Effectiveness of External Cold and Vibration for Procedural Pain Relief During Peripheral Intravenous Cannulation in Pediatric Patients
Effectiveness of External Cold and Vibration for Procedural Pain Relief During Peripheral Intravenous Cannulation in Pediatric Patients
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DOI：
10.1016/j.pmn.2014.03.003
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发表时间：
2015-02-01
影响因子：
1.7
通讯作者：
Inal, Sevil
中科院分区：
文献类型：
--
作者：
Canbulat, Nejla;Ayhan, Fatma;Inal, Sevil
本研究的目的是探讨外部冷和振动刺激通过嗡嗡声对疼痛和焦虑水平的儿童外周静脉（IV）插管。本研究为前瞻性随机对照试验。样本包括176名7至12岁的儿童，他们被随机分配到两组：对照组没有接受外周静脉插管干预，实验组通过Buzzy接受外部寒冷和振动。同一名护士对所有儿童进行外周静脉插管，同一名研究人员对所有儿童施加外部寒冷和振动。在外周静脉插管手术前1分钟进行外部冷却和振动，并持续至手术结束。使用儿童恐惧量表评估术前焦虑，沿着由儿童、其父母和观察者报告。使用儿童恐惧量表以及家长和观察者的报告评估手术焦虑。使用Wong Baker面部量表和儿童的视觉模拟量表自我报告评估手术疼痛。术前焦虑无显著差异。两组的比较显示，在外周静脉插管期间，实验组的疼痛和焦虑水平显著低于对照组。嗡嗡声可以被认为提供了寒冷和振动的有效组合。该方法可由儿科护士在儿科外周静脉插管期间使用。(C)美国疼痛管理护理学会（American Society for Pain Management Nursing）
The aim of this study was to investigate the effect of external cold and vibration stimulation via Buzzy on the pain and anxiety level of children during peripheral intravenous (IV) cannulation. This study was a prospective, randomized controlled trial. The sample consisted of 176 children ages 7 to 12 years who were randomly assigned to two groups: a control group that received no peripheral IV cannulation intervention and an experimental group that received external cold and vibration via Buzzy. The same nurse conducted the peripheral IV cannulation in all the children, and the same researcher applied the external cold and vibration to all the children. The external cold and the vibration were applied 1 minute before the peripheral IV cannulation procedure and continued until the end of the procedure. Pre-procedural anxiety was assessed using the Children's Fear Scale, along with reports by the children, their parents, and an observer. Procedural anxiety was assessed with the Children's Fear Scale and the parents' and the observer's reports. Procedural pain was assessed using the Wong Baker Faces Scale and the visual analog scale self-reports of the children. Preprocedural anxiety did not differ significantly. Comparison of the two groups showed significantly lower pain and anxiety levels in the experimental group than in the control group during the peripheral IV cannulation. Buzzy can be considered to provide an effective combination of coldness and vibration. This method can be used during pediatric peripheral IV cannulation by pediatric nurses. (C) 2015 by the American Society for Pain Management Nursing