pain management strategies for children with blood diseases and cancer during venipuncture and iv line insertion: a descriptive-analytical study on nurses

Background: children with blood diseases are frequently subjected to invasive treatments such as venipuncture and iv line insertion (v-ivli). pain from v-ivli harms children. nurses’ efforts to relieve patients’ pain is an important responsibility. most studies have examined the effectiveness of various methods of pain relief during v-ivli. however, it is also important to study how nurses deal in the situation. this study aimed to determine nurses’ strategies for relieving pain in children with blood diseases and cancer while v-ivli.methods: this study was conducted in a pediatric hospital in northeastern iran in 2025. the study instrument was a semi-structured questionnaire that collected demographic information, data on nurses’ v-ivli skills, and nurses’ relaxation strategies. nurses from outpatient chemotherapy, and hematology departments were surveyed using a census method. data were analyzed in spss 24.results: a total of 40 subjects (55% female) with a mean age of 30.80 years were studied. 80% of the nurses stated that they did not succeed in v-ivli on the first attempt. only 37.5% of the nurses believed that they had been adequately prepared for v-ivli through the training system. nurses described v-ivli skills as poor in 20.5% of cases. greeting with the child, using distraction techniques, verbally obtaining the child’s consent, and changing the child’s position were the most frequently used strategies. conclusions: this study showed that nurses use pain relief strategies well in children during v-ivli; however, training was not sufficient to perform a successful v-ivli and this skill needs to be strengthened.