The effect of Buzzy application on pain and comfort level during heel stick in newborns: a randomized controlled study

Year 2025, Volume: 7 Issue: 2, 170 - 176, 21.03.2025

Mehmet Bulduk , Nesrullah Ayşin , Veysel Can , Jiyan Tan Ayşin , Yusuf Dilbilir , Emine Kurt Can

Abstract

Aims: The aim of this study was to evaluate the effects of the Buzzy device application on pain levels and comfort in newborns during heel stick procedures.
Methods: This randomized controlled experimental study was conducted at a Family Health Centre affiliated with the Public Health Directorate in a province in eastern Turkey between September and November 2024. The sample included 80 newborns born at 37–42 weeks of gestational age within the first 28 days of life (Buzzy group: n=40; control group: n=40). In the Buzzy group, the Buzzy device was applied approximately 30 seconds before the heel stick procedure. In the control group, the procedure was performed without any intervention. Data collection tools included the neonatal introduction form, the neonatal infant pain scale (NIPS), and the neonatal comfort behavior scale (NCBS). Ethical principles were adhered to throughout the study.
Results: Pain levels and comfort scores during the heel stick procedure were significantly better in the Buzzy group compared to the control group (p<0.001). Analysis revealed that, in the control group, pain levels increased significantly, and comfort levels decreased markedly during the procedure. In contrast, the Buzzy group exhibited a more limited increase in pain levels and a less pronounced decrease in comfort. After the procedure, the pain scores were significantly lower, and comfort levels were higher in the Buzzy group compared to the control group (p<0.001).
Conclusion: The Buzzy device was found to be an effective method for significantly reducing pain and maintaining comfort in newborns during heel stick procedures. These findings suggest that the Buzzy device can be a valuable tool for pain management and enhancing comfort in clinical settings. Future studies could explore the effectiveness of the device in larger populations and compare it with other pain management strategies.

Keywords

Buzzy, newborn, pain, comfort, heel stick, nursing

Ethical Statement

This study was conducted following the ethical principles outlined in the Declaration of Helsinki. Written ethical approval was obtained from the Van Yüzüncü Yıl University Non-Interventional Clinical Research Ethics Committee (Decision No. 2023/06-02, dated June 16, 2023). Informed written and verbal consent was obtained from the parents of all participating infants prior to the study. Participation was entirely voluntary, and parents were informed of their right to withdraw from the study at any time without prejudice. The randomized controlled trial was registered on ClinicalTrials.gov (ID: NCT06773325). Ethical principles, including ensuring the safety, comfort, and well-being of the participants, were strictly adhered to throughout the study.

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