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Helfer 皮肤轻敲技术和 Buzzy® 应用对儿童接种疫苗时疼痛和恐惧水平的影响:一项随机对照试验。

Effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by children during vaccination: A randomized controlled trial.

机构信息

Tarsus University, Faculty of Health Sciences, Nursing Department, Mersin, Türkiye.

Sakarya University of Applied Sciences, Faculty of Health Sciences, Nursing Department, Sakarya, Türkiye.

出版信息

J Pediatr Nurs. 2024 Nov-Dec;79:e278-e284. doi: 10.1016/j.pedn.2024.10.037. Epub 2024 Nov 2.

Abstract

PURPOSE

Vaccination is an invasive procedure that causes pain. Uncontrolled pain negatively affects all aspects of life, including health. This study aimed to determine the effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by 4-year-old children during measles-mumps-rubella (MMR) vaccination.

METHODS

This study adopted a randomized controlled experimental design. The study sample consisted of 96 children (Helfer skin tap technique group: n = 32, Buzzy® group: n = 32, control group: n = 32) who received MMR vaccination. Children in the Buzzy® and Helfer skin tap technique groups received their respective interventions before and after vaccine injection, while children in the control group received routine vaccine injection.

RESULTS

Based on the parents' and nurse's observations, the pain and fear scores after vaccine injection were lowest in the Buzzy® group and highest in the control group. Based on the children's assessments, the pain scores after vaccine injection were lower in the Buzzy® group than in the Helfer skin tap technique group.

CONCLUSION

Buzzy® application and the Helfer skin tap technique have beneficial effects on children's pain and fear during MMR vaccination. Buzzy® application is more effective in reducing pain and fear during vaccine injection in children than the Helfer skin tap technique.

PRACTICE IMPLICATIONS

Nurses can increase the comfort of children by reducing pain during vaccination using Buzzy®.

摘要

目的

接种疫苗是一种会引起疼痛的侵入性操作。未得到控制的疼痛会对生活的各个方面产生负面影响,包括健康。本研究旨在确定 Helfer 皮肤轻敲技术和 Buzzy®应用在麻疹、腮腺炎、风疹(MMR)疫苗接种期间对 4 岁儿童经历的疼痛和恐惧水平的影响。

方法

本研究采用随机对照实验设计。研究样本包括 96 名儿童(Helfer 皮肤轻敲技术组:n=32,Buzzy®组:n=32,对照组:n=32),他们接受了 MMR 疫苗接种。Buzzy®组和 Helfer 皮肤轻敲技术组在疫苗注射前后接受各自的干预,而对照组在常规疫苗注射。

结果

根据家长和护士的观察,注射疫苗后 Buzzy®组的疼痛和恐惧评分最低,对照组最高。根据儿童的评估,注射疫苗后的疼痛评分在 Buzzy®组比 Helfer 皮肤轻敲技术组低。

结论

Buzzy®应用和 Helfer 皮肤轻敲技术对 MMR 疫苗接种期间儿童的疼痛和恐惧有有益的影响。与 Helfer 皮肤轻敲技术相比,Buzzy®在减轻儿童疫苗接种时的疼痛和恐惧方面更有效。

实践意义

护士可以通过使用 Buzzy®减少接种疫苗时的疼痛,提高儿童的舒适度。

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