Efficacy of VR and Buzzy on Pain and Anxiety
Condition: Procedural Pain; Procedural Anxiety; Pain; Children, Only
MeSH terms: Pain, Procedural; Anxiety Disorders
Study type: Interventional

Summary: 
      The study was designed as a randomized controlled experimental research with the purpose of
      determining the effect of distraction by using external cold and vibration-Buzzy and VR on
      reducing procedural pain and anxiety in children aged 7 to 12 years during phlebotomy
      injection.
    

Detailed description: 
      In the literature, it is stated that nurses should use pharmacological and
      non-pharmacological methods in pain and anxiety management in painful procedures.
      Evidence-based studies are needed to show the effectiveness of non-pharmacological methods in
      reducing pain during invasive procedures and to investigate the effects of easy-to-apply
      methods on pain. In light of this information, this study aimed to compare the effect of
      distraction by using Buzzy and VR on reducing procedural pain and anxiety in children aged 7
      to 12 years during phlebotomy.

      This study is a prospective, randomized and controlled trial. Children aged 7 to 12 years who
      required phlebotomy were divided into three groups; buzzy, virtual reality, and controls.
      Data were obtained through face-to-face interviews with the children, their parents, and the
      observer before and after the procedure. The children's pain levels were assessed and
      reported by the parents and observers and the children themselves who self-reported using
      Wong-Baker FACES. The children's anxiety levels were also assessed using the Children's Fear
      Scale.

      The study population consisted of children aged 7 to 12 years who presented to the children's
      phlebotomy room of the hospital.

      Sample of the study consisted of a total of 120 children who met the sample selection
      criteria and were selected via randomization method.

      Children were randomized into three groups: Buzzy (n= 40), VR group (n= 40), and the control
      group (n= 40).

      Data were collected using the Information Form, Wong-Baker FACES Pain Rating Scale,
      Children's Fear Scale.
    

Intervention name(s): Buzzy Group; Virtual Realitiy-VR Group
Intervention type(s): Other; Other
Intervention description(s): The Buzzy device was placed 5-10 cm above the injection area and making sure that it was in contact with the skin. The ice pack was kept in the deep freezer and placed into the device before the application. Buzzy was introduced to the children pre-procedure. Cold application and vibration were started pre-procedure and maintained until the procedure was completed. Following the Buzzy application, the device was wiped with 70% alcohol and used for other children. The Buzzy devices were kept in the deep freeze and refrozen. The same person conducted the pain reduction methods during phlebotomy.; VR glasses were introduced to the children pre-procedure. The children were made to watch a video with VR glasses 2-3 minutes before starting the application and it continued until the end of the phlebotomy procedure (three minutes on average). 3D video suggestions (Space Experience, Blue Whale 360 VR Experience) were offered to the children before the phlebotomy procedure and they were asked to choose one of them.
Allocation: Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Supportive Care
Keywords: Child; Child nursing; Non-pharmacological method; Pain relief