The Effect of Shotblocker Use on Pain Scores in Infants Undergoing Intramuscular Immunization at Jatinangor Primary Health Center
(1) Politeknik Kesehatan Bandung
(2) Politeknik Kesehatan Bandung
(3) Politeknik Kesehatan Bandung
(4) Politeknik Kesehatan Bandung
(*) Corresponding Author
Abstract
Pain caused by immunization procedures often leads to anxiety, fear, and even trauma in children, potentially affecting their adherence to the immunization schedule. Shotblocker is a simple device based on the Gate Control Theory, which reduces pain perception through tactile stimulation. This study aimed to determine the effect of Shotblocker use on pain scores among two-month-old infants receiving intramuscular immunization. A quasi-experimental design with a posttest-only control group was employed on 80 infants, divided into an intervention group (with Shotblocker) and a control group (without Shotblocker). Pain was assessed using the FLACC scale. The results showed that the mean pain score in the intervention group was 3.57 (SD = 0.879), while in the control group it was 6.48 (SD = 0.727). An independent sample t-test indicated a significant difference between the groups (p < 0.05). These findings demonstrate that Shotblocker significantly reduces pain intensity in infants following intramuscular immunization. Shotblocker may serve as a safe and effective non-pharmacological tool to improve pediatric comfort.
Keywords
Full Text:
PDFReferences
Çelik, N., & Khorshid, L. (2015). The use of ShotBlocker for reducing the pain and anxiety associated with intramuscular injection: A randomized, placebo controlled study. Holistic Nursing Practice, 29(5), 261–271.
Cobb, J. E., & Cohen, L. L. (2009). A randomized controlled trial of the ShotBlocker for children’s immunization distress. Clinical Journal of Pain, 25(9), 790–796.
Guyton, A. C., & Hall, J. E. (2010). Buku ajar fisiologi kedokteran (Edisi 11). EGC.
Hockenberry, M. J., & Wilson, D. (2011). Wong’s essentials of pediatric nursing (Edisi 8). Mosby Elsevier.
Ilmiasih, R. (2021). Identifikasi manajemen nyeri dan tingkat nyeri anak yang dilakukan imunisasi di Puskesmas X Kota Malang. Jurnal Kesehatan, 4(2), 191–197.
Irawan, E. (2018). Gambaran skala nyeri pada balita yang imunisasi di Puskesmas Puter Bandung. Jurnal Kesehatan, 6(2), 184–188.
Melzack, R., & Wall, P. D. (1959). Pain mechanisms: A new theory. Science, 150(3699), 971–979.
Purwantiningrum, D. A. (2024). Tinjauan anatomis lokasi suntikan intramuskular. Jurnal Basic Applied Anatomy & Histology, 19–22.
Şahan, S., & Yildiz, A. (2022). The effect of ShotBlocker application on intramuscular injection pain in adults: A meta-analysis. Clinical Nursing Research, 31(5), 820–825.
Smeltzer, S. C., & Bare, B. G. (2011). Buku ajar keperawatan medikal bedah Brunner & Suddarth (Edisi 12, Vol. 1). EGC.
Tambunan, E. H., & Wulandari, I. S. (2015). Utilizing Z-track air lock technique to reduce pain in intramuscular injections. Jurnal Ners, 10(1), 112–117.
Wieland, L. S. (2019). Psychological interventions for needle-related procedural pain and distress in children and adolescents: Summary of a Cochrane review. Explore, 15(1), 74–75.
Wong, D. L. (2009). Pediatric nursing: Textbook for nursing students (Edisi 6). EGC.
World Health Organization. (2015). Guideline: Exclusive breastfeeding and infant pain response. World Health Organization.
Article Metrics
Abstract view : 33 timesPDF - 1 times
DOI: https://doi.org/10.26714/jk.15.1.2026.54-58
Refbacks
- There are currently no refbacks.
Copyright (c) 2026 Jurnal Kebidanan

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
JURNAL KEBIDANAN
Program Studi Kebidanan
Fakultas Ilmu Keperawatan dan Kesehatan
Universitas Muhammadiyah Semarang, Indonesia
NRC Building, 2nd FLoor
Jl. Kedungmundu Raya No. 18, Semarang
Tlp. +6224-76740288, Fax. +6224-76740287

