The Effect of ShotBlocker on Symptoms of Pain, Anxiety, and Cortisol Hormone Levels

The aim of this study is to evaluate the effect of Shotblocker, administered during lumbar puncture, on patients' pain levels, anxiety levels, and cortisol levels (a physiological stress indicator). This randomized controlled trial aims to scientifically demonstrate the effectiveness of Shotblocker use in reducing pain and anxiety during and after the procedure, and its effect on the stress response, compared to standard practice.

Inclusion Criteria: * Being conscious, oriented, and cooperative; * Being able to speak and understand Turkish; * Having no psychiatric disorder; * Being an elective patient undergoing lumbar puncture for the first time; * Being aged 18 years or older; * Not having received analgesics or sedatives within 2 hours before the procedure; and * Voluntarily agreeing to participate in the study. Exclusion Criteria: * Patients with past or current cognitive and psychological disorders, * Those who have previously undergone lumbar puncture, * Those who are mechanically ventilated (intubated), * Those who have chronic pain and routinely use painkillers, * Those who are not willing to participate in the study.