The Effect of Vapocoolant Spray and Baby Shark Vibrator on Children’s Pain during Invasif Procedure

Ely Mawaddah, Mira Utami Ningsih


Invasif procedure is a procedure that is often performed on children. This procedure is related to needles that causes pain in children. Children who experienced pain during invasif procedure need treatment to avoid trauma. It is necessary to apply atraumatic care through the use of interventions that eliminate or minimize the psychological and physical distress suffered by children, one of which is the use of vibrators with music and cold compresses to minimize pain. This study aims to determine the effectiveness of giving a baby shark vibrator compare with vapoocoolant spray against pain in children undergoing invasif procedure such as injection and venipuncture. The researcher divided the respondents into 2 groups, the intervention group (baby shark vibrator) and the control group (vapocoolant spray) which are taken randomly with a total of 60 children participating in this study. The assessment of children's pain using the FLACC instrument (face, legs, activity, cry and consolability). The results of statistical tests showed that there was a no significant difference in pain in the intervention group and the control group (p=0.077). The use of a baby shark vibrator can be an alternative to reduce pain in children during invasif procedure because for some children, it is more convenient and distracting.


Baby shark vibrator; vapoccolant spray; invasif procedure; pain; children

Full Text:



Astuti I.T, Khasanah N.N. (2017). Uji Beda Efek Guided Imagery dan Ethyl Chloride Terhadap Nyeri Saat Pemasangan Infus pada Anak. Indonesian Journal of Nursing Practice, 1(2), 69-74.

Azari, Muhammad, S., dan Woferst, R., 2015, Gambaran Skala Nyeri Pada Anak Dengan Menggunakan Skala Nyeri Flacc Scale Saat Tindakan Invasif, Jurnal Online Mahasiswa, Vol. 2(2): 1275-1284.

Ballard A, Khadra C, Adler S, et al., 2019, External cold and vibration for pain management of children undergoing needle-related procedures in the emergency department: a randomized controlled non-inferiority trial protocol. BMJ Open 2019;9:e023214. doi:10.1136/bmjopen- 2018-023214

Baxter, A., Cohen, L., McElvery, H., Lawson, M., & von Baeyer, C. (2011). An integration of vibration and cold relieves venipuncture pain in a pediatric emergency department. Pediatric Emergency Care Journal, 27(12), 1151-1156.

Baxter AL, Leong T, Mathew B. (2009). External thermomechanical stimulation versus vapocoolant for adult venipuncture pain: pilot data on a novel device. Clin J Pain, 25(8), 705-710

Bowden, V.R & Greenberg, C. (2010). Children and their families: the continuum of care. (2nd edition). Philadelphia: Lippincott Williams & Wilkins.

Canbulat, N., Ayhan, F. & Inal, S. (2015). Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Management Nursing, 16(1), 33-39.

Davoudi, A., Rismanchian, M., Akhavan, A., Nosouhin, S., Bajoghli, F., Tabari, K., danJahadi, S., 2016, A Brief Review On The Efficacy Of Different Possible And Nonpharmacological Techniques In Eliminating Discomfort Of Local Anesthesia Injection During Dental Procedures, Anesthesia: Essays And Researches, Vol.10(1): 13-16.

Gatchel.,R, McGeary, C.A, Lippe Ben (2014). Interdisciplinary Chronic Pain Management. American Psychological Association, 69(2), 119–130. DOI: 10.1037/a0035514

Hockenberry & Wilson, D. (2012). Essential of pediatric nursing. St. Louis: Mosby year book

Inal, S., & Kelleci, M. (2012). Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw. International Journal Of Nursing Practice, 18(2), 339-345.

Mohiuddin, I., Setty, J.V., Srinivasan, I., dan Desai, J.A., 2015, Topical Application Of Local Anesthetic Gel Vs Ice In Pediatric Patients For Infiltration Anaesthesia, Journal Of Evaluation Of Medical And Dental Science,Vol. 4(74): 12934-12940.

Petersen, S., Hagglof. B.L, & Bergstrom, E.I. (2009) Impaired health related quality of life in children with recurrent pain. Pediatrics, 124(4), 759-767.

Vaajoki, A. (2013). We have to take pain definition, pain management, and the results of non-pharmacological studies seriously. Altern Integ Med, 2(7), 134. Doi:10.4172/2327-5162.1000134

Wente, S.J.K & Richfield. (2013). Nonpharmacologic pediatric pain management in emergency departments: A systematic review of the literature. Journal of emergency nursing, 39 (2), 140-150.



  • There are currently no refbacks.

Copyright (c) 2023 Ely Mawaddah, Mira Utami Ningsih

Creative Commons License
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
slot gacor slot gacor slot gacor slot gacor slot gacor