Accepted for/Published in: JMIR Pediatrics and Parenting
Date Submitted: Oct 24, 2024
Date Accepted: Apr 23, 2025
External cold or Vibration? Effects of Cold and Vibration on Puncture Pain Management in Children aged 2-7 years old: Randomised Controlled Trial
ABSTRACT
Background:
The pain resulting from venipuncture is one of the primary sources of stress during childhood and can have adverse effects on children. Non-pharmacological methods play an important role in alleviating the pain of punctures in children.
Objective:
To investigate the independent and combined effects of cold and vibration in reducing venipuncture pain in children aged two to seven years.
Methods:
A total of 130 children scheduled for venipuncture were randomly assigned to four groups: control, external cold, vibration, and cold combined with vibration. The interventions were applied using a Buzzy® device. and the Face-Legs-Activity-Cry-Consolability Pain Behavior Scale and the Children's Pain Behavior Scale was used to assess pain and resistance behaviors before and during the procedure.
Results:
The external cold, vibration, and cold combined with vibration interventions significantly reduced pain and behavioral changes, with statistically significant differences. The combined intervention group showed the highest compliance and the lowest pain scores.
Conclusions:
External cold and vibration are effective in reducing procedural pain and improving compliance in children aged two to seven years undergoing venipuncture. The combination of cold and vibration yielded the most significant reduction in pain and non-compliance behaviors. Clinical Trial: This study has been registered in the Chinese Clinical Trial Registry registration number: ChiCTR2400079536, 5 January 2024.
Citation
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Copyright
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