Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect on Pain of Buzzy® and ShotBlocker® during the Administration of Intramuscular Injections to Children: A Randomized Controlled Trial

  • Birsen, Sivri Bilgen (Department of Pediatric Nursing, School of Health Services-Nursing, Mevlana University) ;
  • Serap, Balci (Department of Pediatric Nursing, Florence Nightingale Nursing Faculty, Istanbul University-Cerrahpasa)
  • Received : 2018.11.06
  • Accepted : 2019.05.14
  • Published : 2019.08.31
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: To investigate the effect of $Buzzy^{(R)}$ and $ShotBlocker^{(R)}$ on reducing pain induced by intramuscular penicillin injections in children. Methods: This was a randomized controlled study. A total of 150 Turkish children aged 7~12 years who presented to our pediatric emergency clinic and met the inclusion criteria were recruited. The children were randomly assigned to each group (control=50, $Buzzy^{(R)}=50$, $ShotBlocker^{(R)}=50$). Data were collected using an information form, the State-Trait Anxiety Inventory for Children, Visual Analog Scale, and Faces Pain Scale-Revised. Results: The children in the control group had significantly higher pain scores during the penicillin injection than the children in the $ShotBlocker^{(R)}$ and $Buzzy^{(R)}$ groups. The children in the $Buzzy^{(R)}$ group had significantly less pain than the children in both the $ShotBlocker^{(R)}$ and control groups (p<.001). Conclusion: $Buzzy^{(R)}$ was more effective compared with $ShotBlocker^{(R)}$ in this study.

Keywords

References

  1. International Association for the Study of Pain (IASP). IASP terminology [Internet]. Washington, D.C.: IASP; c2015 [cited 2015 Jul 31; Updated 2017 Dec 14]. Available from: http://www.iasp-pain.org/Education/Content.aspx?ItemNumber=1698.
  2. Kara D. The methods for reducing pain due to intramuscular injection. Gumushane University Journal of Health Sciences. 2013;2(2):275-289.
  3. Celik N. Investigation of the effect of "ShotBlocker" on reducing pain and anxiety associated with intramuscular injection [dissertation]. Izmir: Ege University Institute of Health Sciences; 2012. p. 1-185.
  4. Mutlu B, Balci S. Effects of balloon inflation and cough trick methods on easing pain in children during the drawing of venous blood samples: A randomized controlled trial. Journal for Specialists in Pediatric Nursing. 2015;20(3):178-186. https://doi.org/10.1111/jspn.12112
  5. Committee on Psychosocial Aspects of Child and Family Health; Task Force on Pain in Infants, Children, and Adolescents. The assessment and management of acute pain in infants, children, and adolescents. Pediatrics. 2001;108(3):793-797. https://doi.org/10.1542/peds.108.3.793
  6. Redfern RE, Chen JT, Sibrel S. Effects of thermomechanical stimulation during vaccination on anxiety, pain, and satisfaction in pediatric patients: A randomized controlled trial. 2018;38:1-7. https://doi.org/10.1016/j.pedn.2017.09.009
  7. Khorshid L. Innovations in nursing, and nursing informatics developments. Poster session presented at:the 14th National Nursing Congress Book;2013 Oct 25-27; Mugla,Turkey. p. 35-46.
  8. Ozusta S. State-trait anxiety inventory for children: A study of reliability and validity. Turkish Journal of Psychology. 1995;10:32-44.
  9. Drendel AL, Kelly BT, Ali S. Pain assessment for children: Overcoming challenges and optimizing care. Pediatric Emergency Care. 2011;27(8):773-781. https://doi.org/10.1097/PEC.0b013e31822877f7
  10. Huguet A, Stinson JN, McGrath PJ. Measurement of self-reported pain intensity in children and adolescents. Journal of Psychosomatic Research. 2010;68(4):329-336. https://doi.org/10.1016/j.jpsychores.2009.06.003
  11. Cobb JE, Cohen LL. A randomized controlled trial of the Shot-Blocker for children's immunization distress. The Clinical Journal of Pain. 2009;25(9):790-796. https://doi.org/10.1097/AJP.0b013e3181af1324
  12. Drago LA, Singh SB, Douglass-Bright A, Yiadom MY, Baumann BM. Efficacy of ShotBlocker in reducing pediatric pain associated with intramuscular injections. The American Journal of Emergency Medicine. 2009;27(5):536-543. https://doi.org/10.1016/j.ajem.2008.04.011
  13. Hughes T. Providing information to children before and during venepuncture. Nursing Children and Young People. 2012;24(5): 23-28. https://doi.org/10.7748/ncyp2012.06.24.5.23.c9142
  14. Zempsky WT. Optimizing the management of peripheral venous access pain in children: Evidence, impact, and implementation. Pediatrics. 2008;122(Suppl 3):S121-S124. https://doi.org/10.1542/peds.2008-1055c
  15. Sinha M, Christopher NC, Fenn R, Reeves L. Evaluation of nonpharmacologic methods of pain and anxiety management for laceration repair in the pediatric emergency department. Pediatrics. 2006;117(4):1162-1168. https://doi.org/10.1542/peds.2005-1100
  16. Bautista EH. Parenteral injection massage: Bioavailability and adverse effects, a systematic review. International Journal of Nursing. 2013;2(1):1-7.
  17. Taddio A, lIersich AL, Ipp M, Kikuta A, Shah V; HELPinKIDS Team. Physical interventions and injection techniques for reducing injection pain during routine childhood immunizations: Systematic review of randomized controlled trials and quasi-randomized controlled trials. Clinical Therapeutics. 2009;31(Suppl B):S48-S76. https://doi.org/10.1016/j.clinthera.2009.07.024
  18. Sahin M. Effect of Buzzy$^{(R)}$ application on pain and injection satisfaction in adult patients who received intramuscular injection [master's thesis]. Izmir: Ege University Institute of Health Sciences; 2013. p. 1-73.
  19. Hasanpour M, Tootoonchi M, Aein F, Yadegarfar G. The effects of two non-pharmacologic pain management methods for intramuscular injection pain in children. Acute Pain. 2006;8(1):7-12. https://doi.org/10.1016/j.acpain.2005.11.001
  20. Russell K, Nicholson R, Naidu R. Reducing the pain of intramuscular benzathine penicillin injections in the rheumatic fever population of Counties Manukau District Health Board. Journal of Pediatrics and Child Health. 2014;50(2):112-117. https://doi.org/10.1111/jpc.12400
  21. Taddio A, Ho T, Vyas C, Thivakaran S, Jamal A, Ilersich AF, et al. A randomized controlled trial of clinician-led tactile stimulation to reduce pain during vaccination in infants. Clinical Pediatrics. 2014;53(7):639-644. https://doi.org/10.1177/0009922814526976
  22. Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. Journal of Child Health Care. 2016;20(3):277-285. https://doi.org/10.1177/1367493515587062
  23. Susam V, Friedel M, Basile P, Ferri P, Bonetti L. Efficacy of the Buzzy System for pain relief during venipuncture in children: A randomized controlled trial. Acta Biomed for Health Professions. 2018;89(6 Suppl):6-16. https://doi.org/10.23750/abm.v89i6-S.7378
  24. Hollins M, McDermott K, Harper D. How does vibration reduce pain? Perception. 2014;43(1):70-84. https://doi.org/10.1068/p7637
  25. Inal S, Kelleci M. Distracting children during blood draw: Looking through distraction cards is effective in pain relief of children during blood draw. International Journal of Nursing Practice. 2012;18(2):210-219. https://doi.org/10.1111/j.1440-172X.2012.02016.x
  26. Guevarra MAD. Efficacy of ShotBlockerTM in reducing pain associated with intramuscular injections in pre-school children [Internet]. Toledo (OH): Bionix Development Corporation; c2003 [cited 2018 Aug 8]. Available from: https://www.bionix.com/healthathome/wp-content/uploads/sites/3/2016/02/Efficacy_of_ShotBlocker_Guevarra_MD.pdf.
  27. Gundrum T, Sherman C, Ruhlman S. Assessment of discomfort with usual immunization practice compared to the use of usual practice and ShotBlocker [Internet]. Toledo (OH): Bionix Development Corporation; c2005 [cited 2018 Aug 8]. Available from: https://www.bionix.com/medicaltech/studies/assessment-of-discomfort-with-usual-immunization-practice-compared-to-the-use-of-usual-practice-and-shotblocker/.
  28. Mennuti-Washburn JE. Gate control theory and its application in a physical intervention to reduce children's pain during immunization injections [master's thesis]. Atlanta (GA): Georgia State University; 2007. p. 1-58.
  29. Foster R, Eberhart T, Zuk J, Finn C. Is the ShotBlocker effective in reducing immunization pain? Research News. 2005;12:1-2.
  30. Aker A, Tibet H, Dogan H, Berberoglu OE, Celikbilek Erkasap P. [Vademecum: Modern Ilac Rehberi]. 13th ed. Istanbul: Medical Tribune; 2014. p.20-35. Turkish.

Cited by

  1. Pain Control : From the Surgical Unit to the School vol.9, pp.2, 2019, https://doi.org/10.1097/jps.0000000000000243