Effects of cartoon watching and bubble-blowing during venipuncture on pain, fear, and anxiety in children aged 6–8 years: A randomized experimental study

ÜĞÜCÜ>, Güzide; Uysal, Derya; Polat, Ozlem Guzel; ARTUVAN, Zühal; Külcü, Didem Polat; Aksu, Döne; Altintas, Melek Gulgun; Çetin, Hacer; Temel, Gülhan Örekici

doi:10.1016/j.pedn.2022.03.016

Cited by 12 publications

(4 citation statements)

References 31 publications

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“…In the total group of children, significantly lower levels of real anxiety were observed in the video-distraction group (p<0.001) during the procedure. [6][7][8] But it contrast with the findings from the study conducted at Menoufia University Hospital Egypt which revealed that the application of virtual reality distraction had appositive effect on reducing pain and anxiety during the venipuncture among school age children and it is recommended that applying virtual reality goggle during the venipuncture in clinical setting to reduce pain intensity and anxiety level. 9 The reason behind this could be using different tool for assessing data during the study which is similar with the study done in Western Reserve University, USA, Lowa and in Chitwan Nepal which shows that there is decrease in heart rate in the video group and, video distraction was used to minimize the anxiety in children undergoing cast room procedure [9][10][11][12] which was consistent with the findings of other research.…”

Section: Discussionmentioning

confidence: 65%

Effectiveness of Using Video Clip on Reduction of Anxiety During Venipuncture among Children in a Selected Hospital of Eastern Nepal

Khatri,

Yadav,

Chaudhary

et al. 2024

jhas

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Introduction: Venipuncture can produce extreme anxiety to children who undergo it. Video clip as distraction is a simple technique which does not require any specific training and can be implemented by nurses, parents or other health staff members in any settings. Besides, it has a minimal cost and implies no risks for the children. This study aimed to assess the anxiety of children during venipuncture and determine the effectiveness of video clip in reducing anxiety. Methods: A posttest only experimental research was conducted in BP Koirala Institute of Health Sciences (BPKIHS), Dharan Nepal including 50 school age children undergone venipuncture. Random sampling technique was applied to recruit respondents. Respondents were randomly assigned either to the experimental or control group with 25 in each. The Experimental group were shown video clip 3 minutes prior to the venipuncture till 3 minutes after completion of venipuncture while Control group had gone a routine venipuncture procedure only during venipuncture. Pearson’s chi square test and Fisher’s exact test was used for the analysis of anxiety response of both group. Results: Showing video clips was effective in reducing venipuncture in children (p=0.001). Among the participants, 72% had high anxiety in control group while it was 24% in experimental group. In a same way 76% had low anxiety in the experiment group while it was 28% among control group. There is a significant difference in the anxiety level between the study and control group (p=0.001). Conclusion: This study suggests that video clip is safe and cost effective method in reduction of anxiety in children undergoing venipuncture.

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Section: Discussionmentioning

confidence: 65%

Effectiveness of Using Video Clip on Reduction of Anxiety During Venipuncture among Children in a Selected Hospital of Eastern Nepal

Khatri,

Yadav,

Chaudhary

et al. 2024

jhas

View full text Add to dashboard Cite

show abstract

“…Disagreements emerged were resolved by comparison and discussion or possible diriment opinion of other author (VT). Thirteen studies were excluded because they did not meet inclusion criteria [1,6,14,[48][49][50][51][52][53][54][55][56][57] (Table S2) while 24 were included in systematic review and quantitative synthesis [25][26][27][28][29][30][31][58][59][60][61][62][63][64][65][66][67][68][69][70][71][72][73][74].…”

Section: Summary Of Findingsmentioning

confidence: 99%

Effectiveness of cartoons for children's procedural pain: a systematic review with meta-analysis.

Re,

D'Elia,

Aloia

et al. 2024

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BACKGROUND: Cartoons are widely used distraction techniques for nonpharmacological management of procedural pain in pediatric settings. There are a few studies in the literature evaluate the effect of intervention on procedural pain, but a systematic review aimed at providing a summary of the overall effect is lacking. AIM: To summarize the available evidence on effectiveness of cartoons for children’s procedural pain. METHODS: Searching for parallel-group controlled trials was carried out on thirteen biomedical databases, five trial registries, web resources and gray literature sources from each database or resource setup date to 22 January 2023. Primary outcome was procedural pain, secondary outcome was anxiety. RoB 2 and ROBINS-I were used to assess risk of bias of included studies. RESULTS: 24 trials were selected for this review, which included a total of 3046 pediatric subjects. Children who watch cartoons during medical procedures experience less pain (SMD= -1.29; 95% CI: -1.75, -0.83; N=2239) and anxiety (UMD= -1.75; 95% CI: -2.94, -0.56; N=552) compared to children provided standard of care; for both outcomes, results are statistically significant. GRADE method shows moderate certainty/quality of evidence. CONCLUSIONS: Cartoons are more effective than standard of care in reducing procedural pain and anxiety in children. Pending future studies confirming the results, we recommend their implementation in daily clinical practice even in care settings with limited resources.

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“…The venous blood vessel display instrument designed in this paper uses the mixed arrangement and combination of LED light beads of different wavelengths to design two targeted venous blood vessel displays, taking into account the diverse patient population. Two kinds of light sources, namely 620-625nm red light source and 660-665nm plant red light source, are selected for adult dual light source design; Amber light with the wavelength of 595-600nm and orange light with the wavelength of 660-665nm were selected for children's dual light source design, and certain cartoon elements were added to induce childlike fun [17][18]. The adult dual band hybrid light source has a long wavelength and strong penetration, which can filter thinner blood vessels and display coarse blood vessels, which is suitable for adults, patients with thicker palms and darker skin; The children's dual band hybrid light source has short wavelength and weak penetration, which can display thinner blood vessels, which is suitable for infants, patients with thin palms and light skin.…”

Section: Light Source Modulementioning

confidence: 99%

Subcutaneous vein display device based on dual wavelength LED source

Lin,

Song,

Zhang

et al. 2023

3rd International Conference on Laser, Optics, and Optoelectronic Technology (LOPET 2023)

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Purpose: Development of subcutaneous LED vein display device, which is convenient for infusion at night or in dark light and in emergency, to improve the success rate of venipuncture. Method: The adult model uses red light and plant red, and the children model uses orange light and amber LED dual light source design, the lamp beads are connected in axisymmetric form, and automatic sensing is realized through the infrared sensor module. Result: During venipuncture, the infrared sensor module drives the LED to light up when the palm is placed above the display to assist the medical staff in finding blood vessels. Conclusion: The display device can clearly display the position of blood vessels without projecting the subcutaneous blood vessels onto the skin surface in situ, which improves the probability of successful venipuncture once.

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Effects of cartoon watching and bubble-blowing during venipuncture on pain, fear, and anxiety in children aged 6–8 years: A randomized experimental study

Cited by 12 publications

References 31 publications

Effectiveness of Using Video Clip on Reduction of Anxiety During Venipuncture among Children in a Selected Hospital of Eastern Nepal

Effectiveness of Using Video Clip on Reduction of Anxiety During Venipuncture among Children in a Selected Hospital of Eastern Nepal

Effectiveness of cartoons for children's procedural pain: a systematic review with meta-analysis.

Subcutaneous vein display device based on dual wavelength LED source

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