Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: A systematic review and meta-analysis.

Publisher: W.B. Saunders Country of Publication: United States NLM ID: 8607529 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1532-8449 (Electronic) Linking ISSN: 08825963 NLM ISO Abbreviation: J Pediatr Nurs Subsets: MEDLINE

Publication: 1989- : Philadelphia, Pa : W.B. Saunders
Original Publication: [Orlando, FL] : Grune & Stratton, [c1986-

Needles*/adverse effects ; Pain, Procedural*/diagnosis ; Pain, Procedural*/etiology ; Pain, Procedural*/prevention & control; Child ; Humans ; Pain Management/instrumentation ; Pain Management/methods ; Pain Measurement ; Randomized Controlled Trials as Topic

Problem: 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.
Eligibility Criteria: 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.
Sample: A total of nine studies with 1205 children patients were included.
Results: 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.
Conclusions: 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.
Implications: 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.
Competing Interests: Declaration of competing interest The authors declare that there was no conflict of interest.
(Copyright © 2024 Elsevier Inc. All rights reserved.)

Keywords: Children; Meta-analysis; Needle-related procedures; Pain; ShotBlocker application

Date Created: 20240812 Date Completed: 20240912 Latest Revision: 20240927

20240927

10.1016/j.pedn.2024.08.006

39129083