Evidence map›Paper›PMID 40858812›Full record

Trial reportScientific reports2025

Pinwheel blowing and stress ball squeezing reduce children's pain and anxiety during intravenous catheterization in a randomized controlled trial.

Reyhaneh Dehghan Dehnavi, Nasrin Sharifi, Zahra Jamshidi, Zahra Hadian Shirazi

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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

2 citing papers in PubMed.

  1. Trial
  2. Trial
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

4 authors.

Reyhaneh Dehghan DehnaviStudent Research Committee, Shiraz University of Medical Sciences, Shiraz, Iran.
Nasrin SharifiSchool of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Iran.
Zahra JamshidiDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran.
Zahra Hadian ShiraziDepartment of Nursing, School of Nursing and Midwifery, Shiraz University of Medical Sciences, Shiraz, Fars, Iran. zhadian@sums.ac.ir.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intravenous catheter insertion is the most common procedure in the hospital setting and causes significant pain and anxiety for hospitalized children. This randomized controlled trial aimed to compare the effects of stress ball squeezing and pinwheel blowing on pain and anxiety levels during intravenous catheter insertion in hospitalized school-aged children. Ninety children aged 6-12 years admitted to the pediatric wards of Namazi Hospital in Shiraz, Iran, between May and September 2024, were randomly assigned to three groups: a stress ball group, a pinwheel group, and a control group. Pain and anxiety were assessed before, during, and after the procedure using the Oucher Pain Scale and the Venham Picture Test (VPT), respectively. The pinwheel group reported the lowest mean pain score (8.0 ± 11.3), followed by the stress ball group (14.5 ± 14.9) and control group (50.5 ± 34.6), with statistically significant differences (p < 0.05). Similarly, anxiety scores were lowest in the pinwheel group (0.7 ± 1.1), compared to the stress ball group (1.0 ± 1.2) and the control group (4.9 ± 2.8) (p < 0.05). Both interventions were effective, but pinwheel blowing showed greater reductions in pain and is recommended as a simple, low-cost distraction method.

Indexed as

AnxietyCatheterization, PeripheralPainPain ManagementChildFemaleHumansIranMalePain MeasurementAnxietyChildDistraction techniquePain managementVenipuncture

Identifiers

PMID40858812
PMCPMC12381172

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.