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Clinical Trial
. 2018 Jun;30(3):182-185.

Effectiveness of non-pharmacological measures for reducing pain and fear in children during venipuncture in the emergency department: a vibrating cold devices versus distraction

[Article in English, Spanish]
Noelia García-Aracil  1 , Juan Diego Ramos-Pichardo  2 , María Elena Castejón-de la Encina  1 , Lourdes José-Alcaide  1 , Rocío Juliá-Sanchís  3 , Ángela Sanjuan-Quiles  3
Affiliations
  • PMID: 29687673
Free article
Clinical Trial

Effectiveness of non-pharmacological measures for reducing pain and fear in children during venipuncture in the emergency department: a vibrating cold devices versus distraction

[Article in English, Spanish]
Noelia García-Aracil et al. Emergencias. 2018 Jun.
Free article

Abstract
in English, Spanish

Objectives: To assess the effectiveness of a physical method of managing pain and fear in children and anxiety in the accompanying adult during venous puncture in the emergency department.

Material and methods: Quasi-experimental study of 3 groups: one group used a combination of directed distraction by means of a vibration device with ice pack, a second group received only distraction, and no strategy was used in the third.

Results: Pain and adult anxiety were similar in the 2 groups in which a pain management strategy was applied. Pain and adult anxiety were greater when no strategy was adopted. We detected no differences in the level of the children's fear.

Conclusion: Directed distraction can be useful for managing pain in children and it reduces the anxiety experienced by accompanying adults. The use of a vibration device with ice does not add benefits. Fear is not reduced by any of these measures.

Objetivo: Evaluar la efectividad de medios no farmacológicos en el manejo del dolor y el miedo en los niños, y la ansiedad del acompañante, durante la realización de venopunción en urgencias.

Metodo: Estudio cuasiexperimental con tres grupos: en uno se combinó distracción dirigida y dispositivo de vibración más frío, en otro solo se usó distracción dirigida y en otro no se usó distracción ni dispositivo alguno.

Resultados: El dolor y la ansiedad del acompañante fueron similares entre los grupos en que se usó alguna medida de control del dolor, y mayor en el que no se usó ninguna. No se encontraron cambios en el miedo.

Conclusiones: La distracción dirigida puede ser útil para el manejo del dolor en el paciente pediátrico, y disminuye la ansiedad de los acompañantes. Los dispositivos de vibración más frío no aportan beneficio adicional. El miedo no mejora con el uso de ninguna de estas medidas.

Keywords: Children; Efectividad; Effectiveness; Fear, procedures; Manejo del dolor; Medidas no farmacológicos; Miedo al procedimiento; Niño; Pain Management; Physical modalities; Venopunción; Venous puncture.

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