The effect of the facilitated tucking position in reducing vaccination-induced pain in newborns

Abstract

BackgroundThis study was conducted to evaluate the pain perceptions of newborns during the hepatitis B (HBV) vaccinations performed in the facilitated tucking position and the classical holding position, respectively.MethodsThe randomized controlled experimental study was conducted between 1 September 2014 and 30 December 2014 at the neonatal intensive care unit of a Turkish university hospital. One group of infants was held in the facilitated tucking position (the treatment group; n = 30) during HBV vaccination; infants in the other group were held in the classical holding position (the control group; n = 30) during HBV vaccination. The Neonatal Infant Pain Scale (NIPS) scores of the infants in the treatment and control groups were compared during procedure. Also, the infants’ physiological parameters were compared before, during, and after the procedure. Descriptive statistics, a chi-square test, and an independent samples t-test were used to assess the data.ResultsThe mean pain scores of infants vaccinated in the facilitated tucking position (2.83 ± 1.18) were significantly statistically lower than the scores of infants vaccinated in the classical holding position (6.47 ± 1.07) (p < 0.05).ConclusionsThe pain perceptions of newborns held in the facilitated tucking position during HBV vaccination were lower. The facilitated tucking position, a non-pharmacological method, is recommended as an effective and useful method for reducing pain during the procedure.

Facilitated Tucking Effective to Pain Relief on the Preterm Infants in Perinatal Unit in Jakarta

“…The fetal tucking position reduces an infant's body surface, which maintains energy expen-diture. Reducing lighting, controlling noises, and positioning are part of the developmental care that aims to enhance infants' energy and adaptation to pain stimuli (Kucukoglu et al, 2015).…”

“…A study by Reyhani, Aemmi, Mohebbi, and Boskabadi (2014) reported that facilitated tucking during venipuncture might reduce pain responses in preterm infants, as indicated by the shorter duration of crying in the intervention group. The facilitated tucking position is des-cribed as a sub-type of the nesting procedure, positioning infants in the middle or closer by holding their upper and lower extremities in a flexion position in both of the examiner's hands (Kucukoglu, Kurt, & Aytekin, 2015).…”

Pain relief strategies during immunization

“…Only one of these articles (A2) addressed the use of the facilitated folded position for the immunization of newborns. The use of the facilitated position is simple, cheap, and non-invasive, and this contributes to pain relief due to vaccination, thereby making it easier to care for newborns 12 .…”

Menurunkan Skala Nyeri Bayi Prematur melalui Facilitated Tucking disertai ‘Hadir-Berbicara’ sebagai Upaya Penerapan Teori Comfort Kolcaba

“…Facilitated tucking didefi nisikan sebagai penahanan lengan dan kaki bayi dalam tertekuk, posisi garis tengah dekat dengan tenggorokan (posisi fl eksi fi siologis/midline position). Teknik memegangnya dapat berbeda tergantung prosedur menyakitkan yang akan dilakukan pada bayi premature (21). "Hadir-berbicara" pada bayi sebagai bagian dari perawatan neonatal yang telah diidentifi kasi sebagai aspek penting dari manajemen nyeri meskipun belum banyak penelitian tentang suara pengasuh.…”