Effect of Shot Blockers versus Buzzy Bee Distractor on Relieving Pain and Anxiety Level during Insulin Injection among Children with Type I Diabetes

EL-mahdy, Eman Samy Rady; El-khedr, Sahar Mahmoud; Elrifaey, Shaymaa Mohamed; Elaraby, Maha Elsayed

doi:10.21608/tsnj.2023.298374

Effect of Shot Blockers versus Buzzy Bee Distractor on Relieving Pain and Anxiety Level during Insulin Injection among Children with Type I Diabetes

Document Type : Original Article

Authors

¹ Demonstrator of Pediatric Nursing, Faculty of Nursing/ Tanta University, Egypt.

² Professor of Pediatric Nursing, Faculty of Nursing/ Tanta University, Egypt

³ Assistant prof. of Pediatrics Endocrine Department, Faculty of Medicine/ Tanta University, Egypt

⁴ Lecturer of Pediatric Nursing, Faculty of Nursing/ Tanta University, Egypt.

10.21608/tsnj.2023.298374

Abstract

Background: Type 1 diabetes is characterized by deficiency in insulin because of the
autoimmune destruction of pancreatic β-cells. Children with type 1 diabetes require lifelong
insulin therapy. Non pharmacological methods as Buzzy Bee and Shot Blocker used to reduce
children's pain and anxiety. Aim: the present study was aimed to evaluate the effect of shot
blockers versus buzzy bee distractor on relieving pain and anxiety during insulin injection
among children with type I diabetes. Research design: Randomized controlled experimental
study design was used. Subjects: Simple random sampling of 90 children with type 1
diabetes from Pediatric Endocrinology Unit of Tanta Main University Hospital was recruited.
Tools: three tools were used, Tool (I): Child’s Medical History, Tool (II): FLACC Pain
Scale and Tool (III): Visual Facial Anxiety Scale. Results: The mean scores of FLACC Pain
Scale and Visual Facial Anxiety Scale was lower among children in Buzzy Bee group
compared to other groups during insulin injection. High statistically significant correlations
were found between level of pain and anxiety throughout the study period. Conclusion: Both
Buzzy Bee and Shot Blocker had a positive effect on the reduction pain and anxiety for
children with type1 diabetes. Buzzy Bee was more effective than Shot Blocker.
Recommendations: Implementation of pain and anxiety assessment must be integrated into
the routine assessment as vital signs when caring for children. Developing Educational
programs for pediatric nurses about non-pharmacological techniques including shot blocker
and buzzy bee to minimize procedures associated pain and anxiety.