Nonpharmacological Methods for Reducing Parental Concern for Infant Vaccine-Associated Pain

Abukhaled, Mona K.; Cortez, Susan

doi:10.1016/j.pedhc.2020.09.006

Cited by 4 publications

(5 citation statements)

References 28 publications

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“…The use of oral sucrose to alleviate pain in infants has been supported by several studies. For instance, Abukhaled and Cortez[ 34 ] conducted a study that demonstrated a reduction in parental concern following the administration of oral sucrose during immunization, resulting in a decrease in pain levels among infants. The study found a statistically significant difference between the treatment groups (experimental and control groups), with infants in the oral sucrose group experiencing less pain, which led to decreased crying and reduced parental concern for their infants.…”

Section: Discussionmentioning

confidence: 99%

Comparison of breastfeeding, music therapy, and oral sucrose’s impact on pain relief among infants during pentavalent vaccination

Kaur,

Charan,

Kaur

et al. 2024

Journal of Education and Health Promotion

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BACKGROUND: Vaccination is a quick, safe, and effective way to avoid contracting hazardous diseases, but it often causes pain and discomfort. Various pharmacological and non-pharmacological pain management techniques are used to treat pain. This study aimed to compare the effectiveness of breastfeeding, musical therapy, and oral sucrose in infant’s pain relief during pentavalent vaccination. MATERIALS AND METHODS: A quasi-experimental posttest-only research design was used. A total of 150 infants were enrolled using the purposive sampling technique (50 in the breastfeeding, 50 in the musical therapy, and 50 in the oral sucrose groups) coming for the first, second, and third doses of pentavalent vaccination. The data were collected using observation and the Neonatal Infant Pain Scale (NIPS). The results were calculated by descriptive and inferential statistics. RESULTS: The study revealed that half of the infants in the breastfeeding group felt severe pain, whereas the majority of infants in the musical therapy and oral sucrose groups felt severe pain during pentavalent vaccination. The median pain score in breastfeeding, musical therapy, and oral sucrose was 4.50, 6, and 7, respectively. Breastfeeding was significantly different from both musical therapy and oral sucrose in terms of pain scores. However, no significant difference was observed between musical therapy and oral sucrose. Overall, the results indicate that breastfeeding had a distinct impact on pain relief during pentavalent vaccination compared with the other interventions, while musical therapy and oral sucrose did not differ significantly in their effectiveness. CONCLUSION: The study concluded that breastfeeding is a safe, reliable, cost-effective, and easily accessible method to relieve an infant’s pain during pentavalent vaccination. It is a simple method to alleviate pain among infants during vaccination.

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Section: Discussionmentioning

confidence: 99%

Comparison of breastfeeding, music therapy, and oral sucrose’s impact on pain relief among infants during pentavalent vaccination

Kaur,

Charan,

Kaur

et al. 2024

Journal of Education and Health Promotion

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“…The non-pharmacological pain management that promotes parent-infant bonding is natural analgesia for babies with minimal risk of side effects. This situation also reduces parents' concerns about the pain that the baby experiences during immunization procedures [7]. This study is congruent with a previous study by Trimawati [8], which showed the effect of the 5S method on reducing baby's responses to immunization-related pain This study showed that those babies who received the 5S intervention, on average, demonstrated good responses towards pain (mean 17,62), such as having a shorter crying time and showing no resistance and kicking responses (table 3).…”

Section: Discussionmentioning

confidence: 99%

“…The gap between knowledge and clinical practices of pain management in infants is influenced by the level of understanding of health workers about how babies experience pain, rapid vaccination procedures that do not require pain management and worry about the effects or negative reactions of using pain reducing drugs. It is essential for nurses to understand that vaccines are the most common source of iatrogenic pain for babies [7].…”

Section: Introductionmentioning

confidence: 99%

Physical Intervention on Pain Scales in Babies after Immunization Procedures

Nurlaila¹,

Sulandari²,

Utami³

2023

Proceedings of the 3rd Borobudur International Symposium on Humanities and Social Science 2021 (BIS-HSS 2021)

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Immunization can cause pain and trauma in children. One of the strategies to deal with immunization-related pain is combination between physical intervention and cognitive therapy called 5S method, which includes swaddling sidestomach, shushing, swinging, and sucking. This method involves some senses, such as sight, hearing, touch, taste, and touch, which can effectively decrease immunization pain. Research aims to determine the effects of 5S method (Swaddling, Side-Stomach, Shushing, Swinging, Sucking) on the pain scales in babies after immunization procedures. This study employed a quasi-experimental method with a post-test-only control group design. The samples included 60 babies that were recruited using a cluster random sampling technique. The babies in the intervention group (n=30) received the 5S method, while those in the control group (n=30) were carried and cuddled by their mothers to calm them down. The pain scale was measured using the FLACC scale after the intervention in each group. The Mann-Whitney U test was used for data analysis. In the intervention group, 17 babies (56.7%) experienced mild pain while in the control group, 20 babies (66.7%) experienced severe pain. The Mann-Whitney U test showed a p-value of 0.000 (p≤0.005). There was an effect of the 5S method (swaddling, side-stomach, shushing, swinging, sucking) on pain scales in babies after immunization procedures. The 5S method can be used easily for immunization procedures among babies in hospitals, public health centres, and integrated service posts.

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“…[24] Furthermore, clinical studies have shown that oral sweet-tasting solutions produces pain-reducing effects in human infants undergoing painful medical procedures such as venipuncture, intramuscular injections, heel prick and vaccination. [19][20][21][22][23][24][25][26] The use of orally administered sweet tasting solutions for managing neonatal pain in the clinical setting is widespread and is recommended in both national and international guidelines. [21] The mechanisms of orally administered sweet tasting solutions producing calming and analgesic effects remains unclear.…”

Section: Discussionmentioning

confidence: 99%

“…[4][5][6][7][8][9][10][11][12] Several studies have explored non-pharmacologic techniques as novel alternative, such as visual preconditioning with an eye patch prior to unilateral cataract surgery, [13] parental presence or playing video games and watching cartoon before anesthetic induction, [14][15][16][17] and listening to the mother recorded voice during the emergence period, [18] but they are either time-consuming, increase workload, or require special equipment. Sweet taste have been suggested to produce pain-reducing, calming, and stress reducing effects in infant humans and rats, [19][20][21][22][23][24][25][26] and most children like to suck lollipop in their daily routine. Taken together, it is expected that sucking lollipop after awakening can produce distraction, calming, and can reduce stress and pain in children.…”

Section: Introductionmentioning

confidence: 99%

Sucking lollipop after awakening from sevoflurane anesthesia reduces the degree of emergence agitation in children undergoing ambulatory surgery: A prospective randomized controlled trial

Mo,

Zeng,

et al. 2023

Medicine

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Background: Emergence agitation (EA) is a common complication in pediatric anesthesia, especially in preschool children maintained by sevoflurane, with incidence ranging up to 80%. The purpose of the study was to determine whether sucking lollipop after awakening from sevoflurane anesthesia reduced the degree of EA in children undergoing ambulatory surgery. Methods: In this prospective study, 40 children aged 2 to 6 years scheduled for ambulatory surgery with sevoflurane were enrolled. They were randomly allocated to 1 of 2 groups after evaluating baseline EA levels using the pediatric anesthesia emergence delirium (PAED) scale immediately after awakening from general anesthesia: group L (sucking lollipop) or group C (control group, without sucking lollipop). The primary outcome was the overall PAED score after intervention. Pain score, parental satisfaction, the incidence of propofol rescue and negative postoperative behavioral changes (NPOBCs) were assessed. Results: The overall PAED score after intervention was significantly lower in Group L compared with Group C, with an estimated difference of −1.857 (95% CI, −2.884 to −0.831; P < .001) using generalized estimating equations. However, no significant intergroup differences were observed in the pain score, parental satisfaction, the incidence of propofol rescue and NPOBCs. Conclusions: Sucking lollipop after awakening from sevoflurane anesthesia reduced the degree EA in children undergoing ambulatory surgery.

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Nonpharmacological Methods for Reducing Parental Concern for Infant Vaccine-Associated Pain

Cited by 4 publications

References 28 publications

Comparison of breastfeeding, music therapy, and oral sucrose’s impact on pain relief among infants during pentavalent vaccination

Comparison of breastfeeding, music therapy, and oral sucrose’s impact on pain relief among infants during pentavalent vaccination

Physical Intervention on Pain Scales in Babies after Immunization Procedures

Sucking lollipop after awakening from sevoflurane anesthesia reduces the degree of emergence agitation in children undergoing ambulatory surgery: A prospective randomized controlled trial

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