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8. What variable has a result of t = ? 6.135, p = 0.000? What does the result me

ID: 3200842 • Letter: 8

Question

8. What variable has a result of t = ? 6.135, p = 0.000? What does the result mean?

9. In your opinion, is it an expected or unexpected ? nding that both t values on Table 2 were found to be statistically signi? cant. Provide a rationale for your answer.

10. Describe one potential clinical bene? t for pediatric patients to receive the Buzzy intervention that combined cold and vibration during IV insertion.

Introduction Canbulat and colleagues (2015, p. 33) conducted an experimental study to determine the effects of external cold and vibration stimulation via Buzzy on the pain and anxiety levels of children during peripheral intravenous (TV) cannulation." Buzzy is an 8 x 5 x 2.5 cm battery-operated device for delivering external cold and vibration, which resembles a bee in shape and coloring and has a smiling face. A total of 176 children between the ages of 7 and 12 years who had never had an IV insertion before were recruited and randomly assigned into the equally sized intervention and control groups. During IV insertion, "the control group received no treatment. The intervention group received external cold and vibration stimulation via Bu Buzzy was administered about 5 cm above the application area just before the procedure, and the vibration continued until the end of the procedure" (Canbulat et al., 2015, p. 36). Canbulat et al. (2015, pp. 37-38) concluded that "the application of external cold and vibration stimulation were effective in relieving pain and anxiety in chil dren during peripheral IV" insertion and were "quick-acting and effective nonpharmacolog cal measures for pain reduction." The researchers concluded that the Buzzy intervention is inexpensive and can be easily implemented in clinical practice with a pediatric population. Relevant Study Results The level of significance for this study was set at o 0.05. "There were no differences between the two groups in terms of age, sex lgender, BMI, and preprocedural anxiety according to the self, the parents, and the observer's reports (p 0.05) (Table 1). When the pain and anxiety levels were compared with an independent samples t the children in the external cold and vibration stimulation [intervention] group had signifi cantly lower pain levels than the control group according to their self-reports (both WBFC [Wong Baker Faces Scale and VAS Visual analog scale scores; p 0.001) (Table 2). The external cold and vibration stimulation group had significantly lower fear and anxiety

Explanation / Answer

8. Parent reported procedural child anxiety had  a result of t = 6.135, p = 0.000.

This means that the procedural anxiety level in the the child, as reported by the parent/s of the child, was much lesser for the external cold and vibration stimulation group (Buzzy intervention used) than the control group (Buzzy intervention not used).

9. It is an expected finding that both t values in Table 2 were statistically significant. This is because both the scales were self reported and measuring the same variable i.e. pain through similar items (e.g. expression on face). Thus, there can be consistency bias leading to similar ratings on both the scales.

10.Pediatric patients who receive the Buzzy intervention will suffer less pain, fear and anxiety during IV insertion which will make it easier for the doctors/nurses to do the insertion and repeat the insertion later if required without facing much resistance from children or parents. This would lead to more use of IV insertion.

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