نوع مقاله : مقاله پژوهشی
نویسندگان
1 دانشجوی کارشناسیارشد پرستاری اورژانس، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
2 دانشیار، مرکز تحقیقات سلامت سالمندان، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
3 دانشیار، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی مشهد، مشهد، ایران
4 استادیار، گروه آمار و اپیدمیولوژی، دانشکده بهداشت، دانشگاه علوم پزشکی سبزوار، سبزوار، ایران
5 مربی، گروه پرستاری، دانشکده پرستاری و مامایی، دانشگاه علوم پزشکی نیشابور، نیشابور، ایران
چکیده
زمینه و هدف: مطالعه حاضر با هدف مقایسه تأثیر دو روش طب فشاری و زنبورک ویبره بر موفقیت اولین تلاش در دسترسی وریدی و کاهش درد ناشی از آن در کودکان 6-3 سال انجام شد.
مواد و روشها: این کارآزمایی بالینی تصادفی دو سوکور در سال ۱۴۰۳ بر روی ۸۴ کودک مراجعهکننده به اورژانس بیمارستان حکیم نیشابور انجام شد. کودکان به صورت تصادفی در سه گروه 28 نفره (طب فشاری، زنبورک ویبره و کنترل) قرار گرفتند. در گروه طب فشاری، نقطه هوگو به مدت 5 دقیقه قبل از تعبیه آنژیوکت فشرده شد؛ درگروه زنبورک ویبره، عروسک ویبرهدار ۵ دقیقه قبل از تعبیه آنژیوکت روی دست کودک بسته شد؛ و در گروه کنترل، فقط اقدامات روتین انجام شد. دادهها با استفاده از پرسشنامه دموگرافیک و مقیاس واکنشهای رفتاری ناشی از دردFLACC جمعآوری و با نرمافزار SPSS نسخه ۲۶ تحلیل شدند.
یافتهها: شدت درد در گروهها تفاوت آماری معناداری داشت (P=0.000). زنبورک ویبره بهطور معناداری کاهش درد بیشتری نسبت به طب فشاری(P=0.004) و گروه کنترل (P=0.000) ایجاد کرد. نرخ موفقیت در تعبیه کاتتر وریدی در گروه زنبورک ویبره 100%، در طب فشاری 4/96% و در گروه کنترل 6/78% بود. زمان دسترسی نیز در گروهها تفاوت معناداری نشان داد (P=0.000)؛ بهطوریکه زنبورک ویبره سریعترین و طب فشاری سریعتر از گروه کنترل بود (P<0.01).
نتیجهگیری: طب فشاری و زنبورک ویبره هر دو به کاهش درد ناشی از تعبیه کاتتر وریدی کمک میکنند، اما زنبورک ویبره در کاهش درد، افزایش نرخ موفقیت و سرعت دسترسی به عروق، برتری دارد.
تازه های تحقیق
https://scholar.google.com/citations?view_op=list_works&hl=en&user=2yHuSikAAAAJ
https://pubmed.ncbi.nlm.nih.gov/?term=hesari,+fatemeh%5bAuthor%5d&sort=fauth
https://scholar.google.com/citations?user=CsdzE0IAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=ali+asghar+jesmi%5bAuthor%5d&sort
https://scholar.google.com/citations?user=azojl4kAAAAJ&hl=en
https://pubmed.ncbi.nlm.nih.gov/?term=tahereh+sadeghi%5bAuthor%5d&sort=fauth
https://scholar.google.com/scholar?hl=en&as_sdt=0,5&authuser=2&q=nazanin+fekri&btnG
https://pubmed.ncbi.nlm.nih.gov/39759918/
https://scholar.google.com/citations?user=I3-XCxgAAAAJ&hl=en&oi=ao
https://pubmed.ncbi.nlm.nih.gov/?sort=fauth&term=Sarchahi+Z&cauthor_id=33887862
کلیدواژهها
موضوعات
عنوان مقاله [English]
Comparison of the effect of acupressure and vibrating bee (Buzzy) on the success of the first access attempt and pain intensity of venous catheterization in 3 to 6 year-old children: A randomized clinical trial
نویسندگان [English]
- Fatemeh Hesari 1
- Ali asghar Jesmi 2
- Tahereh Sadeghi 3
- Nazanin Fekri 4
- Zohre Sarchahi 5
1 Student of Emergency Nursing, Faculty of Nursing and Midwifery, Sabzevar University of Medical Sciences, Sabzevar, Iran
2 Associate Professor of Nursing, Iranian Research Center on Healthy Aging, Sabzevar University of Medical Sciences, Sabzevar, Iran
3 Associate Professor of Nursing, Faculty of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
4 Assistant Professor of Biostatistics, Faculty of Health, Sabzevar University of Medical Sciences, Sabzevar, Iran
5 MSc in Nursing, Instructor Nursing and Midwifery Department, School of Nursing, Neyshabur University of Medical Sciences, Neyshabur, Iran
چکیده [English]
Background: This study aimed to compare the effects of two specific techniques (acupressure and vibrating bee) on the first-attempt success rate of intravenous IV catheterization and the pain intensity experienced by children during the procedure.
Materials and Methods: This clinical trial was conducted in 2024 at the Hakim Hospital Emergency Department in Neyshabur, Iran, and involved 84 children. Following inclusion/exclusion criteria, participants were randomly assigned into three equal groups (n=28, balanced by gender): Acupressure (LI4 point pressed for 5 minutes before IV insertion), Vibrating bee (applied for 5 minutes before IV insertion), and a control group (standard venipuncture). Data, including demographics and FLACC pain scores, were collected and analyzed using SPSS 26.
Results: Statistical analysis revealed significant differences in pain intensity among the groups (P = 0.000). The vibrating toy bee method yielded lower pain scores compared to both the acupressure group (P = 0.004) and the control group (P = 0.000). Acupressure also proved more effective than the control group in reducing pain (P = 0.000). First-attempt success rates for catheter placement were 100% for the vibrating bee group, 96.4% for the acupressure group, and 78.6% for the control group, with no significant difference between acupressure and control (P = 0.051). The vibrating bee method demonstrated a significant overall advantage. Additionally, access time showed significant differences (P = 0.000), with the vibrating bee being the fastest, followed by acupressure, which was quicker than the control group (P < 0.0167).
Conclusion: Both the vibrating bee and acupressure methods reduced pain during IV insertion; however, the Vibration bee is more effective and faster, achieving a higher success rate (100% vs. 96.4% and 78.6%).
کلیدواژهها [English]
- Acupressure
- Intravenous catheterization
- Pain
- Vibration bee
- Emergency department
- Chalela JA, Hill M, Snelgrove D, Kapoor N, Andrews C. Peripheral Insertion of Pediatric Central Venous Catheters in Adults with Difficult IV Access. The Journal of Emergency Medicine. 2023.
- Sahebkar Moeini M, Sadeghi T, Sezavar M, Mohammadi R. Comparing the effect of cold and warm vibration on pain caused by intravenous cannula insertion in children using a buzzy device. Journal of Mazandaran University of Medical Sciences. 2020;30(189):48-60.
- Ueki S YY, Makimoto K. Effectiveness of vibratory stimulation on needle-related procedural pain in children: a systematic review. JBI Evidence Synthesis. 2019;17(7):1428-63.
- Vosoghi N, Chehrzad M, Abotalebi G, Roshan ZA. Effects of Distraction on Physiologic Indices and Pain Intensity in children aged 3-6 Undergoing IV Injection. Hayat. 2015;16.
- Kulkarni MM, Patil AT, Sinha S. A comparative study of 10% lidocaine spray versus eutectic mixture of 2.5% lidocaine and 2.5% prilocaine (EMLA) to attenuate pain of peripheral venous cannulation in children: A prospective randomized control trial at a tertiary care centre. Indian Journal of Anaesthesia. 2023;67(2):167-72.
- Hematipour A, Alijani Renani H, Zarea K, Rostami S, Jahangirimehr A. Comparison of the Effectiveness of EMLA Cream, 2% Lidocaine Gel, and Ice Bag on Pain Intensity Caused by Venipuncture in Children Aged 6-12 Years. Jundishapur Scientific Medical Journal. 2024;22(6):775-88.
- Potts DA, Davis KF, Elci OU, Fein JA. A vibrating cold device to reduce pain in the pediatric emergency department: a randomized clinical trial. Pediatric emergency care. 2019;35(6):419-25.
- Baye ND, Teshome AA, Ayenew AA, Amare TJ, Mulu AT, Abebe EC, et al. Incidence, time to occurrence and predictors of peripheral intravenous cannula-related complications among neonates and infants in Northwest Ethiopia: an institutional-based prospective study. BMC nursing. 2023;22(1):11.
- Carr PJ, Rippey JC, Cooke ML, Bharat C, Murray K, Higgins NS, et al. Development of a clinical prediction rule to improve peripheral intravenous cannulae first attempt success in the emergency department and reduce post insertion failure rates: the Vascular Access Decisions in the Emergency Room (VADER) study protocol. BMJ open. 2016;6(2):e009196.
- Tuncay S, Sarman A. Ventriloquist intervention prepared with drama technique in reducing pain, anxiety and fear in children during invasive procedures. International Emergency Nursing. 2024;75:101462.
- Nada MAA, Bahgat RS, Kafl RH. Effect of a Distraction Method on Pain, Anxiety and Behavioral Distress among Children during Venipuncture. Menoufia Nursing Journal. 2024;9(1):55-69.
- Salawati Ghasemi S, Beyramijam M, Yarahmadi F, Nematifard T, Bahrani SS, Khaleghverdi M. Comparison of the Effects of Hugo’s Point Massage and Play on IV‐Line Placement Pain in Children: A Randomized Clinical Trial. Pain Research and Management. 2021;2021(1):6612175.
- Daihimfar F, Babamohamadi H, Ghorbani R. A Comparison of the Effects of Acupressure and Music on Venipuncture Pain Intensity in Children: A Randomized Controlled Clinical Trial. Pain Research and Management. 2024;2024(1):2504732.
- Kheradkish F, Valiani M, Rarani SA, Hashemi M. The Effect of Acupressure on Pain Levels and Physiologic Indicator in Patients Undergoing Laparoscopic Cholecystectomy: A Double-Blind, Randomized Clinical Trial. Complementary Therapies in Clinical Practice. 2024:101868.
- Inangil D, Inangil G. The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: Single–blind, randomised controlled study. Journal of Clinical Nursing. 2020;29(7-8):1094-101.
- Khosravan S, Atayee P, Mazloum Shahri SB, Mojtabavi SJ. Effect of Hugo’s point massage with and without ice on vaccination-related pain in infants. Hayat. 2018;24(1):7-19.
- Foroogh Ameri G, Shah Mohammadi Pour P, Kazemi M, Jahani Y. Comparison of the effect of EMLA cream and acupressure on pain Reduction of venipuncture in 6-12 years old children. Journal of Pediatric Nursing. 2016;2(4):16-22.
- Pouraboli B, Abazari F, Rostami M, Jahani Y. Effect of pressure of Huko point on behavioural responses to pain during Catheter insertion in children with thalassemia. J Pediatr Nurs. 2016;2(3):17-24.
- Salawati Ghasemi S, Beyramijam M, Yarahmadi F, Nematifard T, Bahrani SS, Khaleghverdi M. Comparison of the effects of Hugo’s point massage and play on IV-line placement pain in children: a randomized clinical trial. Pain Research and Management. 2021;2021:1-7.
- Yıldırım BG, Gerçeker GÖ. The Effect of Virtual Reality and Buzzy on First Insertion Success, Procedure-Related Fear, Anxiety, and Pain in Children during Intravenous Insertion in the Pediatric Emergency Unit: A Randomized Controlled Trial. Journal of Emergency Nursing. 2023;49(1):62-74.
- Lescop K, Joret I, Delbos P, Briend-Godet V, Blanchi S, Brechet C, et al. The effectiveness of the BuzzyⓇ device to reduce or prevent pain in children undergoing needle-related procedures: the results from a prospective, open-label, randomised, non-inferiority study. International journal of nursing studies. 2021;113:103803.
- Cho Y-H, Chiang Y-C, Chu T-L, Chang C-W, Chang C-C, Tsai H-M. The Effectiveness of the Buzzy Device for Pain Relief in Children During Intravenous Injection: Quasirandomized Study. JMIR Pediatrics and Parenting. 2022;5(2):e15757.
- Mahmoud Ahmed S, Hamed Tawfique A, Mohamed Sayed Y. Effect of Buzzy and Watching Cartoons on Venipuncture Pain among Children Undergoing Phlebotomy. Egyptian Journal of Health Care. 2023;14(1):993-1006.
- Baxter AL, Cohen LL, McElvery HL, Lawson ML, Von Baeyer CL. An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatric emergency care. 2011;27(12):1151-6.
- Simoncini E SG, Morelli E, Trentini E, Peroni DG, Di Cicco M. The effectiveness of the Buzzy device in reducing pain in children undergoing venipuncture: a single-center experience. Pediatr Emerg Care. 2023;10(22;39):760–5.
- Jin F WX, Qi M, Zhang W, Zhang Y. . Effectiveness and safety of Buzzy device in needle-related procedures for children under twelve years of age: A systematic review and meta-analysis. Medicine (Baltimore). 2024;15(103):37522.
- Whelan HM, Kunselman AR, Thomas NJ, Moore J, Tamburro RF. The impact of a locally applied vibrating device on outpatient venipuncture in children. Clinical pediatrics. 2014;53(12):1189-95.
- Bergomi P, Scudeller L, Pintaldi S, Dal Molin A. Efficacy of non-pharmacological methods of pain management in children undergoing venipuncture in a pediatric outpatient clinic: a randomized controlled trial of audiovisual distraction and external cold and vibration. Journal of pediatric nursing. 2018;42:e66-e72.
- AlHareky M AJ, Bedi S, El Tantawi M, AlGahtani M, AlYousef Y. Effect of a vibration system on pain reduction during injection of dental anesthesia in children: a randomized clinical trial. . Int J Dent. 2021;30.
- Redfern RE, Chen JT, Sibrel S. Effects of thermomechanical stimulation during vaccination on anxiety, pain, and satisfaction in pediatric patients: a randomized controlled trial. Journal of Pediatric Nursing. 2018;38:1-7.
- Yaghobi Y PS. The effects of acupressure on physiological indicators of pain in children undergoing tonsillectomy: a randomized, single-blind, placebo-controlled trial study. J Compr Ped. 2019;7.
- Babu M, Vijayan S, Jain A, Phandse R. Effect of acupressure at LI-4 level on intensity of pain during intravenous cannula insertion among children of 1-6 years. Indian J Nurs Stud. 2016;7(1):38-43.
- Koç Özkan T BS. The Effect of Acupressure on Acute Pain During Venipuncture in Children. Worldviews Evid Based Nurs. 2020;3(17):221–8.
- Ramdaniati S SM, Haryanti F, Iman AT. Acupressure intervention for children: A scoping review. . Belitung Nurs J. 2025;11(1):1–13.
)