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Effects of BuzzyⓇ and ShotBlockerⓇ on Pain and Anxiety During Immunization in Children: A Randomized Controlled Trial
Dilek Sari1, Hatice Erdem Onder2, Nihal Taskiran3
1Ege University Faculty of Nursing, Department of Fundamentals of Nursing, İzmir, Turkey.
Insights
Childhood immunizations can be painful. The ShotBlocker® and Buzzy® devices may help reduce pain and anxiety during tetanus-diphtheria vaccinations in children, potentially improving their satisfaction.
Area of Science:
- Pediatric healthcare
- Pain management
- Vaccine administration
Background:
- Vaccinations are crucial for preventing childhood infectious diseases.
- Immunizations are often the first painful medical procedure children experience, leading to anxiety.
- Effective pain and anxiety management strategies are needed for pediatric vaccinations.
Purpose of the Study:
- To assess the impact of ShotBlocker® and Buzzy® on pain and anxiety during tetanus-diphtheria vaccination.
- To evaluate children's satisfaction with these interventions.
- To compare these methods against a control group in school-aged children.
Main Methods:
- A randomized controlled trial was conducted with 138 children aged 13 years.
- Participants were assigned to ShotBlocker®, Buzzy®, or a control group (46 children each).
- Pain, anxiety (State-Trait Anxiety Inventory), and satisfaction (Visual Analog Scale) were measured.
Main Results:
- ShotBlocker® and Buzzy® groups reported lower pain and anxiety than the control group, though not statistically significant (p=.135 for pain, p=.276 for anxiety).
- A significant reduction in anxiety was observed from before to after vaccination across all groups (p < .001).
- Post-vaccination satisfaction scores were higher in the intervention groups, but differences were not statistically significant (p=.245).
Conclusions:
- ShotBlocker® and Buzzy® show potential benefits in reducing pain and anxiety associated with tetanus-diphtheria vaccines in 13-year-olds.
- These methods may enhance children's satisfaction during vaccination procedures.
- Further research may be warranted to confirm statistical significance and explore broader applications.
Objective:
Childhood vaccines are a vital procedure for preventing infectious diseases and are a regular component of a child's medical care. However, vaccines are among the first and most frequently encountered painful procedures that can cause indicators of anxiety in relation to immunizations. This study aimed to identify and assess the impact of the ShotBlockerⓇ and BuzzyⓇ approaches on pain, anxiety and satisfaction with the tetanus-diphtheria vaccine in school-aged children.
Design:
An experimental randomized controlled trial.
Methods:
The study included a sample of 138 children aged 13-years-old receiving the tetanus-diphtheria vaccine at a family health clinic. Participants were randomly assigned to the ShotBlockerⓇ, BuzzyⓇ and control groups. Each group consisted of 46 children, with an equal distribution of 23 females and 23 males. Data were collected using the State-Trait Anxiety Inventory (state version) and Visual Analog Scale.
Results:
The ShotBlockerⓇ and BuzzyⓇ groups exhibited lower pain and anxiety scores than the control group. However, there was no statistically significant difference between groups (for pain, p = .135; for anxiety, p = .276). It was found though that there was a statistically significant difference between the mean anxiety scores of groups before and after vaccination (p < .001). Following vaccination, although the satisfaction scores of children in the ShotBlockerⓇ and BuzzyⓇ groups were higher, there was no statistically significant difference between the groups (p = .245).
Conclusions:
The use of BuzzyⓇ and ShotBlockerⓇ has been demonstrated to be beneficial in reducing the pain and anxiety associated with tetanus-diphtheria vaccine injections in 13-year-old children. Furthermore, these methods can be employed frequently during vaccination to enhance children's satisfaction.
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