Effects of music therapy and distraction cards on pain relief during phlebotomy in children

Aydın, Dicle; Şahiner, Nejla Canbulat

doi:10.1016/j.apnr.2016.11.011

Cited by 60 publications

(49 citation statements)

References 24 publications

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“…Distractive cards were also effective in a study by Inal and Kelleci (). In contrast, Aydin and Sahiner () found that music therapy and distractive cards were not effective, and Aydin, Sahiner, and Karaca () found ball squeezing, balloon inflating and distractive cards ineffective. Since these studies were conducted on children, it was not possible to compare them with our study in relation to the effectiveness of distractive cards.…”

Section: Discussionmentioning

confidence: 98%

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Başak

Duman

Demırtaş

2019

Journal of Clinical Nursing

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Aims and objectives This study aimed to determine the effect of methods of distraction to relieve pain associated with the peripheral intravenous catheter (PIC) insertion procedure, thus improving patient satisfaction. Specifically, we examined such effect by playing 3D videos with virtual reality goggles and showing pictures to the patient containing distractive optical illusions. Background In the literature, although the efficacy of various pharmacological methods for reducing pain associated with the insertion of PIC has been evaluated in adults, studies on nonpharmacological methods are limited. Methods The research was conducted with a randomised controlled single‐blind experimental study. The sample consisted of 120 patients. While nothing is applied to the control group, cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion is applied for distraction groups. The data collection form consisted of items that measured the sociodemographic characteristics of the patients and a visual analog scale. The CONSORT checklist was followed in reporting this study. This study is registered with ClinicalTrials.gov. No. NCT03945929. Results The mean pain level was 4.72 ± 3.15 in the control group and 3.41 ± 2.81 in the distraction groups and the difference was found to be statistically significant (p = .02). When the mean satisfaction level between the groups was compared, it was found to be 5.12 ± 3.41 in the control group and 8.07 ± 2.67 in the groups undergoing distraction methods. The difference between them was statistically significant (p = .01). Conclusions This study found that the use of cards containing distractive optical illusion pictures and playing 3D videos with VR goggles during PIC insertion in adult patients were both effective. Relevance to clinical practice These distraction methods may be used to reduce pain due to PIC insertion in nonurgent and less urgent adult patients in the emergency department.

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Section: Discussionmentioning

confidence: 98%

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Başak

Duman

Demırtaş

2019

Journal of Clinical Nursing

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“…However, the results of a study by Aydin and Sahiner investigating the effect of music and distraction cards on pain during tonsils removal in children suggested insignificant differences across studied groups in terms of pain and stress. This incongruence can be attributed to the type of operation, because tonsils removal in children causes development of various limitations in the convalescence following surgery, which in turn, causes development of stress and pain in these children (24). Borzoi et al employed a distraction technique such as rhythmic respiration, which caused pain mitigation following fistula needle insertion (10).…”

Section: Discussionmentioning

confidence: 99%

Investigating the Effect of Arnica Ointment and Distraction on the Pain Caused by Fistula Needle Insertion in Hemodialysis Patients: A Clinical Trial

et al. 2018

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Background: Fistula needle insertion constantly exposes dialysis patients to pain, mitigation of which improves acceptance of hemodialysis and quality of life in these patients. Objectives: Therefore, the present research was conducted to investigate the effect of Arnica ointment and distraction on the pain caused by fistula needle in hemodialysis patients. Methods: This double-blind clinical trial was performed on 93 hemodialysis patients attending the dialysis wards of Ali Ibn Abi Talib and Khatam-al Anbia hospitals. The participants were chosen using the convenience sampling method and randomly assigned to three groups of Arnica ointment, distraction, and placebo. The pain intensity caused by arteriovenous needle insertion in two hemodialysis sessions was measured by visual analogue scale (VAS). Then, the collected data were analyzed by SPSS, version 22. P value less than 0.05 was considered statistically significant. Results: We found a significant difference in pain intensity between the Arnica and placebo groups and between the distraction and placebo groups (P < 0.001). Further, pain intensity in the Arnica group was significantly lower than in the distraction group (P < 0.001). Conclusions: Arnica ointment and distraction are palliative and convenient methods, which are even trainable to patients themselves. Considering the low cost of these methods, they are recommended to be applied before inserting the fistula needle.

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“…Even though some studies reported that VR is applied to small age groups, there are limited studies assessing its effect on fear. Fear is a situation associated generally with age and pain (Hedén, von Essen, & Ljungman, ) and is rarely addressed in painful procedures for children (Aydin & Sahiner, ; Aydin, Sahiner, & Ciftci, ). In a pilot study, Chad, Emaan, and Jillian () applied VR as a fear reduction and pain distraction during immunisations; VR was well received and reduced overall fear and pain at children and parents.…”

Section: Introductionmentioning

confidence: 99%

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

Gerçeker

Ayar

Özdemir

et al. 2020

Journal of Clinical Nursing

112

108

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Aim and objectives Virtual reality (VR) can be used during painful procedures in children. The aim of this study was to evaluate the effects of two different VR methods on procedure‐related pain, fear and anxiety of children aged 5–12 years old during blood draw. Methods This randomised controlled study used parallel trial design guided by the CONSORT checklist, see Supporting Information. The sample of children (n = 136) was allocated to the VR‐Rollercoaster (n = 45), VR‐Ocean Rift (n = 45) and control group (n = 46) using blocked randomisation. The primary outcome was pain scores after the blood draw and fear and anxiety scores before and after the blood draw. Before the blood draw, fear and anxiety scores were assessed using self‐report and reports from the parents and the researcher using the Child Fear Scale and Children's Anxiety Meter. After the blood draw, level of pain experienced was assessed using the Wong–Baker Faces Pain Rating Scale and the fear and anxiety levels experienced by the children during the blood draw were re‐evaluated. Results Pain scores were found to be lower in the VR‐Rollercoaster group and the VR‐Ocean Rift group. A statistical difference was found between groups according to self‐, parent‐ and researcher‐reported fear and anxiety scores after blood draw. While being in VR‐Rollercoaster and VR‐Ocean Rift group reduced children's fear and anxiety, being in the control group increased fear levels by 20% and anxiety levels by 34.1%. Conclusions VR is an effective method in reducing procedure‐related pain, fear and anxiety in children aged 5–12 years old during blood draw. Relevance to clinical practice Evidence‐based guidelines and protocols should be created for nonpharmacological methods such as VR for procedural pain and anxiety in children.

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Effects of music therapy and distraction cards on pain relief during phlebotomy in children

Cited by 60 publications

References 24 publications

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Distraction‐based relief of pain associated with peripheral intravenous catheterisation in adults: a randomised controlled trial

Investigating the Effect of Arnica Ointment and Distraction on the Pain Caused by Fistula Needle Insertion in Hemodialysis Patients: A Clinical Trial

Effects of virtual reality on pain, fear and anxiety during blood draw in children aged 5–12 years old: A randomised controlled study

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