Venipuncture is one of the most common stressful procedures in children. Managing pain and fear of venipuncture procedure recommended strongly because it may change children's memory for procedural pain and the subsequent acceptance of later health care painful interventions. Prior painful experiences can reduce the acceptance of later health care, hence making it more difficult for both patients and nurses.

There was clear evidence that the distraction method is the most performed as a psychological technique performed to decrease venipuncture-related pain and distress and supporting its efficacy in children.

The aim of this study to investigate the effectiveness of TICK-B on children's pain and anxiety during venipuncture procedure.

Note:

The first registration number for the protocol of Ph.D. was approved as 10092019-6 on 10th September 2019 It approved the grant to publish the result as 20072020-3 on 23, August,

Inclusion Criteria:

• being between 6-12 years old,
• a physician order was placed for the blood sample,

Exclusion Criteria:

• Chronic medical condition.
• Those whose parent not participated,
• Neurodevelopmental delayed, verbal difficulties, difficulties in hearing or visual,
• Unconsciousness.
• Take a medication analgesic in the past 6 hrs.
• history of syncope.