The Effect of Combined Stimulation of External Cold and Vibration During Immunization on Pain and Anxiety Levels in Children

PurposeProcedures 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.DesignThis 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.MethodsThis 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.FindingThe experimental group showed significantly lower pain and anxiety levels than the control group during immunization.Conclusions/Implications for PracticeThe combined stimulation of skin with external cold and vibration can be used to reduce pain and anxiety during pediatric immunization.