Evidence map›Paper›PMID 40853779›Full record

ArticleJMIR pediatrics and parenting2025

Effects of Cold and Vibration on Venipuncture Pain Management in Children Aged 2-7 Years Old: Randomized Controlled Trial.

Zi-Yun Zhou, Long-Yi Hu, Ming-Li Wang, Si-Qi Li, Le-Shan Zhou

Abstract read
In one paragraph

Article in JMIR pediatrics and parenting, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zi-Yun Zhou *Hunan Provincial Comprehensive Childcare Service Center, Changsha, China.ORCID http://orcid.org/0000-0003-1725-0017
Long-Yi Hu *Department of Clinical Nursing, Xiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Yuelu District, Hunan, Changsha, China, 86 18975186606.ORCID http://orcid.org/0000-0003-3818-4653
Ming-Li WangDepartment of Clinical Nursing, Xiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Yuelu District, Hunan, Changsha, China, 86 18975186606.ORCID http://orcid.org/0000-0003-1832-5148
Si-Qi LiDepartment of Clinical Nursing, Xiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Yuelu District, Hunan, Changsha, China, 86 18975186606.ORCID http://orcid.org/0009-0004-2672-3802
Le-Shan ZhouDepartment of Clinical Nursing, Xiangya School of Nursing, Central South University, 172 Tong Zi Po Road, Yuelu District, Hunan, Changsha, China, 86 18975186606.ORCID http://orcid.org/0000-0002-0685-7115

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The pain resulting from venipuncture is one of the primary sources of stress during childhood and can have adverse effects on children. The Buzzy device can play an important role in alleviating the pain of venipuncture in children. Objective: The aim of this study is to investigate the independent and combined effects of cold and vibration in reducing venipuncture pain and resistance behavior in children aged 2-7 years. Methods: A total of 130 children who underwent venipuncture were randomly assigned to 4 groups: 32 in the control group, 30 in the external cold group, 37 in the vibration group, and 31 in the cold combined with vibration group. The cold, vibration, and cold combined with vibration interventions used the Buzzy device. Nurses used the Face, Legs, Activity, Cry, Consolability Pain Behavior Scale and the Children's Behavior Scale to assess pain and resistance behaviors before and during the venipuncture. Results: Compared with the control group, the cold group, vibration group, and cold combined with vibration group experienced milder pain and demonstrated weaker resistance behavior (P<.05). Pairwise comparison results showed that the combination group was superior to the vibration group (P<.05). Conclusions: External cold and vibration are effective in reducing procedural pain and improving compliance in children aged 2-7 years undergoing venipuncture. The cold combined with vibration has a synergistic effect, and the effect is better than vibration only.

Indexed as

BuzzyBuzzy devicechildhoodchildrencoldcontrolled trialexternal coldFace, Legs, Activity, Cry, ConsolabilitynonpharmacologicalPain Behavior Scalepediatric nursingpediatricsphlebotomyprocedural painrandomizedrandomized controlled trialRCTstresstoddlervenipuncturevibration

Identifiers

PMID40853779
PMCPMC12377409

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.