstract:

Introduction: Illness, hospitalization and pain are often the first crisis that children are faced with and painful procedure such as IV insertion is inevitable and the most cause of children distress. Therefore proper pain treatment is one of the important goals in hospitalized children. Distraction as a non-medical method is among independent nursing implementation which tends to soothe pain with little cost and is attractive to children.

Objective: This study aims to determine the effect of distraction on average heart rate resulting from IV insertion in 3-6 year old hospitalized children.

Methods: In this clinical trial study, 72 children admitted to emergency ward undergoing IV insertion were randomly divided into two control and experimental groups to determine the effect of distraction. During IV insertion, distraction was done with bubble instrument.

Heart rate was measured and compared three minutes before and after intervention with pulse ox meter.

Results: The results showed statistically significant differences in the average heart rate (P< 0.01) of children in two groups before and after the intervention which shows the effect of distraction.

Conclusion: According to the research findings distraction with bubble decreases average  heart rate in 3-6 year old children and can be used as an effective method in pain control during IV insertion in preschool children.

Key words: Pain, Peripheral Catheterization, Cognitive, Therapy, Child, Hospitalized, Distraction.