• Canbulat Sahiner Nejla N Pediatric Nursing Department, Health Science Faculty, Karamanoglu Mehmetbey University, Karaman, Turkey., Ayse Sonay Turkmen, Ayfer Acikgoz, Enver Simsek, and Birgul Kirel.
• Pediatric Nursing Department, Health Science Faculty, Karamanoglu Mehmetbey University, Karaman, Turkey.
• Worldviews Evid Based Nurs. 2018 Dec 1; 15 (6): 464-470.

BackgroundRepeated injections may prevent children from performing insulin administration (skip dosing) and may cause anxiety.AimsTo compare the effect of ShotBlocker and the combination of vibration and cold application (Buzzy) in reducing pain during insulin administration in children.MethodsThis research was designed as a randomized controlled experimental study. The study sample consisted of 60 children aged between 6 and 12 years who were diagnosed as having type 1 diabetes and received insulin from the Child Endocrinology Department of the medical faculty in Eskisehir Osmangazi University between May 2015 and June 2017. The children were randomized into the Buzzy (n = 20), ShotBlocker (n = 20), and control (n = 20) groups. Three instruments were used to obtain the research data: Interview and Observation Form, Children's Anxiety and Pain Scale (CAPS), and Faces Pain Scale-Revised (FPS-R).ResultsThe mean age of the children was 9.43 ± 2.18 years (range 6-12 years). There were no significant differences among preprocedural anxiety levels of the study groups in terms of self-, parent-, and observer-reported levels (p = .935, p = .374, and p = .680, respectively). Children in the control group had higher levels of pain than children in the Buzzy and ShotBlocker groups (p = .008, p = .007, and p > .001, respectively). There was a significant difference between the groups with procedural anxiety levels reported by the family and observer (p = .006 and p = .002, respectively), favoring the intervention groups.Linking Evidence To ActionNurses should be aware of pain during insulin injection and use methods for pain relief accordingly. ShotBlocker is recommended as a helpful option in cases where a pain control method is required.© 2018 Sigma Theta Tau International.

32 keywords...

hide…