Pain relief strategies during immunization

Fontes, Viviane; Ribeiro, Caíque Jordan Nunes; Dantas, Rodrigo Assis Neves; Ribeiro, María do Carmo de Oliveira

doi:10.5935/2595-0118.20180051

Cited by 4 publications

(4 citation statements)

References 9 publications

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“…The use of high-frequency vibration associated with cryotherapy as a non-pharmacological strategy for the relief of pain related to needle procedures has been used, especially in the pediatric population [17][18][19][20]. A randomized clinical trial (RCT) demonstrated that during vaccination, the group of children who received high-frequency vibration associated with cryotherapy had lower mean reported pain scores than children who did not receive this intervention (3.56 vs 5.92-p = 015,0) [21].…”

Section: Background and Rationale {6a}mentioning

confidence: 99%

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Lima

Toledo

Correia

et al. 2022

Trials

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Background Vaccination is one of the most effective strategies for prevention and eradication of immunopreventable diseases, but community acceptance of vaccination can be influenced by different factors, such as pain and anxiety. The use of high-frequency vibration associated with cryotherapy has been used to manage pain and anxiety during the vaccination process in children, but studies with adults are still scarce. This study aims to evaluate the effect of high-frequency vibration associated with cryotherapy on the levels of self-reported pain and anxiety related to administration of the Influenza vaccine intramuscularly in adults. Methods A two-arm, parallel, randomized clinical trial conducted in a Brazilian Primary Health Care Unit is proposed. A sample of 350 adults will be randomly assigned to participate in the control group, receiving the vaccine intramuscularly according to the standard protocol of the service, or in the intervention group, receiving the vaccine by the same route and using a portable device of high frequency vibration associated with cryotherapy for 30 s before and during administration. The primary endpoints will be self-reported levels of pain, assessed before and after vaccine administration. Secondary endpoints will be levels of anxiety, satisfaction with vaccine administration, and discomfort caused by high frequency vibration and temperature of the frozen bag in contact with the skin. Self-reported levels of pain and anxiety will be compared before and after vaccination as well as between the control and intervention groups. Discussion By evaluating the effect of high-frequency vibration associated with cryotherapy on pain and anxiety levels, we expect to find evidence that will support nursing practice, in order to promote greater comfort and safety in the vaccination process and, consequently, greater compliance by the population, by minimizing its undesirable effects. Trial registration Human Research Ethics Committee Opinion Number: 5.138.564. Approved on December 2, 2021. Brazilian Registry of Clinical Trials (REBEC): Registration number RBR-5zgy25w. Registered on December 09, 2021.

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Section: Background and Rationale {6a}mentioning

confidence: 99%

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Lima

Toledo

Correia

et al. 2022

Trials

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“…The pain felt during vaccination and/or the fear of needles may contribute to vaccine rejection (Fontes et al, 2018). In 2015, the World Health Organization (WHO) issued for the first time a position paper on pain at the time of vaccination, recommending a range of scientific evidence-based interventions and presenting pain mitigation as one of the principles of good immunization practice (World Health Organization, 2015).…”

Section: Introductionmentioning

confidence: 99%

“…Childhood vaccination is crucial and necessary, bringing enormous benefits to individual and collective health. However, vaccination can be painful, and most individuals do not receive adequate treatment for mitigating vaccination-related pain, particularly during childhood (Fontes et al, 2018). The American Academy of Pediatrics considers that there are significant gaps in the knowledge about the most effective way of preventing and relieving children's pain.…”

Section: Introductionmentioning

confidence: 99%

Efeito da estratégia multifacetada EPIQ para melhoria da gestão da dor na vacinação em crianças

Guarda¹,

Vieira²,

Castral³

et al. 2022

Rev. Enf. Ref.

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“…Fluxograma, de seleção dos estudos encontrados, Contagem -MG, 2020 Leite et al, 2015). mencionam que os bebês possuem neurotransmissores capazes de transmitir o impulso doloroso e que esses neurotransmissores podem ser mais sensíveis aos estímulos que os dos indivíduos mais velho.Também é relatado por 2 artigos(Fontes et al, 2018) (Lopes & Fortes, 2017) que a dor causada pela vacinação afeta não somente a criança, mas também os pais e todo os profissionais envolvidos. Os artigos mencionam que a vacinação é a primeira experiência dolorosa vivenciada pelo bebê saudável e, em consequência pode gerar ansiedade e estresse.…”

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Amamentação Como Protocolo De Alívio Da Dor No Momento Da Vacinação Em Recém-Nascidos

Moura¹,

Matozinhos

Araújo³

et al. 2021

RSD

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Objetivo: Identificar por meio de revisão da literatura a eficácia da amamentação no alívio da dor em recém-nascidos durante a vacinação. Método: foi realizado revisão integrativa da literatura nas bases de dados Biblioteca Virtual em Saúde(BVS) e MEDLINE (Pubmed No momento final foi realizada a interpretação dos dados a partir da fundamentação dos resultados da avaliação crítica, traçando um diálogo entre os autores, as obras e documentos em busca de uma compreensão sobre a importância do aleitamento materno e como a prática da amamentação auxiliam na redução fisiológica da dor durante procedimentos com o recém-nascido. Resultados: A estratégia de busca inicial gerou um total de 174 artigos que potencialmente respondiam a pergunta de pesquisa por meio da pesquisa bibliográfica. Após a exclusão de duplicatas, 10 estudos preencheram os critérios de inclusão e foram incluídos na revisão integrativa. Os estudos encontrados por meio da revisão integrativa da literatura reforçam a importância do reconhecimento por parte dos profissionais de saúde, em especial os vacinadores, que os recém-nascido apresentam dor em procedimentos dolorosos, em especial a vacinação. Reforçam ainda, que a vacinação é a primeira experiência dolorosa vivenciada pelo bebê saudável e, como estratégia eficaz para o alívio da dor a amamentação durante a vacinação. Conclusão: a amamentação, além de proporcionar conforto pelo contato com a mãe, constitui uma estratégia eficaz, natural, sem custos e acessível no alívio da dor do RN no momento da vacinação.

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Pain relief strategies during immunization

Cited by 4 publications

References 9 publications

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Effect of vibration associated with cryotherapy on vaccine-related pain and anxiety levels in adults: study protocol for a randomized clinical trial

Efeito da estratégia multifacetada EPIQ para melhoria da gestão da dor na vacinação em crianças

Amamentação Como Protocolo De Alívio Da Dor No Momento Da Vacinação Em Recém-Nascidos

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