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J Pediatr Nurs. 2016 Jan-Feb;31(1):64-72. doi: 10.1016/j.pedn.2015.07.010. Epub 2015 Sep 26.

Distraction Using the BUZZY for Children During an IV Insertion.

Author information

1
Pediatric unit, American University of Beirut Medical Center, Beirut, Lebanon.
2
Children's Cancer Center, Beirut, Lebanon.
3
Azusa Pacific University, CA. Electronic address: lbadr@apu.edu.

Abstract

Needle pricks are rated by children as their most feared medical event resulting in acute pain, anxiety and distress, which negatively affects both the child and his/her parents.

OBJECTIVES:

To investigate the effects of external cold and vibration via the "BUZZY" on pain ratings of children, their parents and nurses during peripheral IV insertion, to measure the time to a successful IV insertion and to assess the factors that are associated with pain perception of children.

METHODS:

In this randomized control trial (RCT), children between the ages of 4 to 12years were assigned to either an intervention or a control group. The intervention group (n=25) had the "BUZZY" applied during IV insertion while the control group (n=23) did not have the "BUZZY". Children were asked to rate their pain along with their parents and nurses on the Wong-Baker FACES Pain Rating Scale. Time to successful IV insertion and background characteristic of children were assessed and compared.

RESULTS:

Pain scores were significantly lower in the "BUZZY" group for children and the nurses. Time to a successful IV insertion did not differ between groups. Gender, age, previous hospitalization, diagnoses and analgesics were all factors associated with the children's pain scores. However, a multiple regression analysis found that only the "BUZZY" remained a significant predictor of pain scores in children.

CLINICAL IMPLICATIONS:

The "BUZZY" may be an easily accessed, inexpensive ($39.95 each at $0.09 per 3 minute stick), and effective technique to control or reduce pain in young children undergoing IV insertion.

KEYWORDS:

BUZZY; Distraction; IV insertion; Lebanon; Pain

PMID:
26410385
DOI:
10.1016/j.pedn.2015.07.010
[Indexed for MEDLINE]

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