Sari Dilek, Onder Hatice Erdem, Taskiran Nihal, Yardimci Figen, Tas Seyma Kislali
Ege University Faculty of Nursing, Department of Fundamentals of Nursing, İzmir, Turkey.
Mehmet Akif Ersoy University, Faculty of Health Sciences, Department of Fundamentals of Nursing, Burdur, Turkey.
Pain Manag Nurs. 2025 Jan 25. doi: 10.1016/j.pmn.2024.12.023.
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.
An experimental randomized controlled trial.
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.
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).
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.
儿童疫苗接种是预防传染病的重要措施，也是儿童医疗保健的常规组成部分。然而，疫苗接种是最早且最常遇到的会引起免疫相关焦虑指标的疼痛操作之一。本研究旨在识别并评估ShotBlocker和Buzzy方法对学龄儿童破伤风-白喉疫苗接种时的疼痛、焦虑及满意度的影响。
一项实验性随机对照试验。
该研究纳入了138名13岁在家庭健康诊所接种破伤风-白喉疫苗的儿童样本。参与者被随机分配到ShotBlocker组、Buzzy组和对照组。每组由46名儿童组成，男女各23名。使用状态-特质焦虑量表（状态版）和视觉模拟量表收集数据。
ShotBlocker组和Buzzy组的疼痛和焦虑评分低于对照组。然而，两组之间无统计学显著差异（疼痛方面，p = 0.135；焦虑方面，p = 0.276）。不过，发现接种疫苗前后各组的平均焦虑评分存在统计学显著差异（p < 0.001）。接种疫苗后，尽管ShotBlocker组和Buzzy组儿童的满意度评分较高，但两组之间无统计学显著差异（p = 0.245）。
已证明使用Buzzy和ShotBlocker有助于减轻13岁儿童接种破伤风-白喉疫苗时的疼痛和焦虑。此外，在疫苗接种过程中可频繁采用这些方法来提高儿童的满意度。
