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Electrophysiological Measurements and Analysis of Nociception in Human Infants
Published on: December 20, 2011
The effect of two different methods on reducing the pain and fear during phlebotomy to children: A randomized
1Ministry of Health, Bucak State Hospital, Burdur, Turkey.
Insights
Distraction methods like soap bubble blowing and ball squeezing effectively reduce pain and fear in children during phlebotomy. Soap bubble blowing was particularly effective in reducing children's fear during the procedure.
Area of Science:
- Pediatric Nursing
- Pain Management
- Child Psychology
Background:
- Effective management of pain and fear in children during medical procedures is crucial to prevent long-term anxiety.
- Mismanagement can lead to significant distress for both children and their parents.
Purpose of the Study:
- To evaluate the efficacy of two distinct distraction techniques in mitigating pain and fear.
- To compare the effects of soap bubble blowing and ball squeezing during pediatric phlebotomy.
Main Methods:
- A randomized controlled trial involving 111 children aged 6-12 years undergoing phlebotomy.
- Children were allocated to three groups: soap bubble blowing, ball squeezing, or a control group.
- Pain and fear were assessed using the Wong Baker Faces Pain Rating Scale and the Children's Fear Scale.
Main Results:
- Both soap bubble blowing and ball squeezing significantly reduced pain scores compared to the control group (p < 0.001).
- The soap bubble blowing group exhibited significantly lower fear scores than both the ball squeezing and control groups (p < 0.001).
Conclusions:
- Active distraction methods are effective nursing interventions for reducing pain and fear during pediatric phlebotomy.
- Soap bubble blowing emerged as a more effective method for reducing fear compared to ball squeezing.
Introduction:
Reducing pain and fear during painful medical procedures in children is important since mismanagement of pain causes the child and parent to feel anxious, which can have negative long-term consequences. This study aimed to evaluate the effects of two different distraction methods in reducing pain and fear during the phlebotomy procedure in children.
Method:
The study, which has a randomized controlled experimental design was conducted between July and October 2020 with 111 children aged 6-12 years who underwent phlebotomy in the emergency department of a public hospital and their parents. The children were randomly assigned to soap bubble blowing (n:37), ball squeezing (n:37) and control (n:37) groups. During the phlebotomy, soap bubble blowing, and ball squeezing methods were used as active distraction methods. Data were collected using the Wong Baker Faces Pain Rating Scale, and the Children's Fear Scale.
Results:
The pain scores of the soap bubble blowing group and the ball squeezing group during the phlebotomy procedure were found to be lower than the control group (p < 0.001). In addition, the soap bubble blowing group had lower fear scores than the ball squeezing and control groups (p < 0.001).
Conclusion:
The active distraction methods used in the study reduced pain and fear during the phlebotomy procedure. In addition, the method of soap bubble blowing was found to be a more effective method in reducing fear. Distraction methods should be used as a nursing intervention to reduce pain and fear during the phlebotomy procedure in children.
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