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Efficacy of the Buzzy System for pain relief during venipuncture in children: a randomized controlled trial
Volkan Susam1, Marie Friedel, Patrizia Basile
1General Medical Ward, ASST Monza-San Gerardo, San Gerardo Hospital, Italy.. volksusam@hotmail.it.
Insights
The Buzzy System with distraction cards effectively reduced needle pain in children during venipuncture compared to "magic gloves." This highlights the importance of caregiver involvement in managing pediatric procedural pain.
Area of Science:
- Pediatric Pain Management
- Child Psychology
- Medical Device Efficacy
Background:
- Procedural pain, especially needle pain, is a significant stressor for pediatric patients.
- Inadequate pain prevention can lead to long-term psychological effects like anxiety and phobias.
- The Buzzy System is a device designed to mitigate procedural pain in children.
Purpose of the Study:
- To evaluate the effectiveness of the Buzzy System in reducing pain perception during venipuncture in children.
- To compare the Buzzy System's efficacy against a control intervention ('magic gloves').
Main Methods:
- A randomized controlled trial involving 72 children aged 3-10 years undergoing venipuncture.
- Participants were randomized into either the Buzzy System with distraction cards group or the 'magic gloves' control group.
- Pain perception was assessed using the Visual Analogue Scale (VAS), Wong-Baker Scale (WBS), and Numeric Rating Scale (NRS).
Main Results:
- Sixty-four children completed the study (34 experimental, 30 control).
- The Buzzy System group reported significantly lower pain levels (mean 3.65) compared to the control group (mean 4.67) (p=.039).
- Caregivers expressed satisfaction with the Buzzy System intervention.
Conclusions:
- The Buzzy System, when combined with distraction cards, demonstrated superior pain reduction compared to the 'magic glove' technique.
- The study emphasizes the critical role of caregiver involvement in managing pediatric procedural pain.
- Pediatric nurses should empower children and caregivers to actively participate in venipuncture procedures.
Background And Aim Of The Work:
procedural pain is a significant issue for paediatric patients. In particular, needle pain is amongst the most stressful for children. Studies revealed that a large number of children do not receive adequate pain prevention during the procedures. Neglecting the prevention of needle pain can cause several psychological effects such as anxiety and phobias, and increase perceptions of pain in the future. We aimed to verify the efficacy of Buzzy System in reducing pain during venipuncture.
Methods:
A randomized control trial was conducted among 72 children aged 3 to 10 years undergoing venipuncture. Children were randomly assigned to The Buzzy with distraction cards group (experimental group) or to "magic gloves" group (control group). Perception of pain was measured through the Visual Analogue Scale (VAS), the Wong-Baker Scale (WBS) and the Numeric Rating Scale (NRS).
Results:
Sixty-four children participated in the study, 34 in the experimental group and 30 in the control group. The experimental group showed significantly lower levels of pain (p=.039; 95% CI: -2,11; -0,06) in terms of the mean=3.65±2.011; median=3, compared to the control group (mean: 4.67±2.14, median=4). Caregivers were satisfied with the Buzzy System.
Conclusion:
The Buzzy System combined to distraction cards showed a greater reduction of perceived pain than "magic glove" technique. This study underlines the importance of active involvement of caregivers during procedural pain in children. Pediatric nurses have an important role in empowering children and caregivers to be interactive during venipunctures.
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