It is important to use non-pharmacological methods in the management of pain and fear.

In children,the use of Bee-Buzzy is effective in reducing pain and fear, and the use of puppets is effective in reducing fear.

Non-pharmacological methods are often used as a creative strategy to reduce pain and fear in children during a painful procedure such as phlebotomy.

This study was conducted to evaluate the effects of Bee Buzzy and puppet use on pain and fear during phlebotomy in children.

This randomized controlled study was conducted in the pediatric phlebotomy unit of a university hospital. The CONSORT checklist was used in this study. The sample of 3–6 years children (n = 105) was divided into groups by block randomization. Children's pain and fear scores were evaluated with the Wong-Baker Faces Pain Rating Scale and Children's Fear Scale by the parents and the nurse who attempted phlebotomy during phlebotomy.

A statistically significant difference was found between the Bee Buzzy and puppet and Bee Buzzy and control groups in pain scores (p < .05). Pain scores were lower in the Bee Buzzy group than in the puppet and control groups. A statistical difference was found between Bee Buzzy and the control group or puppet and control group according to all fear scores (p < .05). Fear scores were lower in the Bee Buzzy and puppet group (p < .05).

The results show that the use of Bee Buzzy during phlebotomy has a pain-relieving effect, and the use of Bee Buzzy and puppet has an anti-fear effect in 3–6-year-old children.

The use of Bee-Buzzy and puppets is effective in reducing pain and fear in children as they increase effective communication and distract attention.

Clinical Trial Registration: National Institutes of Health (NIH), ClinicalTrials.gov, NCT05827783.

Distraction

Pain

Fear

Pediatric

Puppet

Phlebotomy

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