振动和寒冷对7岁及以上儿童静脉穿刺疼痛的多维评估：一项随机对照试验

IF 2.2 4区医学 Q1 NURSING

Applied Nursing Research Pub Date : 2025-09-12 DOI:10.1016/j.apnr.2025.152012

Hu Long-yi , Zhou Zi-yun , Wang Ming-li , Zhou Le-shan

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引用次数: 0

摘要

目的探讨低温和振动对7岁及以上儿童静脉穿刺疼痛的影响，通过主观和客观的儿童测量、家长反馈和护士评估来评估结果。方法本随机对照试验于2023年7月至11月对120名7岁及以上儿童进行静脉穿刺治疗。参与者使用随机数字表分为四组：冷、振动、冷与振动结合，以及对照组。手术后，疼痛和父母焦虑使用自我报告的数字评定量表进行评估。使用儿童焦虑量表评估儿童焦虑，由手术护士评估儿童合作能力。结果外寒、震动及寒颤联合震动均能显著降低患儿脉搏和疼痛的变化（p < 0.05）。多次比较显示，冷震动联合组脉搏变化最小，疼痛评分最低（p < 0.05）。但是，目前还不能得出外部寒冷和振动能有效降低儿童焦虑、亲属焦虑或儿童合作的结论（p > 0.05）。结论低温和振动可显著降低7岁及以上儿童静脉穿刺时的疼痛和生理反应，但对焦虑和合作无明显改善。未来的多中心研究，更大的样本量，建议进一步探讨其在儿童疼痛管理中的作用。

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A multidimensional assessment of vibration and cold for venipuncture pain in children aged 7 and above: A randomized controlled trial

Aims

To investigate the effects of cold and vibration on venipuncture pain in children aged 7 and above, evaluating outcomes through subjective and objective child measures, parental feedback, and nurse assessments.

Method

This randomized controlled trial enrolled 120 children aged 7 and above undergoing venipuncture between July and November 2023. Participants were allocated into four groups using a random number table: cold, vibration, cold combined with vibration, and a control group. After procedure, pain and parental anxiety were assessed using a self-reported Numerical Rating Scale. Child anxiety was evaluated with the Children's Anxiety Meter Scale, while children's cooperation was evaluated by the operating nurse.

Results

External cold, vibration, and cold combined with vibration significantly reduced changes in children's pulse and pain (p < 0.05). Multiple comparisons indicated that the cold and vibration combination group exhibited the smallest pulse changes and the lowest pain scores(p < 0.05). However, it cannot yet be concluded that external cold and vibration effectively reduce children's anxiety, relatives' anxiety, or the cooperation of the children (p > 0.05).

Conclusion

Cold and vibration significantly reduced pain and physiological responses during venipuncture in children aged 7 and above, though no benefits were found for anxiety or cooperation. Future multicenter studies with larger sample sizes are recommended to further explore its role in pediatric pain management.

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来源期刊

Applied Nursing Research 医学-护理

CiteScore

4.50

自引率

0.00%

发文量

审稿时长

70 days

期刊介绍： Applied Nursing Research presents original, peer-reviewed research findings clearly and directly for clinical applications in all nursing specialties. Regular features include "Ask the Experts," research briefs, clinical methods, book reviews, news and announcements, and an editorial section. Applied Nursing Research covers such areas as pain management, patient education, discharge planning, nursing diagnosis, job stress in nursing, nursing influence on length of hospital stay, and nurse/physician collaboration.