Attention Attraction Methods Used During Invasive Procedures in Children: Effect on Pain And Anxiety
Synopsis
Pain and the resulting anxiety and fear negatively affect the healing process in children. The use of non-pharmacologic approaches has an important place in reducing pain and anxiety experienced by children due to invasive interventions. Attention attraction methods are non-pharmacological approaches with a high level of evidence. Attention attraction methods are used to reduce pain and anxiety during invasive procedures by focusing attention on another stimulus. They should use attention attraction approaches appropriate to the child's age and developmental level. Attention attraction methods can be easily integrated into nursing care. It is important for pediatric nurses to know and use appropriate non-pharmacological approaches to improve the quality of nursing care and provide optimum care. There are many approaches to distraction. In this section, virtual reality, Buzzy® application, listening to music, distraction cards, balloon inflation, therapeutic play, cartoon movie and ShotBlocker® are discussed among the attention attraction methods used to reduce pain and anxiety in children. The aim of this chapter is to determine the effect of attention attraction methods used during invasive interventions in children on the child's pain and anxiety.
References
Abdelmoniem, S. A., & Mahmoud, S. A. (2016). Comparative evaluation of passive, active, and passive-active distraction techniques on pain perception during local anesthesia administration in children. Journal of Advanced Research, 7(3), 551-556. https://doi.org/10.1016/j.jare.2015.10.001
Addab, S., Hamdy, R., Thorstad, K., Le May, S., & Tsimicalis, A. (2022). Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review. Journal of Clinical Nursing, 31(21-22), 3032-3059. https://doi.org/10.1111/jocn.16217
Aldakhil, S. K., Salam, M., Albelali, A. A., Alkanhal, R. M., Alnemer, M. J., & Alatassi, A. (2020). The prevalence of emergence delirium and its associated factors among children at a postoperative unit: A retrospective cohort at a Middle Eastern hospital. Saudi Journal of Anaesthesia, 14(2), 169-176. doi: 10.4103/sja.SJA_573_19
Alemdar, D. K., Bulut, A., & Yilmaz, G. (2023). Impact of music therapy and hand massage in the pediatric intensive care unit on pain, fear and stress: Randomized controlled trial. Journal of Pediatric Nursing, 71, 95-103. doi: 10.1016/j.pedn.2023.05.007
Amali, R. J., & Chavan, S. S. (2023). Effectiveness of virtual reality distraction on pain perception and fear among children with cancer undergoing IV cannulation. Indian Journal of Community Medicine, 48(6), 909-914.doi: 10.4103/ijcm.ijcm_988_22
Andersson, V., Bergman, S., Henoch, I., Simonsson, H., & Ahlberg, K. (2022). Pain and pain management in children and adolescents receiving hospital care: a cross-sectional study from Sweden. BMC Pediatrics, 22(1), 252. doi:10.1186/s12887-022-03319-w
Arıkan, A., & Esenay, F. I. (2020). Active and passive distraction interventions in a pediatric emergency department to reduce the pain and anxiety during venous blood sampling: a randomized clinical trial. Journal of Emergency Nursing, 46(6), 779-790. https://doi.org/10.1016/j.jen.2020.05.004
Ballard, A., Khadra, C., Adler, S., Doyon-Trottier, E., & Le May, S. (2018). Efficacy of the Buzzy® device for pain management of children during needle-related procedures: a systematic review protocol. Systematic Reviews, 7, 1-7. doi: 10.1186/s13643-018-0738-1
Balliel, N. (2023). Effect of soap bubbles technique, coughing and distraction cards on reducing pain and anxiety during phlebotomy in children. Paediatric and Neonatal Pain, 5(2), 31-37. doi:10.1002/pne2.12090
Baxter, A. L., Cohen, L. L., McElvery, H. L., Lawson, M. L., & Von Baeyer, C. L. (2011). An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatric Emergency Care, 27(12), 1151-1156. doi: 10.1097/PEC.0b013e318237ace4
Bayar, F. G., Şen, S., & Kudubes, A. A. (2024). The efficacy of finger puppets, distraction cards and kaleidoscope for reducing anxiety in children undergoing day surgery. Journal of Pediatric Nursing. doi:10.1016/j.pedn.2024.05.007
Bergomi, P., Scudeller, L., Pintaldi, S., & Dal Molin, A. (2018). Efficacy of non-pharmacological methods of pain management in children undergoing venipuncture in a pediatric outpatient clinic: a randomized controlled trial of audiovisual distraction and external cold and vibration. Journal of Pediatric Nursing, 42, e66-e72.
Besirik, S. A., & Sahiner, N. C. (2024). Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study. Journal of Pediatric Nursing, 79, 225-233. doi:10.1016/j.pedn.2024.09.009
Boso, M., Politi, P., Barale, F., & Emanuele, E. (2006). Neurophysiology and neurobiology of the musical experience. Functional Neurology, 21(4), 187.
Buyuk, E. T., Odabasoglu, E., Uzsen, H., & Koyun, M. (2021). The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision. Journal of Pediatric Urology, 17(4), 567-e1.doi: 10.1016/j.jpurol.2021.04.008
Caglar, S., Büyükyilmaz, F., Cosansu, G., & Çaglayan, S. (2017). Effectiveness of ShotBlocker for immunization pain in full-term neonates: a randomized controlled trial. The Journal of Perinatal & Neonatal Nursing, 31(2), 166-171. doi: 10.1097/JPN.00000000000000256
Caleffi, C. C. F., Rocha, P. K., Anders, J. C., Souza, A. I. J. D., Burciaga, V. B., & Serapião, L. D. S. (2016). Contribution of structured therapeutic play in a nursing care model for hospitalised children. Revista gaucha de enfermagem, 37, e58131. 10.1590/1983-1447.2016.02.58131
Canbulat, N., Ayhan, F., & Inal, S. (2015). Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Management Nursing, 16(1), 33-39. doi:10.1016/j.pmn.2014.03.003
Chaurasia, B., Jain, D., Mehta, S., Gandhi, K., & Mathew, P. J. (2019). Incentive-based game for allaying preoperative anxiety in children: A prospective, randomized trial. Anesthesia & Analgesia, 129(6), 1629-1634. doi: 10.1213/ANE.0000000000003717
Díaz-Rodríguez, M., Alcántara-Rubio, L., Aguilar-García, D., Pérez-Muñoz, C., Carretero-Bravo, J., & Puertas-Cristóbal, E. (2021). The effect of play on pain and anxiety in children in the field of nursing: A systematic review. Journal of pediatric nursing, 61, 15-22. doi: 10.1016/j.pedn.2021.02.022
Doğan, P., Akcay, N., & Yılmaz, H. B. (2021). Pediatri hemşireliğinde önemli bir girişim: atravmatik bakım ve yaklaşımları. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 131-135.
Durak, H., & Uysal, G. (2021). The effect of cartoon watching and distraction card on physiologic parameters and fear levels during inhalation therapy in children: A randomized controlled study. Journal of Tropical Pediatrics, 67(1), fmab018. doi:10.1093/tropej/fmab018
Düzkaya, D. S., Karakul, A., Akoy, İ., & Andi, S. (2024). Effects of ShotBlocker® and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6–12 years in pediatric emergency units: A randomized controlled trial. International Emergency Nursing, 76, 101502. https://doi.org/10.1016/j.ienj.2024.101502
Eijlers, R., Utens, E. M., Staals, L. M., de Nijs, P. F., Berghmans, J. M., Wijnen, R. M., ... & Legerstee, J. S. (2019). Systematic review and meta-analysis of virtual reality in pediatrics: effects on pain and anxiety. Anesthesia & Analgesia, 129(5), 1344-1353. https://doi.org/10.1213/ANE.0000000000004165
Erdim, L. (2022). The effect on pain and anxiety levels of using DistrACTION® Cards to distract children during a skin-prick test: a randomized controlled experimental study. Minerva Pediatr (Torino), 74(2), 167-75. doi:10.23736/S2724-5276.21.06008-0
Erdogan, B., & Ozdemir, A. A. (2021). The effect of three different methods on venipuncture pain and anxiety in children: distraction cards, virtual reality, and Buzzy®(randomized controlled trial). Journal of Pediatric Nursing, 58, e54-e62. doi: 10.1016/j.pedn.2021.01.001
Gerçeker, G. Ö., Bektaş, M., Aydınok, Y., Ören, H., Ellidokuz, H., & Olgun, N. (2021). The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. European Journal of Oncology Nursing, 50, 101886. https://doi.org/10.1016/j.ejon.2020.101886
Girgin, B. A., & Göl, İ. (2020). Reducing pain and fear in children during venipuncture: a randomized controlled study. Pain Management Nursing, 21(3), 276-282. doi:10.1016/j.pmn.2019.07.006
Girgin, B. A., Göl, İ., Gözen, D., Çarikçi, F., & Kirmizibekmez, H. (2023). Effects of applications manual pressure and shotblocker to reduce needle-related pain and fear in children with type 1 diabetes mellitus. Journal of Pediatric Nursing, 73, 84-90. doi: 10.1016/j.pedn.2023.08.024
Godino-Iáñez, M. J., Martos-Cabrera, M. B., Suleiman-Martos, N., Gómez-Urquiza, J. L., Vargas-Román, K., Membrive-Jiménez, M. J., & Albendín-García, L. (2020, July). Play therapy as an intervention in hospitalized children: a systematic review. In Healthcare (Vol. 8, No. 3, p. 239). Mdpi. doi:10.3390/healthcare8030239
Halemani, K., Issac, A., Mishra, P., Dhiraaj, S., Mandelia, A., & Mathias, E. (2022). Effectiveness of preoperative therapeutic play on anxiety among children undergoing invasive procedure: A systematic review and meta-analysis. Indian Journal of Surgical Oncology, 13(4), 858-867. doi: 10.1007/s13193-022-01571-1
He, H. G., Zhu, L., Chan, S. W. C., Liam, J. L. W., Li, H. C. W., Ko, S. S., ... & Wang, W. (2015). Therapeutic play intervention on children's perioperative anxiety, negative emotional manifestation and postoperative pain: a randomized controlled trial. Journal of Advanced Nursing, 71(5), 1032-1043. doi: 10.1111/jan.12608
Huang, Q., Lin, J., Han, R., Peng, C., & Huang, A. (2022). Using virtual reality exposure therapy in pain management: a systematic review and meta-analysis of randomized controlled trials. Value in Health, 25(2), 288-301. https://doi.org/10.1016/j.jval.2021.04.1285
International Association for the Study of Pain (IASP). Declaration of Montréal. 2010. Available at: https://www.iasp-pain.org/advocacy/iasp-statements/access-to-pain-management-declaration-of-montreal/?navItemNumber=582. Accessed November 11, 2024.
İnal, S., & Canbulat, N. (2015). Çocuklarda işlemsel ağrı yönetiminde dikkati başka yöne çekme yöntemlerinin kullanımı. Güncel Pediatri, 13(2), 116-121.doi:10.4274/jcp.29292
İyi, Z., İşler, A., & Özer, Z. (2024). Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2024.08.006
Jung, M. J., Libaw, J. S., Ma, K., Whitlock, E. L., Feiner, J. R., & Sinskey, J. L. (2021). Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: a randomized controlled trial. Anesthesia & Analgesia, 132(3), 798-806. https://doi.org/10.1213/ANE.0000000000005004
Karabey, T., & Karagözoğlu, Ş. (2024). The effect of new device on pain and comfort levels in individuals undergoing peripheral intravenous cannula insertion. The Journal of Vascular Access, 25(2), 432-438. doi: 10.1177/11297298221113685
Karakul, A., Akgül, E. A., Yalınız, R., & Meşe, T. (2022). Effectiveness of music during cardiac catheterization on children's pain, fear, anxiety and vital signs: A randomized, blind controlled trial. Journal of Pediatric Nursing, 65, e56-e62. doi: 10.1016/j.pedn.2022.02.009
Koller, D., & Goldman, R. D. (2012). Distraction techniques for children undergoing procedures: a critical review of pediatric research. Journal of Pediatric Nursing, 27(6), 652-681. https://doi.org/10.1016/j.pedn.2011.08.001
Liu, M. H., Zhu, L. H., Peng, J. X., Zhang, X. P., Xiao, Z. H., Liu, Q. J., ... & Latour, J. M. (2020). Effect of personalized music intervention in mechanically ventilated children in the PICU: a pilot study. Pediatric Critical Care Medicine, 21(1), e8-e14.doi: 10.1097/PCC.0000000000002159
Luo, W., Chen, C., Zhou, W., Cao, A., Zhu, W., Zhou, Y., ... & Zhu, B. (2023). Biophilic virtual reality on children’s anxiety and pain during circumcision: A randomized controlled study. Journal of Pediatric Urology, 19(2), 201-210. https://doi.org/10.1016/j.jpurol.2022.10.023
Merino-Lobato, C., Rodriguez-Gallego, I., Pabon-Carrasco, M., Romero-Castillo, R., & Jimenez-Picon, N. (2023). Virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis. Journal of Pediatric Nursing, 73, 22-33.
Metlek, S., & Çağlar, S. (2024). The Effect of Therapeutic Play on Children’s Pain, Anxiety and Mothers’ Anxiety during Pre-and Postcircumcision Period. Journal of PeriAnesthesia Nursing. doi: 10.1016/j.jopan.2023.12.015
Moura, J. W. D. S., Bitencourt, A. D. S., Silva, T. L., Carmo, A. C. F. D., Santos, L. M. D., & Rocha, P. K. (2024). Utilization of local pressure devices in pain management during injections: scoping review. Revista Brasileira de Enfermagem, 77, e20230399. doi: 10.1590/0034-7167-2023-0399
Mustafa, M. S., Shafique, M. A., Zaidi, S. D. E. Z., Qamber, A., Rangwala, B. S., Ahmed, A., ... & Haseeb, A. (2024). Preoperative anxiety management in pediatric patients: A systemic review and meta-analysis of randomized controlled trials on the efficacy of distraction techniques. Frontiers in Pediatrics, 12, 1353508. https://doi.org/10.3389/fped.2024.1353508
Mutlu, B., & Balcı, S. (2015). Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 20(3), 178-186. doi:10.1111/jspn.12112
Odabasoglu, E., Tural Buyuk, E., Uzsen, H., & Koyun, M. (2024). The effect of the distraction methods used before the COVID-19 test on the fear and anxiety levels of children: A RCT study. International Journal of Environmental Health Research, 34(2), 745-754. doi:10.1080/09603123.2023.2166022
Oluç, T., & Sarialioğlu, A. (2023). The effect of a hand puppet-based therapeutic play for preschool children on the fear and pain associated with blood collection procedure. Journal of Pediatric Nursing, 72, e80-e86. doi: 10.1016/j.pedn.2023.06.012
Özveren, H. (2011). Non-pharmacological methods at pain management. Hacettepe University Faculty of Health Sciences Nursing Journal, 18(1), 83-92.
Pamungkas, S. A., Effendy, C., Hartami, E., Istifiani, L. A., & Ulhaq, Z. S. (2024). The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures. European Archives of Paediatric Dentistry, 1-9. doi:10.1007/s40368-024-00927-1
Pontes, J. E. D., Tabet, E., Folkmann, M. Á. D. S., Cunha, M. L. D. R., & Almeida, F. D. A. (2015). Therapeutic play: preparing the child for the vaccine. Einstein (São Paulo), 13, 238-242. doi: 10.1590/S1679-45082015AO2967
Ramdhanie, G. G., Nurrohmah, A., Mulya, A. P., Mediani, H. S., Sumarni, N., Mulyana, A. M., & Huda, M. H. (2024). A scoping review of audiovisual distraction techniques among children in reducing invasive procedure pain. Journal of Multidisciplinary Healthcare, 4363-4372. doi:10.2147/JMDH.S479107
Robinson, N., Delorenzo, A., Howell, S., Smith, K., Cameron, P., Stock, A., & Eastwood, K. (2023). Pediatric distraction tools for prehospital care of pain and distress: A systematic review. Pediatrics, 152(1), e2022059910. https://doi.org/10.1542/peds.2022-059910
See, C., Ng, M., & Ignacio, J. (2023). Effectiveness of music interventions in reducing pain and anxiety of patients in pediatric and adult emergency departments: A systematic review and meta-analysis. International Emergency Nursing, 66, 101231. doi: 10.1016/j.ienj.2022.101231
Semerci, R., & Kostak, M. A. (2020). The efficacy of distraction cards and kaleidoscope for reducing pain during phlebotomy: a randomized controlled trial. Journal of PeriAnesthesia Nursing, 35(4), 397-402. doi:10.1016/j.jopan.2020.02.003
Sezer, F. (2011). Öfke ve psikolojik belirtiler üzerine müziğin etkisi. Uluslararası İnsan Bilimleri Dergisi, 8(1), 1472-1493.
Simonetti, V., Tomietto, M., Comparcini, D., Vankova, N., Marcelli, S., & Cicolini, G. (2022). Effectiveness of virtual reality in the management of paediatric anxiety during the peri operative period: A systematic review and metaanalysis. International Journal of Nursing Studies, 125, 104115. doi:10.1016/j.ijnurstu.2021.104115
Sivri Bilgen, B., & Balcı, S. (2019). The effect on pain of Buzzy® and ShotBlocker® during the administration of intramuscular injections to children: a randomized controlled trial. Journal of Korean Academy of Nursing, 49(4), 486-494. doi: 10.4040/jkan.2019.49.4.486
Sivri, B. B., Balci, S., & Dolgun, G. (2023). The Effect of 3 Methods (Buzzy, ShotBlocker, and DistrACTION Cards) used while taking blood samples from children with pain and anxiety: a randomized controlled trial. Pediatric Emergency Care, 39(8), 600-607. doi:10.1097/PEC.0000000000002866
Song, J. S., Chung, H. C., Sohn, S., & Kinn, Y. J. (2020). Effects of psychological behaviour management programme on dental fear and anxiety in children: A randomised controlled clinical trial. European journal of paediatric dentistry, 21(4), 287-291. doi:10.23804/ejpd.2020.21.04.6
Stegemann, T., Geretsegger, M., Phan Quoc, E., Riedl, H., & Smetana, M. (2019). Music therapy and other music-based interventions in pediatric health care: an overview. Medicines, 6(1), 25. doi: 10.3390/medicines6010025
Stewart, M. W. (2016). Therapeutic play intervention. Journal of PeriAnesthesia Nursing, 31(5), 452-456. doi: 10.1016/j.jopan.2016.07.001
Suleman, S. K., Yahya, N. B., Nilsson, S., & Enskär, K. (2024). Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure. European Journal of Pediatrics, 183(1), 113-122. doi:10.1007/s00431-023-05271-y
Tas, F. Q., van Eijk, C. A., Staals, L. M., Legerstee, J. S., & Dierckx, B. (2022). Virtual reality in pediatrics, effects on pain and anxiety: A systematic review and meta‐analysis update. Pediatric Anesthesia, 32(12), 1292-1304. https://doi.org/10.1111/pan.14546
Ting, B., Tsai, C. L., Hsu, W. T., Shen, M. L., Tseng, P. T., Chen, D. T. L., ... & Jingling, L. (2022). Music intervention for pain control in the pediatric population: A systematic review and meta-analysis. Journal of Clinical Medicine, 11(4), 991. https://doi.org/10.3390/jcm11040991
Unesi, Z., Afshari, G., Salari Dastgerd, H., & Gandomi, M. (2021). The effect of ShotBlocker on vaccination pain in infants. Hayat, 27(3), 278-289. URL: http://hayat.tums.ac.ir/article-1-4254-en.html
Ünver, S., Güray, Ö., & Aral, S. (2020). Effectiveness of a group game intervention in reducing preoperative anxiety levels of children and parents: a randomized controlled trial. AORN Journal, 111(4), 403-412. doi: 10.1002/aorn.12990
Wandini, R., & Resandi, R. (2020). Pemberian tehnik distraksi menonton kartun animasi untuk menurunkan tingkat nyeri prosedur invasif pada anak. Holistik Jurnal Kesehatan, 14(3), 479-485.
Wang, X., Zhang, J., Xin, H., Tan, W., Liu, Y., & Wan, J. (2023). Effectiveness of two distraction strategies in reducing preoperative anxiety in children in China: A randomized controlled trial. Journal of Pediatric Nursing, 68, e8-e15. doi:10.1016/j.pedn.2022.10.013
Wei, Q., Sun, R., Liang, Y., & Chen, D. (2024). Virtual reality technology reduces the pain and anxiety of children undergoing vein puncture: a meta-analysis. BMC Nursing, 23(1), 541. https://doi.org/10.1186/s12912-024-02184-5
Yantie, N. P. V. K., Gunawijaya, E., Windiani, I. G. A. T., & Maharini, K. (2023). The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children. Paediatrica Indonesiana, 63(5), 328-34. doi:10.14238/pi63.5.2023.328-34
Yayan, E. H., Zengin, M., Düken, M. E., & Dağ, Y. S. (2020). Reducing children's pain and parents' anxiety in the postoperative period: A therapeutic model in Turkish sample. Journal of pediatric nursing, 51, e33-e38. doi: 10.1016/j.pedn.2019.07.004
Yaz, Ş. B., Başdemir, S., & Geçtan, E. (2024). The effect of vibrating cold application and puppet use on pain and fear during phlebotomy in children: A randomized controlled study. Journal of Pediatric Nursing, 74, 77-84. https://doi.org/10.1016/j.pedn.2023.11.018
Yıldırım, B. G., & Gerçeker, G. Ö. (2023). The effect of virtual reality and buzzy on first insertion success, procedure-related fear, anxiety, and pain in children during intravenous insertion in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 49(1), 62-74. doi: 10.1016/j.jen.2022.09.018
Yılmaz, D. A., Akça, S. Ö., & Kendirci, H. N. P. (2024). Shotblocker or cold application; which one is more effective in reducing anxiety and pain associated with the ıntramuscular ınjection in children?: A randomized controlled trial. doi: 10.14235/bas.galenos.2023.75010
Addab, S., Hamdy, R., Thorstad, K., Le May, S., & Tsimicalis, A. (2022). Use of virtual reality in managing paediatric procedural pain and anxiety: An integrative literature review. Journal of Clinical Nursing, 31(21-22), 3032-3059. https://doi.org/10.1111/jocn.16217
Aldakhil, S. K., Salam, M., Albelali, A. A., Alkanhal, R. M., Alnemer, M. J., & Alatassi, A. (2020). The prevalence of emergence delirium and its associated factors among children at a postoperative unit: A retrospective cohort at a Middle Eastern hospital. Saudi Journal of Anaesthesia, 14(2), 169-176. doi: 10.4103/sja.SJA_573_19
Alemdar, D. K., Bulut, A., & Yilmaz, G. (2023). Impact of music therapy and hand massage in the pediatric intensive care unit on pain, fear and stress: Randomized controlled trial. Journal of Pediatric Nursing, 71, 95-103. doi: 10.1016/j.pedn.2023.05.007
Amali, R. J., & Chavan, S. S. (2023). Effectiveness of virtual reality distraction on pain perception and fear among children with cancer undergoing IV cannulation. Indian Journal of Community Medicine, 48(6), 909-914.doi: 10.4103/ijcm.ijcm_988_22
Andersson, V., Bergman, S., Henoch, I., Simonsson, H., & Ahlberg, K. (2022). Pain and pain management in children and adolescents receiving hospital care: a cross-sectional study from Sweden. BMC Pediatrics, 22(1), 252. doi:10.1186/s12887-022-03319-w
Arıkan, A., & Esenay, F. I. (2020). Active and passive distraction interventions in a pediatric emergency department to reduce the pain and anxiety during venous blood sampling: a randomized clinical trial. Journal of Emergency Nursing, 46(6), 779-790. https://doi.org/10.1016/j.jen.2020.05.004
Ballard, A., Khadra, C., Adler, S., Doyon-Trottier, E., & Le May, S. (2018). Efficacy of the Buzzy® device for pain management of children during needle-related procedures: a systematic review protocol. Systematic Reviews, 7, 1-7. doi: 10.1186/s13643-018-0738-1
Balliel, N. (2023). Effect of soap bubbles technique, coughing and distraction cards on reducing pain and anxiety during phlebotomy in children. Paediatric and Neonatal Pain, 5(2), 31-37. doi:10.1002/pne2.12090
Baxter, A. L., Cohen, L. L., McElvery, H. L., Lawson, M. L., & Von Baeyer, C. L. (2011). An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatric Emergency Care, 27(12), 1151-1156. doi: 10.1097/PEC.0b013e318237ace4
Bayar, F. G., Şen, S., & Kudubes, A. A. (2024). The efficacy of finger puppets, distraction cards and kaleidoscope for reducing anxiety in children undergoing day surgery. Journal of Pediatric Nursing. doi:10.1016/j.pedn.2024.05.007
Bergomi, P., Scudeller, L., Pintaldi, S., & Dal Molin, A. (2018). Efficacy of non-pharmacological methods of pain management in children undergoing venipuncture in a pediatric outpatient clinic: a randomized controlled trial of audiovisual distraction and external cold and vibration. Journal of Pediatric Nursing, 42, e66-e72.
Besirik, S. A., & Sahiner, N. C. (2024). Comparison of the effectiveness of three different distraction methods in reducing pain and anxiety during blood drawing in children: A randomized controlled study. Journal of Pediatric Nursing, 79, 225-233. doi:10.1016/j.pedn.2024.09.009
Boso, M., Politi, P., Barale, F., & Emanuele, E. (2006). Neurophysiology and neurobiology of the musical experience. Functional Neurology, 21(4), 187.
Buyuk, E. T., Odabasoglu, E., Uzsen, H., & Koyun, M. (2021). The effect of virtual reality on Children's anxiety, fear, and pain levels before circumcision. Journal of Pediatric Urology, 17(4), 567-e1.doi: 10.1016/j.jpurol.2021.04.008
Caglar, S., Büyükyilmaz, F., Cosansu, G., & Çaglayan, S. (2017). Effectiveness of ShotBlocker for immunization pain in full-term neonates: a randomized controlled trial. The Journal of Perinatal & Neonatal Nursing, 31(2), 166-171. doi: 10.1097/JPN.00000000000000256
Caleffi, C. C. F., Rocha, P. K., Anders, J. C., Souza, A. I. J. D., Burciaga, V. B., & Serapião, L. D. S. (2016). Contribution of structured therapeutic play in a nursing care model for hospitalised children. Revista gaucha de enfermagem, 37, e58131. 10.1590/1983-1447.2016.02.58131
Canbulat, N., Ayhan, F., & Inal, S. (2015). Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Management Nursing, 16(1), 33-39. doi:10.1016/j.pmn.2014.03.003
Chaurasia, B., Jain, D., Mehta, S., Gandhi, K., & Mathew, P. J. (2019). Incentive-based game for allaying preoperative anxiety in children: A prospective, randomized trial. Anesthesia & Analgesia, 129(6), 1629-1634. doi: 10.1213/ANE.0000000000003717
Díaz-Rodríguez, M., Alcántara-Rubio, L., Aguilar-García, D., Pérez-Muñoz, C., Carretero-Bravo, J., & Puertas-Cristóbal, E. (2021). The effect of play on pain and anxiety in children in the field of nursing: A systematic review. Journal of pediatric nursing, 61, 15-22. doi: 10.1016/j.pedn.2021.02.022
Doğan, P., Akcay, N., & Yılmaz, H. B. (2021). Pediatri hemşireliğinde önemli bir girişim: atravmatik bakım ve yaklaşımları. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 6(2), 131-135.
Durak, H., & Uysal, G. (2021). The effect of cartoon watching and distraction card on physiologic parameters and fear levels during inhalation therapy in children: A randomized controlled study. Journal of Tropical Pediatrics, 67(1), fmab018. doi:10.1093/tropej/fmab018
Düzkaya, D. S., Karakul, A., Akoy, İ., & Andi, S. (2024). Effects of ShotBlocker® and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6–12 years in pediatric emergency units: A randomized controlled trial. International Emergency Nursing, 76, 101502. https://doi.org/10.1016/j.ienj.2024.101502
Eijlers, R., Utens, E. M., Staals, L. M., de Nijs, P. F., Berghmans, J. M., Wijnen, R. M., ... & Legerstee, J. S. (2019). Systematic review and meta-analysis of virtual reality in pediatrics: effects on pain and anxiety. Anesthesia & Analgesia, 129(5), 1344-1353. https://doi.org/10.1213/ANE.0000000000004165
Erdim, L. (2022). The effect on pain and anxiety levels of using DistrACTION® Cards to distract children during a skin-prick test: a randomized controlled experimental study. Minerva Pediatr (Torino), 74(2), 167-75. doi:10.23736/S2724-5276.21.06008-0
Erdogan, B., & Ozdemir, A. A. (2021). The effect of three different methods on venipuncture pain and anxiety in children: distraction cards, virtual reality, and Buzzy®(randomized controlled trial). Journal of Pediatric Nursing, 58, e54-e62. doi: 10.1016/j.pedn.2021.01.001
Gerçeker, G. Ö., Bektaş, M., Aydınok, Y., Ören, H., Ellidokuz, H., & Olgun, N. (2021). The effect of virtual reality on pain, fear, and anxiety during access of a port with huber needle in pediatric hematology-oncology patients: Randomized controlled trial. European Journal of Oncology Nursing, 50, 101886. https://doi.org/10.1016/j.ejon.2020.101886
Girgin, B. A., & Göl, İ. (2020). Reducing pain and fear in children during venipuncture: a randomized controlled study. Pain Management Nursing, 21(3), 276-282. doi:10.1016/j.pmn.2019.07.006
Girgin, B. A., Göl, İ., Gözen, D., Çarikçi, F., & Kirmizibekmez, H. (2023). Effects of applications manual pressure and shotblocker to reduce needle-related pain and fear in children with type 1 diabetes mellitus. Journal of Pediatric Nursing, 73, 84-90. doi: 10.1016/j.pedn.2023.08.024
Godino-Iáñez, M. J., Martos-Cabrera, M. B., Suleiman-Martos, N., Gómez-Urquiza, J. L., Vargas-Román, K., Membrive-Jiménez, M. J., & Albendín-García, L. (2020, July). Play therapy as an intervention in hospitalized children: a systematic review. In Healthcare (Vol. 8, No. 3, p. 239). Mdpi. doi:10.3390/healthcare8030239
Halemani, K., Issac, A., Mishra, P., Dhiraaj, S., Mandelia, A., & Mathias, E. (2022). Effectiveness of preoperative therapeutic play on anxiety among children undergoing invasive procedure: A systematic review and meta-analysis. Indian Journal of Surgical Oncology, 13(4), 858-867. doi: 10.1007/s13193-022-01571-1
He, H. G., Zhu, L., Chan, S. W. C., Liam, J. L. W., Li, H. C. W., Ko, S. S., ... & Wang, W. (2015). Therapeutic play intervention on children's perioperative anxiety, negative emotional manifestation and postoperative pain: a randomized controlled trial. Journal of Advanced Nursing, 71(5), 1032-1043. doi: 10.1111/jan.12608
Huang, Q., Lin, J., Han, R., Peng, C., & Huang, A. (2022). Using virtual reality exposure therapy in pain management: a systematic review and meta-analysis of randomized controlled trials. Value in Health, 25(2), 288-301. https://doi.org/10.1016/j.jval.2021.04.1285
International Association for the Study of Pain (IASP). Declaration of Montréal. 2010. Available at: https://www.iasp-pain.org/advocacy/iasp-statements/access-to-pain-management-declaration-of-montreal/?navItemNumber=582. Accessed November 11, 2024.
İnal, S., & Canbulat, N. (2015). Çocuklarda işlemsel ağrı yönetiminde dikkati başka yöne çekme yöntemlerinin kullanımı. Güncel Pediatri, 13(2), 116-121.doi:10.4274/jcp.29292
İyi, Z., İşler, A., & Özer, Z. (2024). Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis. Journal of Pediatric Nursing. https://doi.org/10.1016/j.pedn.2024.08.006
Jung, M. J., Libaw, J. S., Ma, K., Whitlock, E. L., Feiner, J. R., & Sinskey, J. L. (2021). Pediatric distraction on induction of anesthesia with virtual reality and perioperative anxiolysis: a randomized controlled trial. Anesthesia & Analgesia, 132(3), 798-806. https://doi.org/10.1213/ANE.0000000000005004
Karabey, T., & Karagözoğlu, Ş. (2024). The effect of new device on pain and comfort levels in individuals undergoing peripheral intravenous cannula insertion. The Journal of Vascular Access, 25(2), 432-438. doi: 10.1177/11297298221113685
Karakul, A., Akgül, E. A., Yalınız, R., & Meşe, T. (2022). Effectiveness of music during cardiac catheterization on children's pain, fear, anxiety and vital signs: A randomized, blind controlled trial. Journal of Pediatric Nursing, 65, e56-e62. doi: 10.1016/j.pedn.2022.02.009
Koller, D., & Goldman, R. D. (2012). Distraction techniques for children undergoing procedures: a critical review of pediatric research. Journal of Pediatric Nursing, 27(6), 652-681. https://doi.org/10.1016/j.pedn.2011.08.001
Liu, M. H., Zhu, L. H., Peng, J. X., Zhang, X. P., Xiao, Z. H., Liu, Q. J., ... & Latour, J. M. (2020). Effect of personalized music intervention in mechanically ventilated children in the PICU: a pilot study. Pediatric Critical Care Medicine, 21(1), e8-e14.doi: 10.1097/PCC.0000000000002159
Luo, W., Chen, C., Zhou, W., Cao, A., Zhu, W., Zhou, Y., ... & Zhu, B. (2023). Biophilic virtual reality on children’s anxiety and pain during circumcision: A randomized controlled study. Journal of Pediatric Urology, 19(2), 201-210. https://doi.org/10.1016/j.jpurol.2022.10.023
Merino-Lobato, C., Rodriguez-Gallego, I., Pabon-Carrasco, M., Romero-Castillo, R., & Jimenez-Picon, N. (2023). Virtual reality vs. buzzy®. efficacy in pain and anxiety management during pediatric venipuncture. Systematic review and meta-analysis. Journal of Pediatric Nursing, 73, 22-33.
Metlek, S., & Çağlar, S. (2024). The Effect of Therapeutic Play on Children’s Pain, Anxiety and Mothers’ Anxiety during Pre-and Postcircumcision Period. Journal of PeriAnesthesia Nursing. doi: 10.1016/j.jopan.2023.12.015
Moura, J. W. D. S., Bitencourt, A. D. S., Silva, T. L., Carmo, A. C. F. D., Santos, L. M. D., & Rocha, P. K. (2024). Utilization of local pressure devices in pain management during injections: scoping review. Revista Brasileira de Enfermagem, 77, e20230399. doi: 10.1590/0034-7167-2023-0399
Mustafa, M. S., Shafique, M. A., Zaidi, S. D. E. Z., Qamber, A., Rangwala, B. S., Ahmed, A., ... & Haseeb, A. (2024). Preoperative anxiety management in pediatric patients: A systemic review and meta-analysis of randomized controlled trials on the efficacy of distraction techniques. Frontiers in Pediatrics, 12, 1353508. https://doi.org/10.3389/fped.2024.1353508
Mutlu, B., & Balcı, S. (2015). Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial. Journal for Specialists in Pediatric Nursing, 20(3), 178-186. doi:10.1111/jspn.12112
Odabasoglu, E., Tural Buyuk, E., Uzsen, H., & Koyun, M. (2024). The effect of the distraction methods used before the COVID-19 test on the fear and anxiety levels of children: A RCT study. International Journal of Environmental Health Research, 34(2), 745-754. doi:10.1080/09603123.2023.2166022
Oluç, T., & Sarialioğlu, A. (2023). The effect of a hand puppet-based therapeutic play for preschool children on the fear and pain associated with blood collection procedure. Journal of Pediatric Nursing, 72, e80-e86. doi: 10.1016/j.pedn.2023.06.012
Özveren, H. (2011). Non-pharmacological methods at pain management. Hacettepe University Faculty of Health Sciences Nursing Journal, 18(1), 83-92.
Pamungkas, S. A., Effendy, C., Hartami, E., Istifiani, L. A., & Ulhaq, Z. S. (2024). The impact of animated video cartoons as a distraction technique on anticipatory anxiety levels among children during class I GIC restoration procedures. European Archives of Paediatric Dentistry, 1-9. doi:10.1007/s40368-024-00927-1
Pontes, J. E. D., Tabet, E., Folkmann, M. Á. D. S., Cunha, M. L. D. R., & Almeida, F. D. A. (2015). Therapeutic play: preparing the child for the vaccine. Einstein (São Paulo), 13, 238-242. doi: 10.1590/S1679-45082015AO2967
Ramdhanie, G. G., Nurrohmah, A., Mulya, A. P., Mediani, H. S., Sumarni, N., Mulyana, A. M., & Huda, M. H. (2024). A scoping review of audiovisual distraction techniques among children in reducing invasive procedure pain. Journal of Multidisciplinary Healthcare, 4363-4372. doi:10.2147/JMDH.S479107
Robinson, N., Delorenzo, A., Howell, S., Smith, K., Cameron, P., Stock, A., & Eastwood, K. (2023). Pediatric distraction tools for prehospital care of pain and distress: A systematic review. Pediatrics, 152(1), e2022059910. https://doi.org/10.1542/peds.2022-059910
See, C., Ng, M., & Ignacio, J. (2023). Effectiveness of music interventions in reducing pain and anxiety of patients in pediatric and adult emergency departments: A systematic review and meta-analysis. International Emergency Nursing, 66, 101231. doi: 10.1016/j.ienj.2022.101231
Semerci, R., & Kostak, M. A. (2020). The efficacy of distraction cards and kaleidoscope for reducing pain during phlebotomy: a randomized controlled trial. Journal of PeriAnesthesia Nursing, 35(4), 397-402. doi:10.1016/j.jopan.2020.02.003
Sezer, F. (2011). Öfke ve psikolojik belirtiler üzerine müziğin etkisi. Uluslararası İnsan Bilimleri Dergisi, 8(1), 1472-1493.
Simonetti, V., Tomietto, M., Comparcini, D., Vankova, N., Marcelli, S., & Cicolini, G. (2022). Effectiveness of virtual reality in the management of paediatric anxiety during the peri operative period: A systematic review and metaanalysis. International Journal of Nursing Studies, 125, 104115. doi:10.1016/j.ijnurstu.2021.104115
Sivri Bilgen, B., & Balcı, S. (2019). The effect on pain of Buzzy® and ShotBlocker® during the administration of intramuscular injections to children: a randomized controlled trial. Journal of Korean Academy of Nursing, 49(4), 486-494. doi: 10.4040/jkan.2019.49.4.486
Sivri, B. B., Balci, S., & Dolgun, G. (2023). The Effect of 3 Methods (Buzzy, ShotBlocker, and DistrACTION Cards) used while taking blood samples from children with pain and anxiety: a randomized controlled trial. Pediatric Emergency Care, 39(8), 600-607. doi:10.1097/PEC.0000000000002866
Song, J. S., Chung, H. C., Sohn, S., & Kinn, Y. J. (2020). Effects of psychological behaviour management programme on dental fear and anxiety in children: A randomised controlled clinical trial. European journal of paediatric dentistry, 21(4), 287-291. doi:10.23804/ejpd.2020.21.04.6
Stegemann, T., Geretsegger, M., Phan Quoc, E., Riedl, H., & Smetana, M. (2019). Music therapy and other music-based interventions in pediatric health care: an overview. Medicines, 6(1), 25. doi: 10.3390/medicines6010025
Stewart, M. W. (2016). Therapeutic play intervention. Journal of PeriAnesthesia Nursing, 31(5), 452-456. doi: 10.1016/j.jopan.2016.07.001
Suleman, S. K., Yahya, N. B., Nilsson, S., & Enskär, K. (2024). Comparison of trace image colors for kids-book with two active distractions in reducing pain and fear of children during the venipuncture procedure. European Journal of Pediatrics, 183(1), 113-122. doi:10.1007/s00431-023-05271-y
Tas, F. Q., van Eijk, C. A., Staals, L. M., Legerstee, J. S., & Dierckx, B. (2022). Virtual reality in pediatrics, effects on pain and anxiety: A systematic review and meta‐analysis update. Pediatric Anesthesia, 32(12), 1292-1304. https://doi.org/10.1111/pan.14546
Ting, B., Tsai, C. L., Hsu, W. T., Shen, M. L., Tseng, P. T., Chen, D. T. L., ... & Jingling, L. (2022). Music intervention for pain control in the pediatric population: A systematic review and meta-analysis. Journal of Clinical Medicine, 11(4), 991. https://doi.org/10.3390/jcm11040991
Unesi, Z., Afshari, G., Salari Dastgerd, H., & Gandomi, M. (2021). The effect of ShotBlocker on vaccination pain in infants. Hayat, 27(3), 278-289. URL: http://hayat.tums.ac.ir/article-1-4254-en.html
Ünver, S., Güray, Ö., & Aral, S. (2020). Effectiveness of a group game intervention in reducing preoperative anxiety levels of children and parents: a randomized controlled trial. AORN Journal, 111(4), 403-412. doi: 10.1002/aorn.12990
Wandini, R., & Resandi, R. (2020). Pemberian tehnik distraksi menonton kartun animasi untuk menurunkan tingkat nyeri prosedur invasif pada anak. Holistik Jurnal Kesehatan, 14(3), 479-485.
Wang, X., Zhang, J., Xin, H., Tan, W., Liu, Y., & Wan, J. (2023). Effectiveness of two distraction strategies in reducing preoperative anxiety in children in China: A randomized controlled trial. Journal of Pediatric Nursing, 68, e8-e15. doi:10.1016/j.pedn.2022.10.013
Wei, Q., Sun, R., Liang, Y., & Chen, D. (2024). Virtual reality technology reduces the pain and anxiety of children undergoing vein puncture: a meta-analysis. BMC Nursing, 23(1), 541. https://doi.org/10.1186/s12912-024-02184-5
Yantie, N. P. V. K., Gunawijaya, E., Windiani, I. G. A. T., & Maharini, K. (2023). The efficacy of audiovisual distraction as an anxiety-minimizing technique during echocardiography in preschool children. Paediatrica Indonesiana, 63(5), 328-34. doi:10.14238/pi63.5.2023.328-34
Yayan, E. H., Zengin, M., Düken, M. E., & Dağ, Y. S. (2020). Reducing children's pain and parents' anxiety in the postoperative period: A therapeutic model in Turkish sample. Journal of pediatric nursing, 51, e33-e38. doi: 10.1016/j.pedn.2019.07.004
Yaz, Ş. B., Başdemir, S., & Geçtan, E. (2024). The effect of vibrating cold application and puppet use on pain and fear during phlebotomy in children: A randomized controlled study. Journal of Pediatric Nursing, 74, 77-84. https://doi.org/10.1016/j.pedn.2023.11.018
Yıldırım, B. G., & Gerçeker, G. Ö. (2023). The effect of virtual reality and buzzy on first insertion success, procedure-related fear, anxiety, and pain in children during intravenous insertion in the pediatric emergency unit: A randomized controlled trial. Journal of Emergency Nursing, 49(1), 62-74. doi: 10.1016/j.jen.2022.09.018
Yılmaz, D. A., Akça, S. Ö., & Kendirci, H. N. P. (2024). Shotblocker or cold application; which one is more effective in reducing anxiety and pain associated with the ıntramuscular ınjection in children?: A randomized controlled trial. doi: 10.14235/bas.galenos.2023.75010
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Published
January 15, 2025
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