The Effect of 3 Methods (Buzzy, ShotBlocker, and DistrACTION Cards) Used While Taking Blood Samples From Children with Pain and Anxiety

Abstract

Objectives:The aim of this study was to compare the effectiveness of 3 methods (Buzzy, ShotBlocker, and DistrACTION Cards) in reducing pain and anxiety while taking venous blood samples in children. Methods: The study population consisted of children aged 9 to 12 years admitted to the Child Health and Diseases Department in a Faculty of Medicine in Turkey. The sample of the study consisted of 242 children (Buzzy = 60, ShotBlocker = 61, DistrACTION Cards = 60, control = 61) who met the patient selection criteria and agreed to participate in the study. The data were obtained using an Information Form, the State-Trait Anxiety Inventory for Children, visual analog scale, and the Faces Pain Scale-Revised.Design: This article is an experimental randomized controlled study. Results: During venous blood collection, the scores of visual analog scale were significantly lower in ShotBlocker, Buzzy, and DistrACTION Cards groups than the control group. It was also observed that the control group experienced more anxiety than the other groups.Conclusions: Methods such as Buzzy, ShotBlocker, and DistrACTION Cards can be used to reduce the anxiety and pain of children during painful procedures such as blood collection and vascular access. Among these methods, "Buzzy" and "DistrACTION Cards" can be preferred as it is equally effective, and then ShotBlocker can be preferred.

Effectiveness and safety of Buzzy device in needle-related procedures for children under twelve years of age: A systematic review and meta-analysis

“…The results of the risk of bias assessment for all studies are presented in Figure 2 . Although all studies claimed to have conducted random allocation, four of them [ 12 , 21 , 22 , 24 ] did not explicitly mention the method used for randomization, resulting in an unclear risk of bias. Regarding allocation concealment bias, eight studies did not clearly specify allocation concealment [ 12 , 13 , 15 , 22 , 24 , 28 , 30 ] resulting in an unclear risk of bias.…”

“…Two studies [ 13 , 21 ] lacked available protocols and were not registered as clinical trials, resulting in an unclear risk of bias. In terms of other biases, seven studies [ 12 , 15 , 17 , 24 , 25 ] were categorized as unclear risk of bias due to reasons such as baseline characteristic imbalances or randomization type.…”

“…Compared to the ShotBlock control group, a total of 4 studies [ 16 , 19 , 20 , 24 ] analyzed the effects of the Buzzy device on self-reported pain [SMD = −0.29, 95% CI (−0.71 to 0.12), I 2 = 71%, P = .17, Figure S3, Supplemental Digital Content, http://links.lww.com/MD/M60 ]. Additionally, 2 studies [ 16 , 20 ] examined its impact on pain reported by parents [SMD = 0.09, 95% CI (−0.95 to 1.13), I 2 = 86%, P = .86, Figure S4, Supplemental Digital Content, http://links.lww.com/MD/M61 ], and the same studies analyzed its effects on observer-reported pain [SMD = −0.09, 95% CI (−0.66 to 0.48), I 2 = 56%, P = .76, Figure S5, Supplemental Digital Content, http://links.lww.com/MD/M62 ].…”

“…In comparison to the no-treatment control group, a total of 6 studies [20,[23][24][25][26][27] analyzed the effect of the Buzzy device on self-reported anxiety [SMD = −1.97, 95% CI (−3.05 to −0.88), I 2 = 96%, P = .0004], the corresponding forest plots can be found in Figure 4. A total of 5 studies [13,16,20,23,25] analyzed its effect on parent-reported anxiety [SMD = −2.01, 95% CI (−2.93 to −1.08), I 2 = 93%, P < .0001, Figure S21, Supplemental Digital Content, http://links.lww.com/MD/M78], and seven studies [13][14][15][16]20,23,25] considered its impact on observer-reported anxiety [SMD = −1.92, 95% CI (−2.64 to −1.19), I 2 = 94%, P < .00001, Figure S22, Supplemental Digital Content, http:// links.lww.com/MD/M79].…”

Effect of Buzzy and Watching Cartoons on Venipuncture Pain among Children Undergoing Phlebotomy

“…The International Association for the Study of Pain (IASP) states that pain is an uncomfortable emotional and sensory event related to, or similar to, existing or potential tissue damage ( Raja etal.,2020). Pain is considered the "fifth vital sign" that needs to be monitored in medical care and is one of the significant events in children's lives (Sivri, et al, 2022).…”