The Use of the Buzzy, Jet Lidokaine, Bubble-blowing and Aromatherapy for Reducing Pediatric Pain, Stress and Fear Associated with Phlebotomy

Alemdar, Dilek Küçük; Aktaş, Yeşim Yaman

doi:10.1016/j.pedn.2019.01.010

Cited by 37 publications

(27 citation statements)

References 39 publications

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“…Standard care for the management of acute procedural pain in the pediatric setting includes simple distraction techniques (eg, music, coloring, singing, and talking) and the application of numbing cream. 7 , 8 , 9 A 2008 survey of child life specialists found that VR intervention was one of the strategies used least frequently for pediatric pain management, 10 even though a randomized clinical trial found that VR was an effective intervention for this purpose. 11 An abbreviated Cochrane review similarly found that, across 28 randomized clinical trials of psychological interventions for pain management, nonpharmacological distraction interventions were among the most beneficial in supporting the reduction of pain and distress among children undergoing needle-related procedures.…”

Section: Introductionmentioning

confidence: 99%

Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting

et al. 2021

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Key Points Question Does a virtual reality (VR) intervention compared with standard care improve pain and anxiety outcomes among patients undergoing peripheral intravenous catheter (PIVC) placement in the pediatric setting? Findings In this randomized clinical trial of 107 patients undergoing PIVC placement in 2 pediatric clinical settings plus their caregivers and clinicians, a VR intervention significantly reduced mean patient-reported post-PIVC anxiety and pain, caregiver-reported perceptions of patients’ pain, and clinician-reported perceptions of patients’ pain and anxiety. Meaning In this study, a VR intervention significantly decreased pain and anxiety among patients undergoing PIVC placement in the pediatric setting.

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Section: Introductionmentioning

confidence: 99%

Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting

et al. 2021

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“…All 22 items of the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) reporting guidelines were addressed (28). (20) No data reported 1 (1)…”

Section: Discussionmentioning

confidence: 99%

“…The CFS is scored from 0 to 4, with the higher score indicating greater fear (17). This assessment has documented high reliability and validity (17) and has been used to examine fear and anxiety during activities such as venipuncture (17), intramuscular injection (19), and blood draws (20).…”

Section: Fearmentioning

confidence: 99%

Use of Audiobooks as an Environmental Distractor to Decrease State Anxiety in Children Waiting in the Pediatric Emergency Department: A Pilot and Feasibility Study

et al. 2021

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Objectives: Anxiety and anticipatory stressors are commonly experienced by children visiting the Pediatric Emergency Department (PED), but little research exists that addresses the efficacy of interventions to decrease this stress. This one-sample pretest-postest pilot study gathered preliminary data on the feasibility and effectiveness of utilizing audiobooks to reduce fear and state anxiety in children in the PED.Methods: Participants were 131 children in kindergarten through 8th grade (M = 9.4 years, 54% female), triaged urgent or emergent, presenting to the PED. Participants self-reported fear (Children's Fear Scale) and state anxiety (modified State-Trait Anxiety Inventory for Children; mSTAIC) before and after listening to an age-appropriate audiobook (two options). Data regarding patient experience were also collected. Paired samples t-test was used to examine pre–post intervention changes in fear and state anxiety.Results: Significant, albeit small, improvements in fear and the mSTAIC states of nervous, calm, happy, and relaxed were found after use of the audiobook (Cohen's dz = 0.22–0.35). Small, yet significant correlations were found between child age/grade level and improvements in fear and in the mSTAIC states of scared and relaxed, suggesting that the audiobook was more beneficial for older participants. Over 60% of participants liked the audiobook content “a lot” as well as enjoyed listening to the audiobook “a lot.” Without prompting, 15% of participants requested to listen to an additional audiobook.Conclusions: Listening to an audiobook is feasible and could be effective in decreasing fear and state anxiety for children during a waiting period in the PED. The technology is low-cost, simple, and portable. The results of this study should be interpreted with prudence due to the lack of a control group and results that, although significant, were modest based on effect size conventions; future studies should explore the impact of audiobooks on patient stress with an expanded sample size and control group.

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“…[11] tarafından yürütülen randomize klinik araştırmada, çocuk cerrahi servisinde tedavi gören 7-12 yaş grubu çocuklara periferik damar yolu açılma işlemi sırasında Buzzy kullanılan çocukların daha az ağrı ve anksiyete deneyimledikleri saptanmıştır. Küçük Alemdar ve Yaman Aktaş'ın, [28] 5-10 yaş grubu çocuklarda kan alma işlemi sırasında Buzzy, Jet lidokain, köpük üfleme ve lavanta esanslı inhalasyon aromaterapisinin etkisini karşılaştırdıkları çalışmada, Buzzy'nin ağrıyı azaltmada diğer yöntemlerden daha etkili olduğu belirtilmiştir. Tork'un [3] acil kliniğine başvuran 7-12 yaş çocuklarda damar yolu açılması sırasında oluşan ağrıyı azaltmada Buzzy, dikkati başka yöne çekme kartları ve balon şişirme yöntemlerinin etkisinin karşılaştırıldığı çalışmada, Buzzy grubundaki çocukların diğer gruptaki çocuklara göre daha az ağrı deneyimledikleri belirlenmiştir.…”

Section: Discussionunclassified

Reduction of pain during intravenous cannulation in children: Buzzy application

Semerci

Kocaaslan

Kostak

et al. 2020

Agri

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Bu çalışma, çocuklarda periferik damar yolu açma işlemi sırasında oluşan ağrıyı azaltmada Buzzy'nin etkisini incelemek amacıyla randomize kontrollü olarak yapıldı. Gereç ve Yöntem: Çalışma, Trakya Üniversitesi Sağlık Araştırma ve Uygulama Merkezi, Çocuk Acil Servisine başvuran 7-12 yaş grubundaki 56 çocuk ile yürütüldü. Veriler 'Aile ve Çocuk Veri Toplama Formu' , 'Wong Baker Yüz İfadelerini Derecelendirme Ölçeği' ile toplandı. Periferik damar yolu açma işlemi sırasında tüm gruplarda damar görüntüleme cihazı kullanılırken, deney grubuna ağrıyı azaltmak amacıyla 'Buzzy' kullanıldı. Çocukların ağrıları hemşire ve çocukların öz bildirimleriyle değerlendirildi. Verilerin değerlendirilmesinde; tanımlayıcı istatistikler, Wilcoxon t testi, Mann Whitney U testi ve korelasyon analizi kullanıldı. Sonuçlar %95 güven aralığında ve anlamlılık p<0.05 düzeyinde değerlendirildi. Bulgular: Çocukların yaş ortalaması 8.37±1.96 yıl ve %58.9'u erkekti. Deney grubundaki çocukların işlem sırasındaki ağrı puanı 3.40±3.56, kontrol grubundakilerin ise 3.76±3.06 idi. Hemşirenin deney grubu için bildirdiği ağrı puanı 4.53±3.44, kontrol grubu için 3.76±2.73 idi. Gruplara göre çocukların ve hemşirenin bildirdiği ağrı puanları arasında anlamlı bir fark yoktu (p<0.05). Ancak hemşirenin bildirdiği ağrı puanları ile çocukların bildirdiği puanlar arasında anlamlı fark vardı (p=0.034). Sonuç: Periferik damar yolu açma işlemi sırasında oluşan ağrıyı azaltmada Buzzy'nin etkili olmadığı belirlendi. Hemşirenin bildirdiği ağrı düzeyi, çocukların bildirdiklerinden fazlaydı. Çocuk acil servislerinde çalışan hemşirelere ağrı değerlendirmesi ve dikkati başka yöne çekme yöntemlerinin kullanılması ile ilgili eğitim verilmesi önerilmektedir.

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The Use of the Buzzy, Jet Lidokaine, Bubble-blowing and Aromatherapy for Reducing Pediatric Pain, Stress and Fear Associated with Phlebotomy

Cited by 37 publications

References 39 publications

Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting

Effect of an Immersive Virtual Reality Intervention on Pain and Anxiety Associated With Peripheral Intravenous Catheter Placement in the Pediatric Setting

Use of Audiobooks as an Environmental Distractor to Decrease State Anxiety in Children Waiting in the Pediatric Emergency Department: A Pilot and Feasibility Study

Reduction of pain during intravenous cannulation in children: Buzzy application

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