TY - JOUR
T1 - Using vibrating and cold device for pain relieves in children
T2 - A systematic review and meta-analysis of randomized controlled trials
AU - Su, Hui Chuan
AU - Hsieh, Chia Wen
AU - Lai, Nai Ming
AU - Chou, Pao Yu
AU - Lin, Pu Hung
AU - Chen, Kee Hsin
N1 - Funding Information:
Funding for this research was provided mainly by Taiwan Ministry of Science and Technology ( MOST 107-2320-B038-018-MY2 ).
Publisher Copyright:
© 2021 Elsevier Inc.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/11/1
Y1 - 2021/11/1
N2 - Objective: Needle procedures are the most common source of pain, anxiety, and fear among children. A combination of a cooling ice-pack and/or a vibrating motor for pain management in children has been evaluated in trials, but their overall effects await a synthesis of the available evidence. Method: Comprehensive search was conducted using Cochrane, PubMed, EMBASE, PsycINFO, CINAHL and Airiti. We calculated pooled risk ratios (RR), mean difference (MD) and 95% CI using RevMan 5.3. A meta-regression was conducted to investigate the effects of mean age on MD of pain. Results: A total of 1479 children from 16 publications were included. Compared with the control group, using cold-vibrating device significantly decreased pain level above the age of 2 (MD -3.03, 95% CI: −3.38, −2.68), as well as lower anxiety level among parents (MD -1.3, 95% CI: −1.9, −0.7). Meta-regression demonstrated a significant negative correlation of pain score with age. For children at 8.5 years, cold-vibration reduced the pain score by 0.13 averagely for every increment in year compared with controls (MD −0.13; 95% CI: −0.25, −0.01). No adverse events were reported in included studies. Discussion: The cold-vibrating device reduced pain levels significantly among children without adverse effects. Variation of factors might contribute to the heterogeneity of our study, such as age, different needle procedures, psychological strategies…etc. Conclusions: Cool-vibration treatment reduced pain levels in children who underwent needle procedures and the treatment appears more effective in older children. The device is promising in clinical setting due to its non-invasiveness and ease of usage.
AB - Objective: Needle procedures are the most common source of pain, anxiety, and fear among children. A combination of a cooling ice-pack and/or a vibrating motor for pain management in children has been evaluated in trials, but their overall effects await a synthesis of the available evidence. Method: Comprehensive search was conducted using Cochrane, PubMed, EMBASE, PsycINFO, CINAHL and Airiti. We calculated pooled risk ratios (RR), mean difference (MD) and 95% CI using RevMan 5.3. A meta-regression was conducted to investigate the effects of mean age on MD of pain. Results: A total of 1479 children from 16 publications were included. Compared with the control group, using cold-vibrating device significantly decreased pain level above the age of 2 (MD -3.03, 95% CI: −3.38, −2.68), as well as lower anxiety level among parents (MD -1.3, 95% CI: −1.9, −0.7). Meta-regression demonstrated a significant negative correlation of pain score with age. For children at 8.5 years, cold-vibration reduced the pain score by 0.13 averagely for every increment in year compared with controls (MD −0.13; 95% CI: −0.25, −0.01). No adverse events were reported in included studies. Discussion: The cold-vibrating device reduced pain levels significantly among children without adverse effects. Variation of factors might contribute to the heterogeneity of our study, such as age, different needle procedures, psychological strategies…etc. Conclusions: Cool-vibration treatment reduced pain levels in children who underwent needle procedures and the treatment appears more effective in older children. The device is promising in clinical setting due to its non-invasiveness and ease of usage.
KW - Cool-vibration device
KW - Gate-theory
KW - Hospitalized
KW - Meta-analysis
KW - Pain
KW - Systematic review
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U2 - 10.1016/j.pedn.2021.02.027
DO - 10.1016/j.pedn.2021.02.027
M3 - Article
AN - SCOPUS:85102835512
SN - 0882-5963
VL - 61
SP - 23
EP - 33
JO - Journal of Pediatric Nursing
JF - Journal of Pediatric Nursing
ER -