Department of Pediatric Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
Department of Internal Medicine Nursing, Faculty of Nursing, Akdeniz University, Antalya, Turkey.
J Pediatr Nurs. 2024 Sep-Oct;78:e438-e447. doi: 10.1016/j.pedn.2024.08.006. Epub 2024 Aug 10.
Needle-related procedures are quite common throughout life, especially during childhood. Pain caused by these procedures is the most common complication. ShotBlocker is an alternative non-pharmacological method to reduce pain during injection-related procedures. However, the effectiveness of the ShotBlocker application in children for reducing pain needle-related procedures remains unclear. This review aimed to evaluate the effectiveness of ShotBlocker application on pain during needle-related procedures in children from Randomized Controlled Trials.
Eight electronic databases were searched until November 2023 for articles published in English. The methodological quality and evidence strength were appraised using the Cochrane Risk of Bias 2 tool and the GRADE approach. A random-effects model was used to determine the effect of the ShotBlocker application on pain levels. The review included results involving assessments from the child, parents, and an observer in pain evaluation.
A total of nine studies with 1205 children patients were included.
The evaluation data showed that ShotBlocker application significantly reduced the pain caused by needle-related procedures in children. The Cochrane GRADE approach showed moderate level evidence for the effect of ShotBlocker application on pain during needle procedures.
As a result of the studies included in this meta-analysis, it was determined that ShotBlocker application significantly reduced the pain caused by needle-related procedures in children.
ShotBlocker, a non-pharmacological method, can be used by pediatric nurses to reduce pain during needle-related procedures in children. Randomized controlled studies with well-designed methods are needed to create strong evidence in this field.
在人的一生当中，有很多与针相关的程序，尤其是在儿童时期。这些程序引起的疼痛是最常见的并发症。ShotBlocker 是一种替代的非药物方法，可以减轻与注射相关的程序中的疼痛。然而，ShotBlocker 在儿童中应用于减轻疼痛的效果在与针相关的程序中尚不清楚。本综述旨在评估 ShotBlocker 在儿童与针相关的程序中减轻疼痛的效果，研究对象为随机对照试验。
直到 2023 年 11 月，在 8 个电子数据库中搜索发表于英文期刊的文章。使用 Cochrane 偏倚风险 2 工具和 GRADE 方法评估方法学质量和证据强度。使用随机效应模型来确定 ShotBlocker 应用对疼痛水平的影响。综述结果包括评估儿童、父母和观察者在疼痛评估中的结果。
共有 9 项研究，共纳入 1205 名儿童患者。
评估数据显示，ShotBlocker 应用显著降低了儿童与针相关程序引起的疼痛。Cochrane GRADE 方法表明，ShotBlocker 应用对针程序期间疼痛的影响具有中等水平的证据。
由于这项荟萃分析中包括的研究，确定 ShotBlocker 应用显著降低了儿童与针相关程序引起的疼痛。
ShotBlocker 作为一种非药物方法，可由儿科护士在儿童与针相关的程序中使用，以减轻疼痛。需要设计良好的方法的随机对照研究来为该领域提供强有力的证据。
