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Factors associated with documented distress during venipuncture in routine health checkups
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DOI：10.3389/fpsyt.2026.1866329.png)
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Abstract
En 中文
PurposeBlood-drawing procedures are among the most commonly performed medical interventions in clinical practice and are routinely conducted during preventive health examinations. However; needle-related procedures may provoke fear and anxiety in some individuals and may influence healthcare experiences and engagement. Despite extensive research on needle fear in vaccination and pediatric contexts; limited attention has been paid to venipuncture-related distress during routine health examinations.Patients and methodsA retrospective cross-sectional study was conducted using health examination records from a tertiary medical center in Taiwan. Adults who underwent routine health examinations between January 1; 2023; and May 31; 2024 were eligible. Individuals younger than 18 years; those who did not undergo venipuncture; and records with incomplete data were excluded. Documented behavioral and physiological responses during venipuncture were used as proxy indicators of venipuncture-related distress. Bivariate analyses and multivariable logistic regression models were performed to evaluate associated factors.ResultsAmong 15; 932 participants included in the final analysis; 162 individuals (1.02%) had documented behavioral or physiological distress during venipuncture. Participants with documented distress were significantly younger and had lower systolic blood pressure. In multivariable analysis; younger age (adjusted odds ratio (OR) = 0.96; 95% CI: 0.94–0.98); lower systolic blood pressure (adjusted OR = 0.98; 95% CI: 0.97–0.99); and colonoscopy (adjusted OR = 3.49; 95% CI: 2.01–6.06) were associated with documented distress.ConclusionApproximately 1% of adults undergoing routine health examinations had observable venipuncture-related distress documented in routine nursing records. Recognition of needle-related distress during venipuncture may facilitate earlier identification of affected individuals and support strategies to improve patient experience during preventive healthcare.
Keywords:
preventive healthcare
venipuncture
needle fear
blood-drawing procedures
health examinations
vasovagal response
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