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

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