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Relief of pain during blood specimen collection in pediatric patients
1Pediatric Clinic of Cerrahpas¸ a Medical Faculty, Istanbul University, Bakirkoy, Istanbul, Turkey. inalsevil@yahoo.com
Insights
External cold and vibration stimulation using Buzzy significantly reduced pain and anxiety in children during blood draws. This non-invasive method effectively managed procedural discomfort without impacting collection success.
Area of Science:
- Pediatric Pain Management
- Medical Device Technology
- Child Psychology
Background:
- Blood specimen collection is often associated with significant pain and anxiety in children.
- Effective non-pharmacological interventions are needed to improve pediatric procedural experiences.
- The Buzzy device offers a novel approach using cold and vibration stimulation.
Purpose of the Study:
- To evaluate the efficacy of the Buzzy device in mitigating pain and anxiety during pediatric blood collection.
- To compare pain and anxiety levels between children receiving Buzzy stimulation and a control group.
- To assess the impact of Buzzy on the success rate of blood specimen collection.
Main Methods:
- A randomized controlled trial was conducted with 120 children aged 6-12 years undergoing phlebotomy.
- Participants were randomized to either a control group or an experimental group using the Buzzy device.
- Pain and anxiety were assessed using validated scales (Children's Anxiety and Pain Scale, Faces Pain Scale-Revised) and observer/parent reports.
Main Results:
- The experimental group utilizing Buzzy demonstrated statistically significant reductions in both pain (p < .001) and anxiety (p < .001) compared to the control group.
- The Buzzy device did not negatively affect the success rate of blood specimen collection procedures.
- Objective and subjective measures corroborated the findings of decreased pain and anxiety.
Conclusions:
- External cold and vibration stimulation via the Buzzy device is an effective method for reducing perceived pain in children during blood collection.
- The Buzzy device successfully lowered anxiety levels in pediatric patients undergoing phlebotomy.
- Buzzy presents a safe and effective non-pharmacological intervention for managing procedural pain and anxiety in children.
Purpose:
To investigate the effect of external cold and vibration stimulation via Buzzy on pain and anxiety levels of children during blood specimen collection.
Study Design And Methods:
This study was a randomized controlled trial. The sample consisted of 120 children aged from 6 to 12 years undergoing phlebotomy. We randomly assigned subjects to a control group (no intervention) or an experimental group that received external cold and vibration via a device called Buzzy. External cold and vibration were applied just before the blood specimen collection procedure and continued until the end of the procedure. Preprocedural and procedural anxiety were assessed using the children's anxiety and pain scale along with parent and observer reports. Procedural pain was assessed via the faces pain scale-revised along with self-report of children, and parents' and observer's reports.
Results:
The experimental group showed significantly lower pain (p < .001) and anxiety levels (p < .001) compared to the control group during the blood specimen collection procedure. Use of Buzzy did not cause a significant difference in the success of the blood specimen collection procedure.
Clinical Implications:
Use of external cold and vibration via Buzzy decreased perceived pain and reduced children's anxiety during blood specimen collection.
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