Relieving pain and distress during venipuncture: Pilot study of the Japan Environment and Children's Study (JECS).
Pain management for needle-related procedures is poor in Japan. In many countries the use of lidocaine/prilocaine cream for the relief of pain associated with venipuncture has been approved. In children, a psychological approach has also been shown to be effective in reducing pain with venipuncture. We developed a multidisciplinary procedure that combines a cream (2.5% lidocaine and 2.5% prilocaine) and pharmacological approaches such as preparation, education, positioning and distraction. We evaluated the feasibility and acceptability of the procedure for young children. Among 132 pediatric participants, 58.3% did not cry during venipuncture. According to caregiver questionnaire, 71.9% felt that the multidisciplinary procedure eliminated the fear of needle-related procedures in the children; 90.9% were satisfied with it and 75.8% thought it should be applied to all children undergoing venipuncture. The present results suggest that the multidisciplinary procedure is feasible, acceptable and suitable for use in children undergoing venipuncture.
Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.|Department of Health and Psychosocial Medicine, School of Medicine, Aichi Medical University, Aichi, Japan.
Kiwako
K
Yamamoto-Hanada
Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.
Masaki
M
Futamura
Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.|Department of General Pediatrics, Miyagi Children's Hospital, Miyagi, Japan.
Hiroshi
H
Kitazawa
Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.
Yukihiro
Y
Ohya
Department of Health and Psychosocial Medicine, School of Medicine, Aichi Medical University, Aichi, Japan.
Fumio
F
Kobayashi
Department of Pediatrics, Kyushu University Hospital, Fukuoka, Japan.
Takeshi
T
Kusuda
Research Center for Environment and Developmental Sciences, Kyushu University, Fukuoka, Japan.
Masafumi
M
Sanefuji
South Kyushu and Okinawa Regional Center for the Japan Environment and Children's Study, Kumamoto University, Kumamoto, Japan.
Masako
M
Oda
South Kyushu and Okinawa Regional Center for the Japan Environment and Children's Study, Kumamoto University, Kumamoto, Japan.
Hiroshi
H
Mitsubuchi
Department of Obstetrics and Gynecology, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Eiji
E
Shibata
Department of Environmental Health, School of Medicine, University of Occupational and Environmental Health, Fukuoka, Japan.
Mayumi
M
Tsuji
Department of Environmental and Preventive Medicine, School of Medicine, Jichi Medical University, Tochigi, Japan.
Fujio
F
Kayama
Department of Pediatrics, School of Medicine, Jichi Medical University, Tochigi, Japan.
Yuko
Y
Nakano
National Center for the Japan Environment and Children's Study, National Institute for Environmental Studies, Ibaraki, Japan.
Eiko
E
Suda
National Center for the Japan Environment and Children's Study, National Institute for Environmental Studies, Ibaraki, Japan.
Takehiro
T
Michikawa
South Kyushu and Okinawa Regional Center for the Japan Environment and Children's Study, Kumamoto University, Kumamoto, Japan.
Takahiko
T
Katoh
Medical Support Center for Japan Environment and Children's Study, National Center for Child Health and Development, Tokyo, Japan.
Hirohisa
H
Saito
D002675:Child, Preschool; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D007564:Japan / Q000453:epidemiology; D008297:Male; D010146:Pain / Q000175:diagnosis* / Q000453:epidemiology; D059408:Pain Management / Q000379:methods*; D010147:Pain Measurement / Q000379:methods*; D010865:Pilot Projects; D011379:Prognosis; D012189:Retrospective Studies
distress; lidocaine/prilocaine cream; pain; psychological intervention in venipuncture