• J Pediatr Nurs · Mar 2019

    Randomized Controlled Trial

    The Use of the Buzzy, Jet Lidokaine, Bubble-blowing and Aromatherapy for Reducing Pediatric Pain, Stress and Fear Associated with Phlebotomy.

    • Küçük Alemdar Dilek D Giresun University, Faculty of Health Sciences, Department of Midwifery Giresun,Turkey. Electronic address: dilekkucuk@atauni.edu.tr. and Yeşim Yaman Aktaş.
    • Giresun University, Faculty of Health Sciences, Department of Midwifery Giresun,Turkey. Electronic address: dilekkucuk@atauni.edu.tr.
    • J Pediatr Nurs. 2019 Mar 1; 45: e64-e72.

    PurposeThis 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 MethodsThis 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.ResultsA 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 ImplicationsIt is recommended that the Buzzy and bubble-blowing be used during phlebotomy in children to reduce the severity of their pain.Copyright © 2019 Elsevier Inc. All rights reserved.

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