Comparison of the effects of cold spray and acupressure on pain during venipuncture in hospitalized children

Determining the comparative effect of cold spray and acupressure on pain during venipuncture in hospitalized children

Clinical trial with control group, with parallel, randomized groups, 123 children

Approval of the research plan in the university ethics committee. At the beginning of the study, complete the demographic characteristics checklist and the Visual Analogue Scale. Intervention group 1: Cold spray: Interventions will be carried out according to the protocol, for 8 weeks and 1 day per week. Intervention group 2: Acupressure: Interventions will include; 8 sessions, each session will last 1 hour and 1 session per week, and will be carried out for a total of 8 weeks according to the protocol. During and after the venipuncture procedure, the visual analog scale will be completed again. The place of the intervention will be the special venipuncture room in each department.

Admission requirements: Being 6-12 years old. Conditions of non-entry: taking painkillers within 3 hours before or during the study.

Intervention group 1: Cold spray: Spray puff for 5 seconds at a distance of 15 cm to an area of ​​approximately 5 cm2 at the operation site. After fixing the tourniquet and disinfecting the skin for 60 seconds, intravenous injection will be performed. Intervention group 2: Acupressure: It will be performed from point P6 according to the protocol, which will be performed in 1 session and each session will last 10 minutes. Control group: non-intervention: this training group will not be given.

Pain during venipuncture

Block random assignment will be done in such a way that according to the number of study groups (three groups) consisting of intervention 1 (Cold spray), intervention 2 (Acupressure) and control and calculated based on the factorial law, i.e. 3!= 3×2×1= 6, all the possible arrangement modes of people will be compiled based on the table below, considering A for intervention group 1 (Cold spray), B for intervention group 2 (Acupressure) and C for control group: 1 2 3 4 5 6 CBA CAB BCA BAC ACB ABC Then, since the estimated sample size was 123 people, in each block, three samples, each representative of a study group and their arrangement order was also different, from these blocks, placement sampling will be done. After the study objectives are fully explained, eligible research samples will be selected and, based on the time priority of referral, each of them will be assigned a code. By matching that number with the block random allocation list, the patients participating in the study will be assigned to one of the intervention 1 (Cold spray), intervention 2 (Acupressure), and control groups. This process will continue until the estimated sample size is completed.