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嗡嗡蜜蜂装置对学龄儿童侵入性刺痛时疼痛感知的有效性:一项干预性研究。

Effectiveness of the Buzzy Bee device on pain perception during invasive pricks among school age children: An interventional study.

作者信息

Al Battashi Ghadeer, Al-Shibli Zainab Said, Alghafri Abeer Issa, Alyazeedi Omar Mohammed, Alkalbani Ali Saif, Francis Frincy, Gopakumar G

机构信息

Staff Nurse, Sultan Qaboos University Hospital, Muscat, Oman.

Staff Nurse, Sohar Hospital, Muscat, Oman.

出版信息

J Educ Health Promot. 2024 Aug 29;13:290. doi: 10.4103/jehp.jehp_107_24. eCollection 2024.

DOI:10.4103/jehp.jehp_107_24
PMID:39416985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11482354/
Abstract

BACKGROUND

Children often develop phobia toward needle pricks and invasive procedures. It is difficult for medical personnel to manage children's pain when they are in the hospital. When it comes to assessing and treating children's discomfort, nurses interact with them the most. The main objective of the study was to evaluate the effectiveness of the Buzzy Bee device on pain perception among children undergoing invasive needle pricks as part of their treatment.

MATERIALS AND METHODS

The study used a quantitative approach with a quasi-experimental design employing simple random sampling. A post-test-only design was used. After obtaining ethical clearance, data collection was done in the pediatric outpatient department and pediatric wards of Sultan Qaboos University Hospital, Muscat, Oman, between February 2020 and August 2021. Faces Pain Rating Scale for children was used to rate the pain during the procedure, which is a standardized tool. Data were analyzed using SPSS version 23. Descriptive and inferential statistical tests were done to analyze the data.

RESULTS

Totally, 120 children along with their parents were interested in the study. After taking appropriate parental consent and children's assent, the participants were recruited by simple random sampling. They were equally divided into 60 in the experimental group and 60 in the control group. The mean age was 8.14 (+/-2.3) in both groups. Among the 120 samples, 63 (52.5%) of them were males and 57 (47.5%) were females. The majority of them had diagnoses like thalassemia, leukemia, and sickle cell and were getting cannulated for blood transfusion therapy. -test shows that 51.7% (31 samples) reported no pain in the experimental group and 33.3% (20 samples) reported only mild pain, whereas in the control group, only 5.0% (3 samples) reported no pain and 21.7% (13 samples) reported mild pain. About 26.7% of the samples reported very much pain as against the 7% who reported very much pain in the interventional group. There was a statistically significant difference in the pain scores between the control group and the experimental group (likelihood ratio test, = 0.0001). The Buzzy Bee method significantly reduced the pain.

CONCLUSION

The introduction of a toy-like, child-friendly device, which works on the mechanism of vibrations and cold application, lessened the pain intensity during the procedure and acted as a good distractive therapy for children.

摘要

背景

儿童常常会对针刺和侵入性操作产生恐惧。医护人员在医院里很难应对儿童的疼痛。在评估和治疗儿童的不适时,护士与他们的互动最为频繁。本研究的主要目的是评估嗡嗡蜂装置对接受侵入性针刺治疗的儿童疼痛感知的效果。

材料与方法

本研究采用定量研究方法,采用简单随机抽样的准实验设计。采用仅后测设计。在获得伦理批准后,于2020年2月至2021年8月期间在阿曼马斯喀特苏丹卡布斯大学医院的儿科门诊部和儿科病房进行数据收集。使用儿童面部疼痛评分量表对操作过程中的疼痛进行评分,这是一种标准化工具。使用SPSS 23版对数据进行分析。进行描述性和推断性统计测试以分析数据。

结果

共有120名儿童及其父母对该研究感兴趣。在获得适当的家长同意和儿童同意后,通过简单随机抽样招募参与者。他们被平均分为实验组60名和对照组60名。两组的平均年龄均为8.14(±2.3)。在这120个样本中,63名(52.5%)为男性,57名(47.5%)为女性。他们中的大多数被诊断为地中海贫血、白血病和镰状细胞病,并正在接受输血治疗的插管操作。检验显示,实验组中51.7%(31个样本)报告无疼痛,33.3%(20个样本)仅报告轻度疼痛,而在对照组中,只有5.0%(3个样本)报告无疼痛,21.7%(13个样本)报告轻度疼痛。约26.7%的样本报告非常疼痛,而干预组中这一比例为7%。对照组和实验组的疼痛评分存在统计学显著差异(似然比检验,P = 0.0001)。嗡嗡蜂方法显著减轻了疼痛。

结论

引入一种类似玩具、对儿童友好的装置,该装置通过振动和冷敷机制发挥作用,减轻了操作过程中的疼痛强度,并对儿童起到了良好的分散注意力的治疗作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/8149a267df92/JEHP-13-290-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/d77827b4f11e/JEHP-13-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/9b273dcddf40/JEHP-13-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/8149a267df92/JEHP-13-290-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/d77827b4f11e/JEHP-13-290-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/9b273dcddf40/JEHP-13-290-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/62f8/11482354/8149a267df92/JEHP-13-290-g003.jpg

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The Effectiveness of the Buzzy Device in Reducing Pain in Children Undergoing Venipuncture: A Single-Center Experience.Buzzy 装置在减轻儿童静脉穿刺疼痛中的有效性:单中心经验。
Pediatr Emerg Care. 2023 Oct 1;39(10):760-765. doi: 10.1097/PEC.0000000000003011. Epub 2023 Jul 22.
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The effect of buzzy and cold spray on pain, anxiety, and fear of children during venipuncture in pediatric emergency department in Turkey; A randomized controlled study.
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