The Efficacy of Vibrational Anesthesia in Reducing Pain and Anxiety among a Single Rod Contraceptive Implant Recipient: A single-blinded randomized controlled trial
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Abstract
Objectives: To evaluate the effectiveness of vibration anesthesia in reducing pain and anxiety in the group receiving single rod contraceptive implant recipient (SRCI).
Materials and Methods: This study was a single-blinded, randomized, controlled trial. Forty-five women were randomly assigned to the experimental group and forty-five women to the control group. The control group had SRCI using the standard method. However, the experimental group received vibrational anesthesia during the implantation. The study variables were general information, the numeric rating scale, and the state-trait anxiety inventory (STAI) form Y-1 questionnaire.
Results: The median pain score of the experimental group was 2 (1-2), while that of the control group was 4 (3-4). There was a statistically significant difference (p < 0.01) in the pain scores. Thirty-six cases (80.0%) in the experimental group showed low anxiety levels compared to no cases in the control groups (p < 0.01). No adverse events were reported.
Conclusion: Vibrational anesthesia during SRCI may reduce pain and anxiety among the recipients.
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References
Committee on Practice Bulletins-Gynecology, Long-Acting Reversible Contraception Work Group. Practice Bulletin No. 186: Long-acting reversible contraception: Implants and intrauterine devices. Obstet Gynecol 2017;130:e251-69.
Fischer MA. Implanon: a new contraceptive implant. J Obstet Gynecol Neonatal Nurs JOGNN 2008;37: 361-8.
Department of Health, PPAT and Bayer Thai launch ‘Choices: Your Life. Your Choices’ campaign on World Contraception Day 2023 [Internet]. 2023 [cited 2024 Mar 22]. Available from: https://ppat.or.th/en/department-of-health-ppat-and-bayer-thai-launch-choices-your-life-your-choices-campaign-on-world-contraception-day-2023-2/
Bureau of Reproductive Health. Pregnancy surveillance report for teenage pregnancy 2020 [Internet]. [cited 2023 Jun 27]. Available from: https://rh.anamai.moph.go.th/web-upload/7x027006c2abe84e89b5c85b44a692da94/m_magazine/35435/2515/file_download/374a6a8979531f495fede0669d29af78.pdf
Inoue K, Kelly M, Barratt A, Bateson D, Rutherford A, Black KI, et al. Australian women’s attitudes towards and understandings of the subdermal contraceptive implant: a qualitative study of never-users. J Fam Plann Reprod Health Care 2017;43:128-34.
Gafaranga JP. Major depression and panic disorder associated with implanon implant: A case report. Int Med Case Rep J 2023;16:647-9.
McLenon J, Rogers MAM. The fear of needles: A systematic review and meta-analysis. J Adv Nurs 2019;75:30-42.
Lim JA, Choi SH, Lee WJ, Jang JH, Moon JY, Kim YC, et al. Cognitive-behavioral therapy for patients with chronic pain. Medicine (Baltimore) 2018;97:e10867.
Lin LL, Li HP, Yang JW, Hao XW, Yan SY, Wang LQ, et al. Acupuncture for psychological disorders caused by chronic pain: A review and future directions. Front Neurosci 2021;14:626497.
Smith KC, Comite SL, Balasubramanian S, Carver A, Liu JF. Vibration anesthesia: a noninvasive method of reducing discomfort prior to dermatologic procedures. Dermatol Online J 2004;10:1.
Kazi R, Govas P, Slaugenhaupt RM, Carroll BT. Differential analgesia from vibratory stimulation during local injection of anesthetic: A randomized clinical trial. Dermatol Surg 2020;46:1286-93.
Hutchins HS, Young FA, Lackland DT, Fishburne CP. The effectiveness of topical anesthesia and vibration in alleviating the pain of oral injections. Anesth Prog 1997;44:87-9.
Wiederhold MD, Gao K, Wiederhold BK. Clinical use of virtual reality distraction system to reduce anxiety and pain in dental procedures. Cyberpsychology Behav Soc Netw 2014;17:359-65.
Canbulat N, Ayhan F, Inal S. Effectiveness of external cold and vibration for procedural pain relief during peripheral intravenous cannulation in pediatric patients. Pain Manag Nurs 2015;16:33-9.
Skapinakis P. Spielberger state-trait anxiety inventory. In: Michalos AC, editor. Encyclopedia of quality of life and well-being research [Internet]. Dordrecht: Springer Netherlands; 2014 [cited 2024 Mar 23],6261-4. Available from: https://doi.org/10.1007/978-94-007-0753-5_2825
Mapaisankit N, Chandeying P, Tangthasana S. Efficacy of ethyl chloride spray versus subcutaneous 1% lidocaine injection for relieving the pain of one-rod contraceptive implant removal: A single-blinded randomized controlled trial. Thai J Obstet Gynaecol 2021;29:82-91.
Jacobstein R, Stanley H. Contraceptive implants: providing better choice to meet growing family planning demand. Glob Health Sci Pract 2013;1:11-7.
Lynn MM, Holdcroft C. New concepts in contraception: Norplant subdermal implant. Nurse Pract 1992;17: 85-9.
Ramdhan RC, Simonds E, Wilson C, Loukas M, Oskouian RJ, Tubbs RS. Complications of subcutaneous contraception: A review. Cureus 2018;10:e2132.
Klavon SL, Grubb GS. Insertion site complications during the first year of Norplant use. Contraception 1990;41:27-37.
Sharma P, Czyz CN, Wulc AE. Investigating the efficacy of vibration anesthesia to reduce pain from cosmetic botulinum toxin injections. Aesthet Surg J 2011;31:966-71.
Shilpapriya M, Jayanthi M, Reddy VN, Sakthivel R, Selvaraju G, Vijayakumar P. Effectiveness of new vibration delivery system on pain associated with injection of local anesthesia in children. J Indian Soc Pedod Prev Dent 2015;33:173-6.
Shaefer JR, Lee SJ, Anderson NK. A vibration device to control injection discomfort. Compend Contin Educ Dent 2017;38:e5-e8.
Johnson J, Primosch RE. Influence of site preparation methods on the pain reported during palatal infiltration using the Wand Local Anesthetic System. Am J Dent 2003;16:165-9.