Purpose: Procedures involving needles are the most common and major sources of pain in children. External cold and vibration via Buzzy (MMJ Labs, Atlanta, GA) is a method that combines cooling and vibration.
Design: This study investigated the effect of the combined stimulation of skin with external cold and vibration via Buzzy on the pain and anxiety levels in children during immunization.
Methods: This study was a prospective, randomized controlled trial. Children were randomized into two groups: experimental (external cold and Buzzy) and control (no intervention). The pain and anxiety levels of the children were assessed using the Wong-Baker FACES scale and Children Fear Scale.
Finding: The experimental group showed significantly lower pain and anxiety levels than the control group during immunization.
Conclusions/implications for practice: The combined stimulation of skin with external cold and vibration can be used to reduce pain and anxiety during pediatric immunization.
Keywords: Buzzy; external cold and vibration; pediatric immunization; pediatric nursing; procedural pain and anxiety.
Copyright © 2015 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.