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Effectiveness of Two Different Methods for Pain Reduction During Insulin Injection in Children With Type 1 Diabetes:
Nejla Canbulat Sahiner1, Ayse Sonay Turkmen1, Ayfer Acikgoz2
1Pediatric Nursing Department, Health Science Faculty, Karamanoglu Mehmetbey University, Karaman, Turkey.
Insights
ShotBlocker and Buzzy significantly reduced pain and anxiety during insulin injections in children with type 1 diabetes. These devices offer effective pain management strategies for pediatric patients requiring regular insulin therapy.
Area of Science:
- Pediatric Endocrinology
- Pain Management
- Diabetes Care
Background:
- Repeated insulin injections can cause pain and anxiety in children, potentially leading to insulin skipping.
- Effective pain management is crucial for adherence to diabetes treatment regimens in pediatric populations.
Purpose of the Study:
- To compare the efficacy of ShotBlocker versus Buzzy (vibration and cold) in alleviating pain during insulin administration in children.
- To assess the impact of these interventions on procedural anxiety levels.
Main Methods:
- A randomized controlled experimental study involving 60 children (6-12 years) with type 1 diabetes.
- Children were allocated to ShotBlocker, Buzzy, or control groups.
- Pain and anxiety were measured using the Children's Anxiety and Pain Scale (CAPS) and Faces Pain Scale-Revised (FPS-R).
Main Results:
- No significant differences in pre-procedural anxiety among groups.
- Both ShotBlocker and Buzzy groups reported significantly lower pain levels compared to the control group.
- Intervention groups showed reduced procedural anxiety as reported by families and observers.
Conclusions:
- Nurses should employ pain relief methods during insulin injections.
- ShotBlocker is a recommended, effective option for pain control in children during insulin administration.
- Non-pharmacological methods like ShotBlocker and Buzzy can improve the experience of insulin therapy for children.
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.
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