Klinik Araştırma
BibTex RIS Kaynak Göster

Yıl 2025, Cilt: 7 Sayı: 3, 621 - 7, 09.09.2025

Öz

Kaynakça

  • Kilic E, Kalay R, Kilic C. Comparing applications of intramuscular injections to dorsogluteal or ventrogluteal regions. J Exp Integr Med. 2014;4:171-4.
  • Greenway K. Using the ventrologluteal site for intramuscular injection. Nurs Stand. 2004;18:39-42.
  • Hopkins U, Arias CY. Large-volume IM injections: a review of best practices. Oncol Nurse Advis. 2013;4:32-7.
  • Mitchell JR, Whitney FW. The effect of injection speed on the perception of intramuscular injection pain. A clinical update. AAOHN J. 2001;49:286-92.
  • Şahan S, Yildiz A. The effect of ShotBlocker application on intramuscular injection pain in adults: a meta-analysis. Clin Nurs Res. 2022;31:820-5.
  • Pasero C, McCaffery M. Pain assessment and pharmacologic management. Mosby-Elsevier, St. Louis. 2011.
  • Kahriman I, Meral B, Colak B, et al. Effects of procedural information, Buzzy, and multiple interventions on pain in children undergoing venipuncture: a randomized controlled trial. J Nurs Res. 2024;32:e362.
  • Karabey T, Karagözoğlu Ş. The effect of manual pressure after subcutaneous injection on pain and comfort levels. J Vasc Nurs. 2021;39:134-9.
  • Inangil D, Inangil G. The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: single-blind, randomised controlled study. J Clin Nurs. 2020;29:1094-101.
  • Sutton R, Lemermeyer G. Nonpharmacological interventions to mitigate procedural pain in the NICU: an integrative review. Adv Neonatal Care. 2024;24:364-73.
  • Marani A, Gioacchini H, Paolinelli M, et al. Pain control during the treatment of primary palmar hyperhidrosis with botulinum toxin A by a topical application of liposomal lidocaine: clinical effectiveness. Toxins (Basel). 2024;16:28.
  • Czarnecki ML, Turner HN, Collins PM, et al. Procedural pain management: a position statement with clinical practice recommendations. Pain Management Nursing. 2011;12:95-111.
  • Yu J, Chen W, Liu Q, Mi J. Investigating 3D-printed disk compressing against skin for pain relief in intradermal infiltration anesthesia: a randomized controlled trial. BMC Anesthesiol. 2023;23:144.
  • Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150:971-9.
  • Gupta NK, Upadhyay A, Dwivedi AK, et al. Randomized controlled trial of topical EMLA and vapocoolant spray for reducing pain during wDPT vaccination. World J Pediatr. 2017;13:236-41.
  • Sari D, Onder HE, Taskiran N, et al. Effects of Buzzy® and ShotBlocker® on pain and anxiety during immunization in children: a randomized controlled trial. Pain Manag Nurs. 2025;26:e325-31.
  • Taddio A, Ilersich AL, Ipp M, et al.; HELPinKIDS Team. Physical interventions and injection techniques for reducing injection pain during routine childhood immunizations: systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin Ther. 2009;31:S48-76.
  • Larroy C. Comparing visual-analog and numeric scales for assessing menstrual pain. Behav Med. 2002;27:179-81.
  • Wewers ME, Lowe NKA. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990;13:227-36.
  • Yapucu Güneş Ü, Zaybak A, Biçici B, Çevik K. The examination of the procedures regarding to intramuscular injection used by the nurses. Journal of Anatolia Nursing and Health Sciences. 2009;12:84-90.
  • Cocoman A, Murray J. Intramuscular injections: a review of best practice for mental health nurses. J Psychiatr Ment Health Nurs. 2008;15:424-34.
  • İyi Z, İşler A, Özer Z. Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: a systematic review and meta-analysis. J Pediatr Nurs. 2024;78:e438-47.
  • Cmc S, Lord H, Vargese SS, et al. Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis. JBI Evid Synth. 2023;21:373-400.
  • Sönmez Düzkaya D, Karakul A, Akoy İ, Andi S. Effects of ShotBlocker and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6-12 years in pediatric emergency units: a randomized controlled trial. Int Emerg Nurs. 2024;76:101502.
  • Pfieffer J, Wehmeier K, Gee K, et al. Evaluation of pain-alleviating strategies during allergy shots (subcutaneous immunotherapy): a randomized controlled pilot study. Eur Ann Allergy Clin Immunol. 2024;56:128-36.
  • Gautam S, Mall P, Prakash R, et al. Efficacy of ShotBlocker device versus vapocoolant spray for spinal needle pain relief during spinal anaesthesia in elective caesarean section: a randomised controlled trial. Indian J Anaesth. 2024;68:329-33.
  • Bilge S, Aydin A, Gun C, et al. Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults: a prospective, randomized, controlled trial. Saudi Med J. 2019;40:996-1002.
  • Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111:52-8.
  • Fillingim RB. Sex, gender, and pain. In: Marianne JL, ed. Principles of gender-specific medicine. Academic Press. 2017:481-96.
  • Keogh E, Herdenfeldt M. Gender, coping and the perception of pain. Pain. 2002;97:195-201.
  • Çelik N, Khorshid L. The use of ShotBlocker for reducing the pain and anxiety associated with intramuscular injection: a randomized, placebo controlled study. Holist Nurs Pract. 2015;29:261-71.
  • Registered Nurses’ Association of Ontario (RNAO). Assessment and management of pain. 3rd edition. Toronto: Registered Nurses’ Association of Ontario; 2013.

Determination of the Effect of ShotBlocker in Reducing Intramuscular Injection Pain in Adult Patients: A Randomized Controlled Trial

Yıl 2025, Cilt: 7 Sayı: 3, 621 - 7, 09.09.2025

Öz

Aim: This study aimed to evaluate the effect of the ShotBlocker device on pain intensity due to intramuscular injection in adult patients presenting to the emergency department.
Material and Method: The study was conducted as a randomized controlled trial. Data were collected from patients who presented to the emergency department of a public hospital in southern Türkiye and volunteered to participate in the study. Participants were randomly assigned to intervention and control groups using a randomization program. Data collection tools included a Personal and Medication Information Form and the Visual Analog Scale.
Results: 80 participants were equally distributed in the intervention and control groups. Gender distribution was equal across both groups. The mean age of participants was 42.20±14.60 years in the intervention group and 47.00±15.10 years in the control group. Diclofenac sodium was the most frequently administered medication in both groups (Intervention: 24, Control: 22). It was determined that the mean pain scores of the participants in the intervention group were significantly lower than those in the control group. Additionally, within the intervention group, pre- and post-injection pain scores varied according to gender, marital status, educational level, income status, and medication type.
Conclusion: The ShotBlocker appears to be a potentially effective non-pharmacological method for managing pain associated with intramuscular injections in adult patients. Its implementation in emergency care settings may contribute to improving patient comfort and enhancing pain management strategies. This study's findings are limited by its single-center design, focus solely on post-injection pain, exclusion of other outcome variables, and reliance on self-reported pain assessment.

Etik Beyan

Ethical approval and institutional permission for the study were obtained (Toros University, Date: 07.06.2024, Approval No: 6/11).

Kaynakça

  • Kilic E, Kalay R, Kilic C. Comparing applications of intramuscular injections to dorsogluteal or ventrogluteal regions. J Exp Integr Med. 2014;4:171-4.
  • Greenway K. Using the ventrologluteal site for intramuscular injection. Nurs Stand. 2004;18:39-42.
  • Hopkins U, Arias CY. Large-volume IM injections: a review of best practices. Oncol Nurse Advis. 2013;4:32-7.
  • Mitchell JR, Whitney FW. The effect of injection speed on the perception of intramuscular injection pain. A clinical update. AAOHN J. 2001;49:286-92.
  • Şahan S, Yildiz A. The effect of ShotBlocker application on intramuscular injection pain in adults: a meta-analysis. Clin Nurs Res. 2022;31:820-5.
  • Pasero C, McCaffery M. Pain assessment and pharmacologic management. Mosby-Elsevier, St. Louis. 2011.
  • Kahriman I, Meral B, Colak B, et al. Effects of procedural information, Buzzy, and multiple interventions on pain in children undergoing venipuncture: a randomized controlled trial. J Nurs Res. 2024;32:e362.
  • Karabey T, Karagözoğlu Ş. The effect of manual pressure after subcutaneous injection on pain and comfort levels. J Vasc Nurs. 2021;39:134-9.
  • Inangil D, Inangil G. The effect of acupressure (GB30) on intramuscular injection pain and satisfaction: single-blind, randomised controlled study. J Clin Nurs. 2020;29:1094-101.
  • Sutton R, Lemermeyer G. Nonpharmacological interventions to mitigate procedural pain in the NICU: an integrative review. Adv Neonatal Care. 2024;24:364-73.
  • Marani A, Gioacchini H, Paolinelli M, et al. Pain control during the treatment of primary palmar hyperhidrosis with botulinum toxin A by a topical application of liposomal lidocaine: clinical effectiveness. Toxins (Basel). 2024;16:28.
  • Czarnecki ML, Turner HN, Collins PM, et al. Procedural pain management: a position statement with clinical practice recommendations. Pain Management Nursing. 2011;12:95-111.
  • Yu J, Chen W, Liu Q, Mi J. Investigating 3D-printed disk compressing against skin for pain relief in intradermal infiltration anesthesia: a randomized controlled trial. BMC Anesthesiol. 2023;23:144.
  • Melzack R, Wall PD. Pain mechanisms: a new theory. Science. 1965;150:971-9.
  • Gupta NK, Upadhyay A, Dwivedi AK, et al. Randomized controlled trial of topical EMLA and vapocoolant spray for reducing pain during wDPT vaccination. World J Pediatr. 2017;13:236-41.
  • Sari D, Onder HE, Taskiran N, et al. Effects of Buzzy® and ShotBlocker® on pain and anxiety during immunization in children: a randomized controlled trial. Pain Manag Nurs. 2025;26:e325-31.
  • Taddio A, Ilersich AL, Ipp M, et al.; HELPinKIDS Team. Physical interventions and injection techniques for reducing injection pain during routine childhood immunizations: systematic review of randomized controlled trials and quasi-randomized controlled trials. Clin Ther. 2009;31:S48-76.
  • Larroy C. Comparing visual-analog and numeric scales for assessing menstrual pain. Behav Med. 2002;27:179-81.
  • Wewers ME, Lowe NKA. A critical review of visual analogue scales in the measurement of clinical phenomena. Res Nurs Health. 1990;13:227-36.
  • Yapucu Güneş Ü, Zaybak A, Biçici B, Çevik K. The examination of the procedures regarding to intramuscular injection used by the nurses. Journal of Anatolia Nursing and Health Sciences. 2009;12:84-90.
  • Cocoman A, Murray J. Intramuscular injections: a review of best practice for mental health nurses. J Psychiatr Ment Health Nurs. 2008;15:424-34.
  • İyi Z, İşler A, Özer Z. Effectiveness of ShotBlocker application on reducing the pain of needle-related procedures in children: a systematic review and meta-analysis. J Pediatr Nurs. 2024;78:e438-47.
  • Cmc S, Lord H, Vargese SS, et al. Effectiveness of physical stimulation for reducing injection pain in adults receiving intramuscular injections: a systematic review and meta-analysis. JBI Evid Synth. 2023;21:373-400.
  • Sönmez Düzkaya D, Karakul A, Akoy İ, Andi S. Effects of ShotBlocker and the Helfer skin tap technique on pain and fear experienced during intramuscular injection among children aged 6-12 years in pediatric emergency units: a randomized controlled trial. Int Emerg Nurs. 2024;76:101502.
  • Pfieffer J, Wehmeier K, Gee K, et al. Evaluation of pain-alleviating strategies during allergy shots (subcutaneous immunotherapy): a randomized controlled pilot study. Eur Ann Allergy Clin Immunol. 2024;56:128-36.
  • Gautam S, Mall P, Prakash R, et al. Efficacy of ShotBlocker device versus vapocoolant spray for spinal needle pain relief during spinal anaesthesia in elective caesarean section: a randomised controlled trial. Indian J Anaesth. 2024;68:329-33.
  • Bilge S, Aydin A, Gun C, et al. Comparison of the efficacy of ShotBlocker and cold spray in reducing intramuscular injection-related pain in adults: a prospective, randomized, controlled trial. Saudi Med J. 2019;40:996-1002.
  • Bartley EJ, Fillingim RB. Sex differences in pain: a brief review of clinical and experimental findings. Br J Anaesth. 2013;111:52-8.
  • Fillingim RB. Sex, gender, and pain. In: Marianne JL, ed. Principles of gender-specific medicine. Academic Press. 2017:481-96.
  • Keogh E, Herdenfeldt M. Gender, coping and the perception of pain. Pain. 2002;97:195-201.
  • Çelik N, Khorshid L. The use of ShotBlocker for reducing the pain and anxiety associated with intramuscular injection: a randomized, placebo controlled study. Holist Nurs Pract. 2015;29:261-71.
  • Registered Nurses’ Association of Ontario (RNAO). Assessment and management of pain. 3rd edition. Toronto: Registered Nurses’ Association of Ontario; 2013.
Toplam 32 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Hemşirelik Esasları
Bölüm Özgün Makaleler
Yazarlar

Behire Sançar 0000-0003-1053-6688

Yağmur Sürmeli 0000-0003-3600-8568

Yayımlanma Tarihi 9 Eylül 2025
Gönderilme Tarihi 15 Mayıs 2025
Kabul Tarihi 15 Temmuz 2025
Yayımlandığı Sayı Yıl 2025 Cilt: 7 Sayı: 3

Kaynak Göster

AMA Sançar B, Sürmeli Y. Determination of the Effect of ShotBlocker in Reducing Intramuscular Injection Pain in Adult Patients: A Randomized Controlled Trial. Med Records. Eylül 2025;7(3):621-7.

Chief Editors
Prof. Dr. Berkant Özpolat, MD
Department of Thoracic Surgery, Ufuk University, Dr. Rıdvan Ege Hospital, Ankara, Türkiye

Editors
Prof. Dr. Sercan Okutucu, MD
Department of Cardiology, Ankara Lokman Hekim University, Ankara, Türkiye

Assoc. Prof. Dr. Süleyman Cebeci, MD
Department of Ear, Nose and Throat Diseases, Gazi University Faculty of Medicine, Ankara, Türkiye

Field Editors
Assoc. Prof. Dr. Doğan Öztürk, MD
Department of General Surgery, Manisa Özel Sarıkız Hospital, Manisa, Türkiye

Assoc. Prof. Dr. Birsen Doğanay, MD
Department of Cardiology, Ankara Bilkent City Hospital, Ankara, Türkiye

Assoc. Prof. Dr. Sonay Aydın, MD
Department of Radiology, Erzincan Binali Yıldırım University Faculty of Medicine, Erzincan, Türkiye

Language Editors
PhD, Dr. Evin Mise
Department of Work Psychology, Ankara University, Ayaş Vocational School, Ankara, Türkiye

Dt. Çise Nazım
Department of Periodontology, Dr. Burhan Nalbantoğlu State Hospital, Lefkoşa, North Cyprus

Statistics Editor
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Department of Statistics, Hacettepe University, Faculty of Science, Ankara, Türkiye

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