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Randomized Controlled Trial
. 2015 Jun;30(3):228-35.
doi: 10.1016/j.jopan.2014.05.011.

The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children

Randomized Controlled Trial

The effect of combined stimulation of external cold and vibration during immunization on pain and anxiety levels in children

Nejla Canbulat Şahiner et al. J Perianesth Nurs. 2015 Jun.

Abstract

Purpose: Procedures involving needles are the most common and major sources of pain in children. External cold and vibration via Buzzy (MMJ Labs, Atlanta, GA) is a method that combines cooling and vibration.

Design: This study investigated the effect of the combined stimulation of skin with external cold and vibration via Buzzy on the pain and anxiety levels in children during immunization.

Methods: This study was a prospective, randomized controlled trial. Children were randomized into two groups: experimental (external cold and Buzzy) and control (no intervention). The pain and anxiety levels of the children were assessed using the Wong-Baker FACES scale and Children Fear Scale.

Finding: The experimental group showed significantly lower pain and anxiety levels than the control group during immunization.

Conclusions/implications for practice: The combined stimulation of skin with external cold and vibration can be used to reduce pain and anxiety during pediatric immunization.

Keywords: Buzzy; external cold and vibration; pediatric immunization; pediatric nursing; procedural pain and anxiety.

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