Introduction
cough, Cough, pain
Venipuncture is routine in pediatric patients’ settings for blood collection and IV catheterizations [The management of pain includes both pharmacologic and non-pharmacologic strategies that have been applied to decrease the pain and fear of children during painful procedures [Non-pharmacological strategies include many different activities, such as an inflating balloon and a cough trick [Distraction diverts children’s attention away from harmful stimuli in a simple and effective manner. However, a variety of technologies and techniques are associated with distractions [Active distraction is an approach in which one or more of the child’s senses and skills are stimulated during painful procedures so that the child can engage in certain assignments. Active distraction is often employed in clinical practice in the form of controlled breathing, interactive toys, guided imagery, virtual reality, and electronic games [Art therapy is an effective method of distraction. Using this technique, children can cope with stress before, during, and after painful procedures [Cough trick (CT) is a method of pain relief during peripheral venipuncture (VP) and various injection procedures that involves coughing in response to commands simultaneously with skin puncture [In addition to actively distracting attention from unpleasant situations, balloon inflation and coughing can also have physiological effects [This study investigated the impacts of TICK-B, inflation balloon, and cough trick on school-age children during venipuncture procedures. The research hypothesized that children who applied TICK-B, balloon inflation, or the cough trick during their venipuncture procedures would experience less pain and fear than those who did not.In our study, TICK-B, balloon inflation, and cough trick were hypothesized to result in lower levels of pain and fear during venipuncture than the control group, and TICK-B showed greater effect than balloon inflation and cough trick.