Peripheral intravenous catheterization (PIVC) is a frequently performed invasive procedure in pediatric emergency departments and is often associated with fear and distress in children. Children with difficult intravenous access (DIVA) may require multiple attempts for successful catheterization, which can increase fear, anxiety, and procedure time. Non-pharmacological distraction techniques are commonly used to reduce procedural distress in children.
This randomized controlled study aims to evaluate the effect of a musical-moving toy used as a distraction method during peripheral intravenous catheterization on children's fear levels, procedure success, and procedure duration. The study will be conducted in the pediatric emergency department of Antalya City Hospital in Türkiye.
Children aged 4-6 years with difficult intravenous access will be randomly assigned to either an intervention group or a control group. In the intervention group, a musical-moving toy will be used during the catheterization procedure to distract the child, while the control group will receive standard care without the toy.
Fear levels will be measured using the Children's Fear Scale. Procedure success will be evaluated by the number of attempts required to successfully insert the catheter, and procedure duration will be recorded using a stopwatch.
The findings of this study may contribute to improving pediatric procedural care by providing an effective, low-cost, and easily applicable distraction method during intravenous catheterization.
Children aged 4-6 years
Children requiring peripheral intravenous catheterization in the pediatric emergency department
Children with a Difficult Intravenous Access (DIVA) score ≥4
Children whose parents or legal guardians provide informed consent for participation
Children with cognitive or developmental disorders that may interfere with fear assessment
Children with visual or hearing impairments preventing interaction with the distraction toy
Children who require urgent or life-saving interventions
Children whose parents decline participation in the study
Parallel
Musical-Moving Toy Distraction
Other interventionA musical-moving toy will be used as a distraction technique during peripheral intravenous catheterization. The toy will be presented to the child during the procedure to attract attention and reduce fear and distress associated with the catheterization process.
Fear Level During IV Catheterization
Fear levels of children will be assessed during the IV catheterization procedure using the Children's Fear Scale. Scores range from 0 to 4, with higher scores indicating greater fear.
Procedure Success
Procedure success will be evaluated based on whether peripheral intravenous catheterization is successfully completed and the number of attempts required.
Procedure Duration
Procedure duration will be measured using a stopwatch and defined as the time from the start of catheterization preparation until successful catheter placement.
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