Comparison of the effect of Acupressure and Buzzy on First insertion success and pain related insertion of intravenous catheter (Angiocath) in 3-6 year old children referred to the emergency department

Comparison of the effect of Acupressure and Buzzy on first insertion success and pain related insertion of intravenous catheter (Angiocath) in 3-6 year old children referred to the emergency department of Hakim Hospital of Neyshabour in2024

3-group randomized controlled trial with one control and two parallel intervention groups , involving 84 children (28 per group) matched by gender. Each child who presented for angiocatheter placement and met the study inclusion criteria was randomly assigned to one of the groups based on gender within each block. Randomization was performed using the Random Allocation software.

Eligible children presenting to the emergency department of Hakim Neyshabour Hospital will be randomly assigned to either an intervention or control group. Acupressure : The Hugo point is compressed before insertion. Buzzy : The Buzzy is attached to the child's hand before insertion. Control : the angiocatheter is inserted routinely

Inclusion criteria: Physician's order for catheter insertion; Age 3 to 6 years; Informed parental consent; First catheter insertion during this hospitalization Fully alert No pain Exclusion: Catheter insertion site other than the back of the hand Use of sedatives or topical or oral analgesics within 48 hours Bruising, inflammation, wound, or fracture at the catheter insertion site History of chemotherapy, dialysis Specific diseases (thyroid, epilepsy, vascular, diabetes, neurological, edema, blood, hearing, vision, movement) Intellectual disability or cerebral palsy Inability to communicate verbally Diagnosed mental or cognitive disorder

intervention consists of three groups: Acupressure : Pressing the Hugo point Buzzy : Attaching Buzzy on the child's hand Control : Routine insertion

Venipuncture pain ; First insertion success

Convenience sampling will be used for this study. This means that any individual who enters the treatment center and meets the study's inclusion criteria will be eligible to participate. With a sample size of 84, we aim to recruit 28 participants in each group. We also intend to ensure an equal distribution of girls and boys in each experimental group. Therefore, we will employ a blocked randomization method. We will use blocks of 12 participants each, assigning 4 to the Buzzy group, 4 to the Acupressure group, and 4 to the Control group. There will be three blocks of 12 for girls and three blocks of 12 for boys. Additionally, we will use two additional blocks of 6 to enroll an additional 12 girls and boys. In each block of 6, 2 participants will be assigned to the Acupressure group, 2 to the Buzzy group, and 2 to the Control group. Random allocation will be conducted using the "Random Allocation Software". Each child who comes to the clinic for angiocatheter placement and meets the study's inclusion criteria will be placed in one of these blocks based on gender and will be randomly assigned to one of the interventions From the start of the vascular access process and angiocatheter placement, the research assistant measures the time to vascular access using a stopwatch and records it along with the number of attempts to access the vessels in the clinical data collection checklist. Simultaneously, by carefully observing the child, the assistant enters scores for facial expression, leg movement, activity level, crying, and consolability to assess the pain score in the aforementioned checklist. All interventions are performed outside the venipuncture room and the research assistant is blinded to the type of intervention performed.

All data is potentially shareable after de-identifying individuals.

The start of the access period after the publication of the article

All people

The data can be used with the permission of Dr. Ali Asghar Jesemi Marghzar.

Send an email to Dr. Ali Asghar Jesemi Marghzar Email address: jesmiaa@gmail.com

By sending an email to Dr. Ali Asghar Jasemi Marghzar after his approval, the data will be provided to the individual.