Effectiveness of Two Different Methods for Pain Reduction During Insulin Injection in Children With Type 1 Diabetes: Buzzy and ShotBlocker. Issue 6 (11th October 2018)

• Record Type: Journal Article
• Authors: Canbulat Sahiner, Nejla; Turkmen, Ayse Sonay; Acikgoz, Ayfer; Simsek, Enver; Kirel, Birgul
• Is Part Of: Worldviews on evidence-based nursing. Volume 15:Issue 6(2018)
• Page Start: 464
• Page End: 470
• Publication Date: 2018-10-11
• Subjects: ShotBlocker -- Buzzy -- pain -- children -- type 1 diabetes -- pain relief -- insulin injection; Evidence-based nursing -- Periodicals; 610.7
• DOI: 10.1111/wvn.12325
• Languages: English
• ISSNs: 1545-102X

Abstract

Abstract: Background: Repeated injections may prevent children from performing insulin administration (skip dosing) and may cause anxiety. Aims: To compare the effect of ShotBlocker and the combination of vibration and cold application (Buzzy) in reducing pain during insulin administration in children. Methods: This 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). Results: The 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 Action: Nurses 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.