海尔弗皮肤拍打技术和 Buzzy® 应用程序对儿童接种疫苗时疼痛和恐惧程度的影响：随机对照试验。

IF 2.1 4区医学 Q2 NURSING

Journal of Pediatric Nursing-Nursing Care of Children & Families Pub Date : 2024-11-01 DOI:10.1016/j.pedn.2024.10.037

Duygu Sönmez Düzkaya , Gülzade Uysal , Özge Şiktaş , Atiye Karakul , Ayfer Açikgöz

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引用次数: 0

摘要

目的：接种疫苗是一项侵入性程序，会引起疼痛。无法控制的疼痛会对包括健康在内的生活各个方面产生负面影响。本研究旨在确定 Helfer 皮肤拍打技术和 Buzzy® 应用对 4 岁儿童在接种麻疹-腮腺炎-风疹（MMR）疫苗期间所经历的疼痛和恐惧程度的影响：本研究采用随机对照实验设计。研究样本包括 96 名接受麻疹-腮腺炎-风疹（MMR）疫苗接种的儿童（Helfer 皮肤拍打技术组：32 人；Buzzy® 组：32 人；对照组：32 人）。Buzzy®和Helfer皮肤拍打技术组的儿童在注射疫苗前后接受了各自的干预措施，而对照组的儿童则接受了常规疫苗注射：结果：根据家长和护士的观察，Buzzy® 组儿童注射疫苗后的疼痛和恐惧评分最低，对照组最高。根据儿童的评估，Buzzy® 组注射疫苗后的疼痛评分低于 Helfer 皮肤拍打技术组：结论：使用 Buzzy® 和 Helfer 皮肤拍打技术对儿童在接种麻腮风疫苗时的疼痛和恐惧有好处。在减少儿童注射疫苗时的疼痛和恐惧感方面，Buzzy®应用比Helfer皮肤拍打技术更有效：实践意义：护士可以通过使用 Buzzy® 减轻儿童在接种疫苗时的疼痛，从而提高儿童的舒适度。

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Effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by children during vaccination: A randomized controlled trial

Purpose

Vaccination is an invasive procedure that causes pain. Uncontrolled pain negatively affects all aspects of life, including health. This study aimed to determine the effects of the Helfer skin tap technique and Buzzy® application on the levels of pain and fear experienced by 4-year-old children during measles–mumps–rubella (MMR) vaccination.

Methods

This study adopted a randomized controlled experimental design. The study sample consisted of 96 children (Helfer skin tap technique group: n = 32, Buzzy® group: n = 32, control group: n = 32) who received MMR vaccination. Children in the Buzzy® and Helfer skin tap technique groups received their respective interventions before and after vaccine injection, while children in the control group received routine vaccine injection.

Results

Based on the parents' and nurse's observations, the pain and fear scores after vaccine injection were lowest in the Buzzy® group and highest in the control group. Based on the children's assessments, the pain scores after vaccine injection were lower in the Buzzy® group than in the Helfer skin tap technique group.

Conclusion

Buzzy® application and the Helfer skin tap technique have beneficial effects on children's pain and fear during MMR vaccination. Buzzy® application is more effective in reducing pain and fear during vaccine injection in children than the Helfer skin tap technique.

Practice implications

Nurses can increase the comfort of children by reducing pain during vaccination using Buzzy®.

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来源期刊

Journal of Pediatric Nursing-Nursing Care of Children & Families NURSING-PEDIATRICS

CiteScore

3.70

自引率

8.30%

发文量

291

审稿时长

65 days

期刊介绍： Official Journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society (PENS) The Journal of Pediatric Nursing: Nursing Care of Children and Families (JPN) is interested in publishing evidence-based practice, quality improvement, theory, and research papers on a variety of topics from US and international authors. JPN is the official journal of the Society of Pediatric Nurses and the Pediatric Endocrinology Nursing Society. Cecily L. Betz, PhD, RN, FAAN is the Founder and Editor in Chief. Journal content covers the life span from birth to adolescence. Submissions should be pertinent to the nursing care needs of healthy and ill infants, children, and adolescents, addressing their biopsychosocial needs. JPN also features the following regular columns for which authors may submit brief papers: Hot Topics and Technology.