Document Type : Original Article
Authors
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
Abstract
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%).
Keywords
Main Subjects
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