Whelan Hilary M, Kunselman Allen R, Thomas Neal J, Moore Jeffrey, Tamburro Robert F
Pennsylvania State University College of Medicine, Hershey, PA, USA.
Pennsylvania State University College of Medicine, Hershey, PA, USA Penn State Hershey Children's Hospital, Hershey, PA, USA.
Clin Pediatr (Phila). 2014 Oct;53(12):1189-95. doi: 10.1177/0009922814538494. Epub 2014 Jun 12.
To assess the impact of a locally applied vibrating device on outpatient venipuncture in children.
A retrospective review of survey data collected prospectively as part of a quality improvement project. Both patients and phlebotomists were surveyed. The sample consisted of 64 children aged 4 to 18 years (29 prior to the implementation of the vibrating device and 35 afterward) and 7 phlebotomists.
Prior to the use of the vibrating device, 17 children (59%) indicated that they wished something had been done to decrease venipuncture pain. Eighty percent of the cohort that used the vibrating device indicated that they would like it used for future procedures. Children with previous venipuncture experiences appeared to benefit most from use of the vibrating technique. The phlebotomists reported that vibration made the procedure easier in 81% of the cases; none reported that it complicated the procedure.
Locally applied vibration appears to be a well-accepted technique to minimize pediatric venipuncture discomfort that may facilitate completion of the procedure.
评估局部应用振动装置对儿童门诊静脉穿刺的影响。
回顾性分析作为质量改进项目一部分前瞻性收集的调查数据。对患者和采血人员均进行了调查。样本包括64名4至18岁的儿童（使用振动装置前29名，使用后35名）和7名采血人员。
在使用振动装置之前，17名儿童（59%）表示希望采取措施减轻静脉穿刺疼痛。使用振动装置的儿童队列中，80%表示希望在未来的操作中使用该装置。有过静脉穿刺经历的儿童似乎从使用振动技术中获益最大。采血人员报告称，81%的情况下振动使操作更容易；没有人报告振动使操作变得复杂。
局部应用振动似乎是一种广泛接受的技术，可将儿童静脉穿刺的不适降至最低，这可能有助于完成操作。
