Department of Pediatric Nursing, Faculty of Health Science, Bingöl University, Bingöl, Turkey.
J Child Adolesc Psychiatr Nurs. 2024 Aug;37(3):e12478. doi: 10.1111/jcap.12478.
The objective of this study was to investigate the impact of bubble-blowing and ball-squeezing interventions on children's levels of anxiety, fear, and pain during venipuncture procedures.
This study was designed as a randomized controlled trial. Out of 108 children aged 5-10 years, 72 were allocated to the two experimental groups, while 36 were assigned to the control group. The levels of anxiety, fear, and pain experienced by the children were assessed using the "Wong-Baker FACES® Pain Rating Scale," "Child Anxiety Scale-State," and "Child Fear Scale," respectively. Intergroup comparisons were analyzed using one-way ANOVA, while intragroup comparisons were conducted using Wilks' Lambda analysis.
It was observed that 50% of the children in the control group, 47.2% in the bubble-blowing group, and 47.2% in the ball-queezing group did not receive information about the painful procedure. Anxiety, fear, and pain scores of all groups were statistically similar in the initial measurement without any intervention. Children in the bubble-blowing and ball-squeezing groups experienced lower anxiety, fear, and pain during and at the end of the painful procedures.
The study discovered that interventions involving bubble blowing and ball squeezing significantly decreased children's levels of anxiety, fear, and pain both during and after intravenous procedures. Information on procedures, alongside interactive techniques like bubble blowing and ball squeezing, helps pediatric nurses calm children, easing anxiety, fear, and pain. Implementing these strategies enhances treatment experiences and confidence in healthcare.
本研究旨在探讨吹气泡泡和挤压皮球干预措施对儿童静脉穿刺过程中焦虑、恐惧和疼痛水平的影响。
本研究设计为随机对照试验。在 108 名 5-10 岁的儿童中，72 名被分配到两个实验组，而 36 名被分配到对照组。使用“Wong-Baker FACES®疼痛评定量表”、“儿童焦虑量表-状态”和“儿童恐惧量表”分别评估儿童的焦虑、恐惧和疼痛水平。使用单向方差分析进行组间比较，使用 Wilks' Lambda 分析进行组内比较。
对照组 50%、吹气组 47.2%和挤压皮球组 47.2%的儿童未获得有关疼痛程序的信息。在没有任何干预的初始测量中，所有组的焦虑、恐惧和疼痛评分在统计学上相似。吹气组和挤压皮球组的儿童在疼痛过程中和结束时焦虑、恐惧和疼痛水平较低。
研究发现，吹气和挤压皮球干预措施显著降低了儿童在静脉程序期间和之后的焦虑、恐惧和疼痛水平。有关程序的信息，以及吹气和挤压皮球等互动技术，有助于儿科护士安抚儿童，减轻焦虑、恐惧和疼痛。实施这些策略可以改善治疗体验并增强对医疗保健的信心。
