Zhou Zi-Yun, Hu Long-Yi, Wang Ming-Li, Li Si-Qi, Zhou Le-Shan
Hunan Provincial Comprehensive Childcare Service Center, Changsha, China.
Department of Clinical Nursing, Xiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Yuelu District, Hunan, Changsha, China, 86 18975186606.
JMIR Pediatr Parent. 2025 Aug 25;8:e67918. doi: 10.2196/67918.
The pain resulting from venipuncture is one of the primary sources of stress during childhood and can have adverse effects on children. The Buzzy device can play an important role in alleviating the pain of venipuncture in children.
The aim of this study is to investigate the independent and combined effects of cold and vibration in reducing venipuncture pain and resistance behavior in children aged 2-7 years.
A total of 130 children who underwent venipuncture were randomly assigned to 4 groups: 32 in the control group, 30 in the external cold group, 37 in the vibration group, and 31 in the cold combined with vibration group. The cold, vibration, and cold combined with vibration interventions used the Buzzy device. Nurses used the Face, Legs, Activity, Cry, Consolability Pain Behavior Scale and the Children's Behavior Scale to assess pain and resistance behaviors before and during the venipuncture.
Compared with the control group, the cold group, vibration group, and cold combined with vibration group experienced milder pain and demonstrated weaker resistance behavior (P<.05). Pairwise comparison results showed that the combination group was superior to the vibration group (P<.05).
External cold and vibration are effective in reducing procedural pain and improving compliance in children aged 2-7 years undergoing venipuncture. The cold combined with vibration has a synergistic effect, and the effect is better than vibration only.
静脉穿刺带来的疼痛是儿童时期压力的主要来源之一，会对儿童产生不良影响。Buzzy设备在减轻儿童静脉穿刺疼痛方面可发挥重要作用。
本研究旨在探讨冷刺激和振动单独及联合应用对减轻2至7岁儿童静脉穿刺疼痛及抵抗行为的效果。
共有130名接受静脉穿刺的儿童被随机分为4组：对照组32名，冷刺激组30名，振动组37名，冷刺激联合振动组31名。冷刺激、振动以及冷刺激联合振动干预均使用Buzzy设备。护士在静脉穿刺前及穿刺过程中使用面部、腿部、活动、哭闹、可安慰性疼痛行为量表和儿童行为量表评估疼痛及抵抗行为。
与对照组相比，冷刺激组、振动组和冷刺激联合振动组疼痛较轻，抵抗行为较弱（P<0.05）。两两比较结果显示，联合组优于振动组（P<0.05）。
冷刺激和振动在减轻2至7岁接受静脉穿刺儿童的操作疼痛及提高依从性方面有效。冷刺激联合振动具有协同效应，效果优于单纯振动。
