Clinical Research Directory
Browse clinical research sites, groups, and studies.
Nurse-Delivered First-Aid Education for Recurrent Pediatric Epistaxis
Sponsor: Cairo University
Summary
Nosebleeds (epistaxis) are common in children and can cause anxiety for children and their caregivers. Although most nosebleeds can be managed at home using simple first-aid techniques, caregivers may not know the correct steps to stop bleeding or prevent repeated episodes. This randomized controlled trial evaluated whether a nurse-delivered first-aid education program could improve caregivers' knowledge and practical skills and reduce recurrent nosebleeds and related healthcare visits among children aged 3-14 years. The study involved 144 caregiver-child pairs at a tertiary hospital in Al-Ahsa, Saudi Arabia. Participants were randomly assigned to one of two groups. The intervention group received an individual nurse-led education session lasting approximately 40-45 minutes, practical demonstrations and teach-back exercises, illustrated Arabic educational materials, and two follow-up telephone calls at weeks 2 and 6. The comparison group received usual medical care and advice. Caregivers' first-aid knowledge and skills were assessed at the beginning of the study and again at 4 and 12 weeks. The main outcome was caregivers' ability to correctly demonstrate nosebleed first aid at 12 weeks. Other outcomes included first-aid knowledge, the number and duration of nosebleeds, whether bleeding could be stopped at home within 15 minutes, and unplanned healthcare visits. The study aimed to determine whether a brief, structured nursing education program could help families manage recurrent childhood nosebleeds more effectively.
Official title: Nurse-Delivered First-Aid Education for Recurrent Pediatric Epistaxis: A Randomized Controlled Trial of Knowledge, Skills, and Recurrence-Related Healthcare Use
Key Details
Gender
All
Age Range
3 Years - Any
Study Type
INTERVENTIONAL
Enrollment
144
Start Date
2026-07-20
Completion Date
2026-10-12
Last Updated
2026-10-27
Healthy Volunteers
No
Conditions
Interventions
Nurse-Delivered First-Aid Education
A structured caregiver education program delivered individually by a trained nurse. The intervention consisted of one 40-45-minute face-to-face educational session covering the causes and triggers of pediatric epistaxis, correct positioning, continuous compression of the soft part of the nose, preventive measures, and warning signs requiring medical attention. The session incorporated demonstration, return demonstration, and teach-back. Caregivers received a two-page illustrated Arabic leaflet and a refrigerator reminder magnet. Two reinforcement telephone calls were provided at weeks 2 and 6. The intervention was delivered alongside usual clinical care.
Usual Care
Routine clinical management for recurrent pediatric epistaxis provided through standard otorhinolaryngology services. Care included clinical assessment, standard physician advice, and any treatment considered necessary by the treating clinician. Participants did not receive the structured nurse-delivered first-aid education program or its scheduled reinforcement components during follow-up.
Locations (1)
faculty of nursing Cairo university
Cairo, Egypt