Yılmaz Dilek, Heper Yasemin, Gözler Leyla
Department of Nursing, School of Health, Uludag University, Turkey.
Dr. Raşit Durusoy Blood Bank, Uludag University, Turkey.
Pain Manag Nurs. 2017 Aug;18(4):260-267. doi: 10.1016/j.pmn.2017.03.005. Epub 2017 Jun 7.
Phlebotomy causes pain and discomfort to adults. The objective of this study was to investigate the effect of the use of Buzzy on phlebotomy satisfaction and pain relating to the phlebotomy process in healthy adult blood donors voluntarily donating blood. This was a prospective, randomized, controlled experimental study. The research sample was made up of 90 healthy adult men. These individuals were randomly assigned to an experimental group (Buzzy group), a placebo control group, and a nonintervention control group. For the individuals in the experimental group, the ice wings of the Buzzy device, frozen solid in the refrigerator, were placed approximately 5 centimeters above the intervention site from 1 minute before the procedure until the end of the needle location process. When the device was operated, it applied vibration and cold to the site. For individuals in the placebo control group, the Buzzy device was also located approximately 5 centimeters above the intervention site from 1 minute before the procedure until the end of the needle location process, but with the ice wings at room temperature (unfrozen) and with the vibration switch remaining off. For the nonintervention control group, no intervention was implemented before the procedure. Immediately after entry to the vein, pain levels and levels of phlebotomy satisfaction were assessed in individuals in all groups. A statistically significant difference was determined between the mean pain and phlebotomy satisfaction scores of individuals in the experimental and control groups (p < .05). Results indicate that use of the Buzzy device was an effective method of reducing the pain of phlebotomy and increasing phlebotomy satisfaction in healthy adult male blood donors.
静脉穿刺会给成年人带来疼痛和不适。本研究的目的是调查使用Buzzy对健康成年无偿献血者静脉穿刺过程中的满意度和疼痛的影响。这是一项前瞻性、随机、对照实验研究。研究样本由90名健康成年男性组成。这些个体被随机分配到实验组（Buzzy组）、安慰剂对照组和非干预对照组。对于实验组的个体，将在冰箱中冷冻成固体的Buzzy设备的冰翼，在操作前1分钟至针头定位过程结束期间，放置在干预部位上方约5厘米处。当设备运行时，会对该部位施加振动和冷敷。对于安慰剂对照组的个体，Buzzy设备同样在操作前1分钟至针头定位过程结束期间放置在干预部位上方约5厘米处，但冰翼处于室温（未冷冻）且振动开关关闭。对于非干预对照组，在操作前不进行任何干预。所有组的个体在静脉穿刺成功后，立即评估疼痛程度和静脉穿刺满意度。实验组和对照组个体的平均疼痛和静脉穿刺满意度得分之间存在统计学显著差异（p < 0.05）。结果表明，使用Buzzy设备是减轻健康成年男性无偿献血者静脉穿刺疼痛并提高静脉穿刺满意度的有效方法。
