Chandigarh:The use of simple distraction technique using flippits can significantly relieve the pain associated with blood sampling among children. This fact has been highlighted by a study entitled ‘‘Efficacy of Flippits to Reduce Pain in Children during Venipuncture – A Randomised Controlled Trial’’ conducted by the Department of Paediatrics, Postgraduate Institute of Medical Education and Research (PGIMER).
The study published in the Indian Journal of Paediatrics included the sample of about 210 children aged 4 to 6 years undergoing phlebotomy in the sampling room of the Advanced Paediatric Centre, Outpatient Department, and were randomly assigned to control and intervention groups.
The study aimed at investigating the efficacy of distraction by flippits/distraction cards in relieving pain associated with paediatric venipuncture process in young children and for this, the researchers used a prospective, non-blinded, randomised controlled trial method to get the desired results.
During the study, the researchers discovered that children were exposed to distraction using flippits or distraction cards during the procedure. The pain was assessed for both groups by using FLACC (Face Legs Activity Cry Consolability) behaviour pain assessment scale. In addition, the procedural pain was also assessed by Wong Bakers Faces Pain Scale (WBFPS) using children and parents’ reports.
The results highlighted flippits (distraction cards) had a significant effect on behavioural response to pain in children during blood sampling as evidenced by lower mean pain scores in the intervention group (2.75 ± 0.97) as compared to the control group (3.24 ± 0.85) as per FLACC behavioural pain assessment scale (p < 0.001). The findings also showed that parents and self-reported pain as per WBFPS was also lower in the intervention group as compared to the control group (p < 0.001). Odds of severe pain/discomfort (total pain score 7-10) were 2.5 times higher in controls as compared to the intervention group (OR 2.5; 95 per cent CI: 1.40-4.45) (P 0.002).
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