Semerci Remziye, Akarsu Özlem, Kılıç Derya
Koç University, School of Nursing, Department of Child Health and Disease Nursing, İstanbul, Turkey.
Istanbul Medeniyet University, Faculty of Health Sciences, Department of Nursing, Department of Child Health and Diseases, Istanbul, Turkey.
J Pediatr Nurs. 2023 Jan-Feb;68:e1-e7. doi: 10.1016/j.pedn.2022.08.019. Epub 2022 Sep 9.
It was aimed to evaluate the efficacy of Buzzy and cold spray in reducing pain, anxiety, and fear of children during venipuncture in the emergency department (ED).
This study is an experimental, parallel-group (intervention-control), randomized controlled, single-blind design. The study was conducted with 161 children aged 5-12 years in pediatric ED. Data were collected by the 'Personal Information Form', 'Wong Baker-Facial Expression Rating Scale', 'Child Anxiety Statement Scale', and 'Child Fear Inventory'. Data were analyzed with descriptive statistics, Mann Whitney U test, Kruskal Wallis H test, and Intraclass Correlation.
Descriptive features of the children were homogeneous. 'Wong Baker-Facial Expression Rating Scale', 'Child Anxiety Statement Scale', and 'Child Fear Scale' score averages of the children in the control group were higher than the children in the Buzzy group and the cold spray group (p < 0.001). The pain scores of the Buzzy group were higher than those in the cold spray group (p < 0.001). The anxiety and fear mean scores of the children in the Buzzy and cold spray groups were similar (p > 0.05).
It was determined that Buzzy and cold spray were more effective than standard care in reducing the level of pain, anxiety, and fear in children ages 5-12 years during venipuncture in the pediatric emergency. The cold spray was more effective in reducing pain than Buzzy.
Nurses can use Buzzy and cold sprays to manage the fear, anxiety, and pain associated with venipuncture.
旨在评估Buzzy和冷喷雾在急诊科（ED）静脉穿刺过程中减轻儿童疼痛、焦虑和恐惧方面的疗效。
本研究为实验性、平行组（干预-对照）、随机对照、单盲设计。在儿科急诊科对161名5至12岁的儿童进行了研究。通过“个人信息表”、“面部表情疼痛评分量表（Wong Baker）”、“儿童焦虑量表”和“儿童恐惧量表”收集数据。采用描述性统计、曼-惠特尼U检验、克鲁斯卡尔-沃利斯H检验和组内相关分析数据。
儿童的描述性特征具有同质性。对照组儿童的“面部表情疼痛评分量表（Wong Baker）”、“儿童焦虑量表”和“儿童恐惧量表”得分平均值高于Buzzy组和冷喷雾组儿童（p<0.001）。Buzzy组的疼痛评分高于冷喷雾组（p<0.001）。Buzzy组和冷喷雾组儿童的焦虑和恐惧平均得分相似（p>0.05）。
确定在儿科急诊静脉穿刺过程中，Buzzy和冷喷雾在减轻5至12岁儿童的疼痛、焦虑和恐惧水平方面比标准护理更有效。冷喷雾在减轻疼痛方面比Buzzy更有效。
护士可使用Buzzy和冷喷雾来应对与静脉穿刺相关的恐惧、焦虑和疼痛。
