Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Hanan Mohamed Mohamed Tork

doi:doi:10.11648/j.ajns.20170601.14

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Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department

Hanan Mohamed Mohamed Tork

Published in American Journal of Nursing Science (Volume 6, Issue 1)

Received: 16 December 2016 Accepted: 26 December 2016 Published: 20 January 2017

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Abstract

Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer- and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.

Published in	American Journal of Nursing Science (Volume 6, Issue 1)
DOI	10.11648/j.ajns.20170601.14
Page(s)	26-32
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Buzzy, Distraction, Venipuncture, Children Pain, Anxiety

References

[1]	Srouji R., Ratnapalan S. &Schneeweiss S. Pain in Children: Assessment and Non-pharmacological Management. International Journal of Pediatrics. Volume 2010, Article ID 474838, 11 pages doi:10.1155/2010/474838.
[2]	Blount, R. L., Zempsky, W. T., Jaaniste, T., Evans, S., Cohen, L. L., Devine, K. A., et al. Management of pain and distress due to medical procedures. In M. C. Roberts, & R. Steele (Eds.), Handbook of pediatric psychology (4^th ed.), 2009; pp.171-188. New York: Guilford Press.
[3]	Inal S. &Kelleci M. Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw. International Journal of Nursing Practice 2012; 18: 210–219.
[4]	Leahy, S., Kennedy, R. M., Hesselgrave, J., Gurwitch, K., Barkey, M., & Millar, T. F. On the front lines: Lessons learned in implementing multidisciplinary peripheral venous access pain-management programs pediatric hospitals. Pediatrics, 2008; 122 (Suppl. 3), S161-S170.
[5]	Vetri-Buratti C, Angelino F, Sansoni J, Fabriani L, Mauro L, Latina R. Distraction as a technique to control pain in pediatric patients during venipuncture. A narrative review of literature. 2015 Jan-Mar;68(1):52-62. doi: 10.7429/pi.2015.681052.
[6]	Baxter, A. L., Cohen, L. L., McElvery, H. L., Lawson,M. L., & von Baeyer, C. L. (2011). An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatric Emergency Care, 27, 1151–1156.
[7]	Cohen, L. L. (2008). Behavioral approaches to anxiety and pain management for pediatric venous access. Pediatrics, 122 (3, Suppl.), S134-S139.
[8]	Canbulat N., Inal S., Sönmezer H. (2014a): Efficacy of Distraction Methods on Procedural Pain and Anxiety by Applying Distraction Cards and Kaleidoscope in Children.Asian Nursing Research 8, 23-28.
[9]	Jimenez N, Bradford H, Seidel KD, et al. A comparison of a needle-free injection system for local anesthesia versus EMLA for intravenous catheter insertion in the pediatric patient.AnesthAnalg2006;102:411-4.
[10]	Pershad, J., Steinberg, S. C., & Waters, T. M. (2008). Cost effectiveness analysis of anesthetic agents during peripheral intravenous cannulation in the pediatric emergency department. Archives of Pediatrics and Adolescent Medicine, 162, 952–961.
[11]	Uman LS, Birnie KA, Noel M, Parker JA, Chambers CT, McGrath PJ &Kisely SR (2013) Psychological interventions for needle related procedural pain and distress in children and adolescents. Cochrane Database of Systematic Reviews, Issue 10, Art. No.: CD005179.
[12]	Wohlheiter KA &Dahlquist LM (2013) Interactive versus passive distraction for acute pain management in young children: the role of selective attention and development. Journal of Pediatric Psychology 38, 202–212.
[13]	Mutlu B &Balcı S (2015) Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: a randomized controlled trial. Journal for Specialists in Pediatric Nursing 20, 178–186.
[14]	Ali S, McGrath T & Drendel AL (2016) An evidence-based approach to minimizing acute rocedural pain in the emergency department and beyond. Pediatric Emergency Care 32, 36–42.
[15]	Inal S & Canbulat N (2015) Using of distraction methods on procedural pain management of pediatric patients. Journal of Health Science and Profession 2, 372–378.
[16]	Uman LS, Chambers CT, McGrath PJ &Kisely S (2008) A systematic review of randomized controlled trials examining psychological interventions for needle-related procedural pain and distress in children and adolescents: an abbreviated Cochrane review. Journal of Pediatric Psychology 33, 842–854.
[17]	Sadeghi T, Mohammadi N, Shamshiri M, Bagherzadeh R & Hossinkhani N (2013) Effect of distraction on children’s pain during intravenous catheter insertion. Journal for Specialists in Pediatric Nursing 18, 109–114.
[18]	Aydin D, Sahiner N. C. and Ciftci E. K. (2016) Comparison of the effectiveness of three different methods indecreasing pain during venipuncture in children: ball squeezing, balloon inflating and distraction cards. Journal of Clinical Nursing, 25, 2328–2335, doi: 10.1111/jocn.13321.
[19]	Vessey JA, Carison KL, McGill J. Use of distraction with children during an acute pain procedure. Nursing Research 1994; 43: 369–372.
[20]	Vessey JA, Carison KL, McGill J. Use of distraction with children during an acute pain procedure. Nursing Research 1994; 43: 369–372.
[21]	Canbulat, N., Şahiner, N., İnal, S., Sevim, &Akbay, A. (2015). The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children. Journal of perianesthesia nursing, 30, 228–235.http://dx.doi.org/10.1016/j. jopan.2014.05.011.
[22]	Moadad N., Kozman K., Shahine R., Ohanian S., Badr L.K. Distraction Using the BUZZY for Children During an IV Insertion. Journal of Pediatric Nursing (2016) 31, 64–72.
[23]	Navarro C. M. and Marquez G. G. Video-Distraction System to Reduce Anxiety and Pain in Children Subjected to Venipuncture in Pediatric Emergencies. Pediatric Emergency Care and Medicine: Open Access, 2016; Vol. 1 No. 1: 4.
[24]	Sparks L. Taking the ‘ouch’ out of injections for children. MCN. The American Journal of Maternal Child Nursing 2001; 26: 72–78.
[25]	Klassen J, Liang Y, Tjosvold L, Klassen T, Hartling L. Music for pain and anxiety in children undergoing medical procedures. A systematic review of randomized controlled trials. Acute Pain 2008; 10: 106.
[26]	Kearl Y. L. Yanger S, Montero S., Morelos-Howard E., Ilene Claudius M Kearl C. M. Does Combined Use of the J-tip® and Buzzy® Device Decrease the Pain of Venipuncture in a Pediatric Population? Journal of Pediatric Nursing (2015) 30, 829–833.
[27]	Canbulat, N., Ayhan, F., &Inal, S. (2014b). Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Management Nursing, 16, 33–39.
[28]	Bellieni CV, Cordelli DM, Raffaelli M, Ricci B, Morgese G, et al. (2006) Analgesic effect of watching TV during venipuncture. Arch Dis Child 91: 1015-1017.
[29]	Canadian Pain Society (2015) Position Statement.
[30]	Stinson JN, Kavanagh T, Yamada J, et al. Systematic review of the psychometric properties, interpretability and feasibility of self-report pain intensity measures for use in clinical trials in children and adolescents. Pain. 2006;125(1Y2):143Y157.
[31]	Melzack, R., & Wall, P.D. (1965). Pain mechanisms: A new theory. Science, 150, 971-979.
[32]	Rollins J. A., (2016): Effects of Vibration Therapy in Pediatric Immunizations. Pediatric Nursing, May-June Vol. 42/No. 3.
[33]	Czarnecki ML, Turner H, Collins PM, Doellman D, Wrona S & Reynolds J (2011) Procedural pain management: a position statement with clinical practice recommendations. Pain Management Nursing 12, 95-111.
[34]	Schechter, N. L., Zempsky, W. T., Cohen, L. L., McGrath, P. J., McMurtry, C. M., & Bright, N. S. (2007). Pain reduction during pediatric immunizations: Evidence based review and recommendations. Pediatrics, 119(5), 1184e1198. http://dx.doi.org/10.1542/peds.2006-1107
[35]	Bagnasco A, Pezzi E, Rosa F, Fornonil L &Sasso L (2012) Distraction techniques in children during venipuncture: an Italian experience. Journal of Preventive Medicine and Hygiene 53, 44-48.
[36]	Luthy, K. E., Beckstrand, R. L., & Pulsipher, A. (2012). Evaluation of methods to relieve parental perceptions of vaccine-associated pain and anxiety in children: A pilot study. Journal of Pediatric Health Care, 27(5), 351e358. http://dx.doi.org/10.1016/j.pedhc.2012.02.009.
[37]	Whelan, H. M., Kunselman, A. R., Thomas, N. J., Moore, J., & Tamburro, R. F. (2014). The impact of a locally applied vibrating device onoutpatient venipuncture in children. Clinical Pediatrics (Phila),53(12), 1189-1195. doi:10.1177/0009922814538494.
[38]	Sahiner NC & Bal MD (2015) The effects of three different distraction methods on pain and anxiety in children. Journal of Child Health Care 2, 1–9.
[39]	Gupta D, Agarwal A, Dhiraaj S, Tandon M, Kumar M, Singh RS, Singh PK & Singh U (2006) An evaluation of efficacy of balloon inflation on venous cannulation pain in children: a prospective, randomized, controlled study. Anesthesia and Analgesia 102, 1372–1375.
[40]	Uman LS, Chambers CT, McGrath PJ &Kisely S (2006) Psychological interventions for needle-related procedural pain and distress in children and adolescents. Cochrane Database of systematic Reviews, Issue 4, Art. No. CD005179.

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APA Style

Hanan Mohamed Mohamed Tork. (2017). Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. American Journal of Nursing Science, 6(1), 26-32. https://doi.org/10.11648/j.ajns.20170601.14

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ACS Style

Hanan Mohamed Mohamed Tork. Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. Am. J. Nurs. Sci. 2017, 6(1), 26-32. doi: 10.11648/j.ajns.20170601.14

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AMA Style

Hanan Mohamed Mohamed Tork. Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. Am J Nurs Sci. 2017;6(1):26-32. doi: 10.11648/j.ajns.20170601.14

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@article{10.11648/j.ajns.20170601.14,
  author = {Hanan Mohamed Mohamed Tork},
  title = {Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {1},
  pages = {26-32},
  doi = {10.11648/j.ajns.20170601.14},
  url = {https://doi.org/10.11648/j.ajns.20170601.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170601.14},
  abstract = {Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer- and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.},
 year = {2017}
}

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TY  - JOUR
T1  - Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department
AU  - Hanan Mohamed Mohamed Tork
Y1  - 2017/01/20
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170601.14
DO  - 10.11648/j.ajns.20170601.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 26
EP  - 32
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170601.14
AB  - Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer- and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.
VL  - 6
IS  - 1
ER  -

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Author Information

Hanan Mohamed Mohamed Tork

Department of Maternal and Child Health Nursing, College of Nursing, Qassim University, Qassim, Kingdom of Saudi Arabia

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APA Style

Hanan Mohamed Mohamed Tork. (2017). Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. American Journal of Nursing Science, 6(1), 26-32. https://doi.org/10.11648/j.ajns.20170601.14

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ACS Style

Hanan Mohamed Mohamed Tork. Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. Am. J. Nurs. Sci. 2017, 6(1), 26-32. doi: 10.11648/j.ajns.20170601.14

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AMA Style

Hanan Mohamed Mohamed Tork. Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department. Am J Nurs Sci. 2017;6(1):26-32. doi: 10.11648/j.ajns.20170601.14

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@article{10.11648/j.ajns.20170601.14,
  author = {Hanan Mohamed Mohamed Tork},
  title = {Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department},
  journal = {American Journal of Nursing Science},
  volume = {6},
  number = {1},
  pages = {26-32},
  doi = {10.11648/j.ajns.20170601.14},
  url = {https://doi.org/10.11648/j.ajns.20170601.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajns.20170601.14},
  abstract = {Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer- and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.},
 year = {2017}
}

Copy | Download

TY  - JOUR
T1  - Comparison of the Effectiveness of Buzzy, Distracting Cards and Balloon Inflating on Mitigating Pain and Anxiety During Venipuncture in a Pediatric Emergency Department
AU  - Hanan Mohamed Mohamed Tork
Y1  - 2017/01/20
PY  - 2017
N1  - https://doi.org/10.11648/j.ajns.20170601.14
DO  - 10.11648/j.ajns.20170601.14
T2  - American Journal of Nursing Science
JF  - American Journal of Nursing Science
JO  - American Journal of Nursing Science
SP  - 26
EP  - 32
PB  - Science Publishing Group
SN  - 2328-5753
UR  - https://doi.org/10.11648/j.ajns.20170601.14
AB  - Background Painful medical procedures in childhood may have long-term negative effects on development and future tolerance of pain, evidence suggests that a significant number of children receive less than optimal management of procedure-related pain Objective The present study aim to investigate the efficacy of three interventions methods (Buzzy, distracting cards and balloon inflating) on mitigating pain and anxiety associated with venipuncture in a group of pediatric patients. Methods A prospective randomized clinical trial with children who required venipuncture and aged 7 to12 years was conducted in a pediatric ED. Data were obtained by conducting interviews with the children, their parents, and the observer. The pain levels of the children were assessed by the parent, observer as well as self-report using the Faces Pain Scale-Revised (FPS-R). The anxiety levels of children were assessed using Children Fear Scale (CFS). Results One hundred and eighty children (mean age, 9.3±1.9 years) were included. The pain levels of children showed statistically significant differences between the groups in the self-, observer- and parent-reported procedural pain (p = 0.012, p = 0.036, p = 0.014 respectively).No significant differences were observed between the groups in procedural child anxiety levels according to the parents and observer (p =0. 42, 0.13 respectively). Conclusion The results of the study suggests that the distraction method through Buzzy, distraction cards and balloon inflating are effectively decreased pain levels of children compared with the control group according to self-report, parent-report and observer-report.
VL  - 6
IS  - 1
ER  -

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