The Effect of a Combination of Vibration and External Cold on Pain Caused during Vaccine Injection in Infants: A Randomized Clinical Trial

IF 2.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL

International Journal of Clinical Practice Pub Date : 2024-03-04 DOI:10.1155/2024/7170927

Zahra Unesi, Zahra Amouzeshi, Javad Jamavar, Fatemeh Mahmoudzadeh Zarandi

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引用次数: 0

Abstract

Aim. This study was conducted to determine the effect of combining vibration and external cold on pain caused by vaccine injection among six-month-old infants. Design. Randomized controlled trial. Methods. In this clinical trial, 80 eligible infants were selected from the infants referred to a health center as per the inclusion criteria. The infants were assigned to either a control group or an intervention group by block randomization. In the intervention group, a vibrating and cold device was placed above the injection site from one minute before to 15 seconds after the pentavalent vaccine injection. In the control group, no intervention was performed, and they were vaccinated according to the routine procedure. The pain status in the two groups was measured using the Modified Behavioral Pain Scale (MBPS) 15 seconds after the injection, and the crying duration was assessed from the injection of the vaccine till the end of it. Data were analyzed in SPSS 23 software using Mann–Whitney, t, Spearman, and chi-square tests. The level of significance was set to p < 0.05. Results. Most participants in the control (55%) and intervention (55%) groups were girls. Statistical data analysis of 80 infants showed that the mean pain intensity (p = 0.032) and duration of crying (p = 0.0001) in the intervention group (6.1 ± 1.8, 32.47 ± 16.78) were lower than those of the control group (7.2 ± 0.1, 51.02 ± 25.9), respectively. Conclusion. Because the intensity of pain, especially the duration of crying, was lower in the intervention group than in the control group, we may suggest that nurses use simple pain relief solutions in vaccination centers, such as a combination of vibration and cold. This trial is registered with IRCT201207157130N2.

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振动与外冷相结合对婴儿注射疫苗时疼痛的影响：随机临床试验

研究目的本研究旨在确定结合振动和外冷对 6 个月大婴儿注射疫苗引起的疼痛的影响。设计。随机对照试验。方法。在这项临床试验中，根据纳入标准从转诊到医疗中心的婴儿中挑选了 80 名符合条件的婴儿。通过整群随机法将这些婴儿分配到对照组或干预组。在干预组中，从注射五价疫苗前一分钟到注射后 15 秒，在注射部位上方放置一个振动和低温装置。对照组不进行干预，按照常规程序接种疫苗。两组的疼痛状况均在注射后 15 秒使用改良行为疼痛量表（MBPS）进行测量，哭泣持续时间则从注射疫苗开始到结束进行评估。数据在 SPSS 23 软件中使用 Mann-Whitney 检验、t 检验、Spearman 检验和卡方检验进行分析。显著性水平设定为.。结果对照组（55%）和干预组（55%）的大多数参与者都是女孩。对 80 名婴儿的统计数据分析显示，干预组的平均疼痛强度（）和哭闹持续时间（）（6.1 ± 1.8、32.47 ± 16.78）分别低于对照组（7.2 ± 0.1、51.02 ± 25.9）。结论由于干预组的疼痛强度，尤其是哭泣持续时间低于对照组，我们建议护士在接种中心使用简单的止痛方法，如振动和冷敷相结合。本试验已注册为 IRCT201207157130N2。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Clinical Practice 医学-医学：内科

CiteScore

5.30

自引率

0.00%

发文量

274

审稿时长

3-8 weeks

期刊介绍： IJCP is a general medical journal. IJCP gives special priority to work that has international appeal. IJCP publishes: Editorials. IJCP Editorials are commissioned. [Peer reviewed at the editor''s discretion] Perspectives. Most IJCP Perspectives are commissioned. Example. [Peer reviewed at the editor''s discretion] Study design and interpretation. Example. [Always peer reviewed] Original data from clinical investigations. In particular: Primary research papers from RCTs, observational studies, epidemiological studies; pre-specified sub-analyses; pooled analyses. [Always peer reviewed] Meta-analyses. [Always peer reviewed] Systematic reviews. From October 2009, special priority will be given to systematic reviews. [Always peer reviewed] Non-systematic/narrative reviews. From October 2009, reviews that are not systematic will be considered only if they include a discrete Methods section that must explicitly describe the authors'' approach. Special priority will, however, be given to systematic reviews. [Always peer reviewed] ''How to…'' papers. Example. [Always peer reviewed] Consensus statements. [Always peer reviewed] Short reports. [Always peer reviewed] Letters. [Peer reviewed at the editor''s discretion] International scope IJCP publishes work from investigators globally. Around 30% of IJCP articles list an author from the UK. Around 30% of IJCP articles list an author from the USA or Canada. Around 45% of IJCP articles list an author from a European country that is not the UK. Around 15% of articles published in IJCP list an author from a country in the Asia-Pacific region.