Compilation and testing the reliability of questionnaires about the fear of blood extraction (venipuncture) among students of Мedical Faculty of Kragujevac

Sunčica Ivanović; Suzana Milutinović

doi:10.5937/afmnai38-25165

Sunčica Ivanović Akademija vaspitačko-medicinskih strukovnih studija Kruševac-odsek Ćuprija
Suzana Milutinović Medical Faculty of Novi Sad

DOI: https://doi.org/10.5937/afmnai38-25165

Keywords: questionnaire, reliability, fear of needles and blood collection

Abstract

Introduction: It is of particular importance to use validated questionnaires to remove fear of needles and blood collection, as this public health problem has been observed in a large number of patients and may inadequately affect medical healthcare.

Aim: Testing the reliability of the questionnaire on fear of blood sampling among the students of the Medical Faculty of Kragujevac.

Methods: In this research a cross-sectional study was used. The sample consisted of students at the Medical Faculty of Kragujevac, a total of 300, which makes 20% of the population of students at said faculty. The research instrument was The Blood-Injection Symptom Scale (BISS) questionnaire consisting of 22 questions. The survey was conducted during a one month period in 2016. Statistical data processing was performed using IBM SPSS Statistics 21.

Results: Cronbach’s Alpha value–0.894 and other parameters used to determine reliability,

showed a high reliability of this questionnaire. After explorative factor analysis we got 3 factors that most affect adverse outcomes for venepuncture –Vasovagal symptoms that occur as a result of fear. Fear of needles and consequences of puncture, and fear of hospitals and the person who takes blood samples.

Conclusion: The BISS questionnaire showed good reliability in the population of students of the Faculty of Medicine in Kragujevac and can be used in the general population for examining needle fear, the consequences of stabbing, fear of hospitals and people taking blood samples, and therefore to prevent these symptoms.

Keywords: questionnaire, reliability, fear of needles and blood collection

References

1. Bienvenu OJ, Eaton WW. The epidemiology of blood-injection-injury phobia. Psychol Med. 1998; 28(5):1129-36.
2. Kleinknecht RA, Thorndike RM. The Mutilation Questionnaire as a predictor of blood/injury fear and fainting. Behav Res Ther. 1990; 28(5): 429-37.
3. Chapman LK, DeLapp R. Nine Session Treatment of a Blood–Injection–Injury Phobia With Manualized Cognitive Behavioral Therapy: An Adult Case Example. Clinical Case Studies 1534650113509304, first published on October 30, 2013.
4. Ducasse D. et al. Blood-injection-injury phobia: Physochophysiological and therapeutical specificities. Encephale. 2013; 39(5): 326-31.
5. Engel, G. Psychologic stress, vasodepressor (vasovagal) syncope and sudden death. Ann Intern Med. 1978; 89(3): 403-12.
6. Graham, D. Prediction of fainting in blood donors. Circulation. 1961; 23: 901-6.
7. Page AC, Bennett KS, Carter O, Smith J, Woodmore K. The Blood-Injection Symptom Scale (BISS): assessing a structure of phobic symptoms elicited by blood and injections. Behav Res Ther. 1997; 35(5): 457-64.
8. Wani AL, Ara A, Bhat SA. Blood Injury and Injection Phobia: The Neglected One. Behav Neurol. 2014; 2014: 471340.
9. Deacon B, Abramowitz J. Fear of needles and vasovagal reactions among phlebotomy patients. J Anxiety Disord. 2006; 20(7): 946-60.
10. Borda Mas М, López Jiménez АМ, Ángeles Pérez San Gregorio М. Blood-injection Phobia Inventory (BIPI): Development, reliability and validity. Аnales de psicología. 2010; 26(1): 58-71.