Effects of instructional therapeutic play in the behavior of children during the first attempt at intravenous catheterization
ABSTRACT Objective: To verify the effects of instructional therapeutic play on the behavior of children during the first attempt at peripheral intravenous catheterization. Method: This is a quasi-experimental post hoc analysis with a non-equivalent control group, secondary to a randomized clinical...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Universidade Federal do Rio Grande do Sul
2025-01-01
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| Series: | Revista Gaúcha de Enfermagem |
| Subjects: | |
| Online Access: | http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000200416&lng=en&tlng=en |
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| Summary: | ABSTRACT Objective: To verify the effects of instructional therapeutic play on the behavior of children during the first attempt at peripheral intravenous catheterization. Method: This is a quasi-experimental post hoc analysis with a non-equivalent control group, secondary to a randomized clinical trial. The convenience sample comprised 193 children, allocated for convenience into an intervention group (preparation for catheterization with a therapeutic play; n=101 children) and a control group (preparation with structured conversation supported by the use of a booklet; n=92 children). The Observation Scale of Behavior Distress was used to evaluate opposing behavior (attacking the professional, whining, crying, getting nervous, screaming, moving until being immobilized, and protesting) and non-opposing behavior (helping and asking for information. We conducted descriptive and inferential analyses of the data. Results: Statistically significant differences were observed between the intervention and control groups in the variables: nervousness, moving to immobilization, protest and assistance during venipuncture. The use of therapeutic play reduced the risk of being nervous during the procedure by 43%, the risk of moving did so by 51%, and the risk of not protesting by 51%. Furthermore, assistive behavior during the procedure increased by 27%. Conclusion: The instructional therapeutic play was effective in reducing behaviors competing with intravenous catheterization and favored the child's collaboration in their first attempt. |
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| ISSN: | 1983-1447 |