Login
Communauté Vinci
Extérieur
Si votre nom d'utilisateur ne se termine pas par @vinci.be ou @student.vinci.be, utilisez le formulaire ci-dessous pour accéder à votre compte de lecteur.
Titre : | Randomized Trial Evaluating the Effectiveness of a Leg Crossing and Muscle Tensing Technique on Decreasing Vasovagal Symptoms Among Pediatric and Young Adult Patients Undergoing Peripheral IV Catheter Insertion (2018) |
Auteurs : | Laura McIntyre-Patton ; Shannon Wanderski ; Deb Graef |
Type de document : | Article |
Dans : | Journal of Pediatric Nursing (Vol. 38, January/February 2018) |
Article en page(s) : | p. 53-56 |
Note générale : | DOI: https://doi.org/10.1016/j.pedn.2017.09.012 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Cathétérisme périphérique ; Essai clinique ; Pédiatrie ; Signes et symptômes |
Mots-clés: | Sémiologie vagale ; Technique de croisement de jambes ; Tension musculaire |
Résumé : |
Peripheral intravenous (PIV) catheter insertion is a common procedure that can cause vasovagal symptoms. Lower extremity muscle tensing techniques decrease these symptoms in adults. However, there are no studies examining this technique in the pediatric population.
Objective This study aims to determine whether pediatric patients are able to perform the technique and to determine the effects of this technique on vasovagal symptoms in a pediatric population. Design, Setting, Participants A parallel-group randomized controlled trial was conducted with 28 patients cared for in a pediatric surgery unit. Intervention Patients randomized to the experimental group performed the leg crossing and muscle tensing technique during PIV placement. Patients in the control group received standard care during PIV placement. Primary Outcome Measure The primary outcome measure was the frequency of experiencing at least one vasovagal sign or symptom which included nausea, vomiting, dizziness, pallor, sweating/diaphoresis, and fainting. Results Patients randomized to perform the technique were able to perform it without difficulty. There was a lower frequency of experiencing vasovagal symptoms among patients in the experimental group (15%) compared to patients in the control group (62.5%) (Fisher's exact test, p = 0.02). The number of vasovagal symptoms experienced by patients in the experimental group (M = 0.3) was significantly lower than the number of vasovagal symptoms experienced by patients in the control group (M = 1.13), t(26) = 2.302, p = 0.03. Conclusion A leg crossing technique is a low cost, low risk, and effective strategy to teach to pediatric patients resulting in reducing vasovagal symptoms. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
---|---|---|---|---|
REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |