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J Pediatr Nurs. 2019 Jan 30. pii: S0882-5963(18)30352-X. doi: 10.1016/j.pedn.2019.01.010. [Epub ahead of print]

The use of the buzzy, Jet lidokaine, bubble-blowing and aromatherapy for reducing pediatric pain, stress and fear associated with phlebotomy.

Author information

1
Giresun University, Faculty of Health Sciences, Department of Midwifery Giresun,Turkey. Electronic address: dilekkucuk@atauni.edu.tr.
2
Giresun University, Faculty of Health Sciences, Department of Nursing Giresun,Turkey.

Abstract

PURPOSE:

This study aimed to investigate the effects of the Buzzy, Jet lidokaine, bubble-blowing and inhalation aromatherapy with lavender essence on pain, stress and fear in children undergoing phlebotomy.

DESIGNS AND METHODS:

This study was a prospective, randomized controlled trial. The sample was comprised of children aged 5 to 10 years requiring blood tests. Children were assigned to five subgroups through randomization performed using a computer program: the Buzzy group (n = 39), Jet lidokaine group (n = 39), bubble-blowing group (n = 39), inhalation aromatherapy with lavender essence group (n = 39) and control group (n = 39). The children's levels of pain were evaluated and reported by the parents, observers and the children, who self-reported using the Oucher Pain Scale. The children's fear levels were assessed using the Children's Fear Scale, and salivary cortisol analysis was conducted to evaluate stress levels.

RESULTS:

A significant difference was found between the intervention and control groups in terms of levels of pain during and after phlebotomy in favor of the Buzzy group (p < 0.05). There was a significant difference between the fear scores of the children in the intervention and control groups before phlebotomy (p < 0.05). This difference was found to be caused by the bubble-blowing method. There was a significant difference between intervention and control groups fear levels in favor of the Buzzy group during phlebotomy (p < 0.05).

PRACTICE IMPLICATIONS:

It is recommended that the Buzzy and bubble-blowing be used during phlebotomy in children to reduce the severity of their pain.

KEYWORDS:

Aromatherapy; Bubble-blowing; Buzzy; Fear; Jet lidokain; Pain; Pediatric; Phlebotomy; Stress

PMID:
30711327
DOI:
10.1016/j.pedn.2019.01.010

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