Effects of Rapid Vaccine Injection Without Aspiration and Applying Manual Pressure Before Vaccination on Pain and Crying Time in Infants

Göl, İlknur; Özsoy, Süheyla Altuğ

doi:10.1111/wvn.12206

Cited by 14 publications

(16 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“… Full term vaginally delivered healthy newborns 150 Lima AG 19 2017 Brazil Randomized controlled trial To compare the effects of 25% glucose and non-nutritive sucking. Newborns 78 Göl İ 45 2017 Turkey Randomized controlled trial To compare the effects of rapid injection without aspiration and 10-second manual pressure before injection. Infants aged 4–6 months 128 Caglar S 34 2017 Turkey Randomized controlled trial To assess the effects of ShotBlocker on pain.…”

Section: Resultsmentioning

confidence: 99%

“… Lima AG 19 25% glucose Non-nutritive sucking 2 mL of 25% glucose was orally administered 2 min before vaccination; 2 min before and during the vaccination NIPS, SaO 2 , HR and crying time NIPS scores and crying time in 25% glucose group were lower than those in non-nutritive sucking group. Göl İ 45 No intervention 10 s manual pressure, rapid injection without aspiration; 10s manual pressure combined with rapid injection without aspiration During vaccination NIPS, crying time, SaO2 and HR Manual pressure and rapid injection without aspiration were effective in pain relief. Caglar S 34 No intervention ShotBlocker 20 s before vaccination until the end NIPS, HR and RR ShotBlocker could reduce NIPS scores and heart rates.…”

Section: Resultsmentioning

confidence: 99%

“… 44 For infants 4–6 months, rapid injection without aspiration was less painful than slow injection, and the combination of manual compression provided better analgesia. 45 , 46 …”

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Non-Pharmacological Management for Vaccine-Related Pain in Children in the Healthcare Setting: A Scoping Review

Wu¹,

Zhao²,

Wu³

et al. 2022

JPR

View full text Add to dashboard Cite

Purpose To examine how research was conducted on non-pharmacological management in children with vaccine-related pain in the healthcare setting, so as to provide reference for the relief of vaccine-related pain in children. Methods This study conducted a scoping review guided by the methodological framework of Arksey and O’Malley. MEDLINE, Cochrane Library, EMBASE, CINAHL, PubMed databases were searched in detail, and search strategy included the keyword “vaccine”, the keyword “pain”, and the keyword “children”. Two researchers conducted literature screening and data extraction independently, and any disagreements were resolved through team consultation. Results This study retrieved 1017 literatures, of which 22 were finally included, including 18 randomized controlled studies, 3 quasi-experimental studies and 1 cohort study. Non-pharmacological management measures were summarized in the study, mainly involving taste, tactile, olfactory, visual, exercise, and postural interventions and injection technique. All the above non-pharmacological management were effective in mitigating vaccine-related pain in children. The study population in the included literatures was mainly neonates and infants. Regarding the analgesic effects of taste intervention, breastfeeding was better than sweeteners, and sweeteners were better than sterile water or non-nutritive sucking. However, there was a lack of comparative studies on the analgesic effects of other non-pharmacological management. Conclusion There are many non-pharmacological management measures with varying analgesic effects. Diversified non-pharmacological management measures can provide more analgesic choices for children. For reducing vaccine-related pain in newborns and infants, breastfeeding is recommended first, then sweeteners, and then non-nutritious sucking. In addition to the taste intervention, the analgesic effects of other non-pharmacological management measures need further comparative studies. Moreover, medical staff can use a combination of non-pharmacological analgesic measures to maximize the analgesic effect, and medical staff should also fully consider the analgesia willingness of children and parents.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Non-Pharmacological Management for Vaccine-Related Pain in Children in the Healthcare Setting: A Scoping Review

Wu¹,

Zhao²,

Wu³

et al. 2022

JPR

View full text Add to dashboard Cite

show abstract

“…The sample size was calculated based on another clinical trial (7) , considering a difference detected in the population of 5 beats per minute (bpm), standard deviation of 12 bpm, significance level of 5% and single-tailed test power of 80%. One-tailed test power was considered, because, according to the hypotheses described, the effects go in only one possible direction.…”

Section: Population and Samplementioning

confidence: 99%

Intramuscular injection safety without aspiration in the ventro-gluteal region during vaccination: randomized clinical trial

et al. 2022

View full text Add to dashboard Cite

Objectives: to compare adverse events after administrating hepatitis A vaccine intramuscularly in the ventro-gluteal region between techniques with and without aspiration. Methods: randomized double-blind clinical trial, using hepatitis A vaccine (inactivated) in the ventro-gluteal region, with a sample of 74 participants in the intervention group, vaccinated with the slow injection technique without aspiration, and 74 participants in the control group undergoing slow injection with aspiration. Daily assessment of participants was carried out in the 72 hours after vaccination, in order to ascertain local, systemic adverse events, local and contralateral temperatures. Results: the occurrence of local and systemic adverse events was homogeneous between the groups in the three days after vaccination (p>0.05). There was no influence of sex, race, pre-existing disease and use of medication. Conclusions: the intramuscular vaccination technique without aspiration in the ventro-gluteal region is safe for adverse events following immunization compared to the conventional technique with aspiration.

show abstract

“…Bu konuda Göl ve Özsoy tarafından 4-6 aylık 128 bebek ile yürütülen bir çalışmada, aspirasyon işlemi yapılmadan uygulanan aşı enjeksiyonlarının bebeklerde ağrı puan ortalamasının, standart enjeksiyon tekniği ile aşı yapılan kontrol grubundaki bebeklere göre daha düşük olduğu belirlenmiştir. 11 Bu bağlamda çalışmamızda, IM enjeksiyon uygulamasında gerçekleştirilen aspirasyon işleminin enjeksiyona bağlı ağrı ve konfor düzeyi üzerine etkisi incelenmiştir.…”

unclassified

The Effect of Aspiration During Intramuscular Injection Into the Ventrogluteal Region on the Level of Pain and Comfort Associated with the Injection

Karabey¹,

Karagözoğlu²

2021

Turkiye Klinikleri J Nurs Sci

View full text Add to dashboard Cite

Bu araştırma, ventrogluteal bölgeye yapılan intramusküler (IM) enjeksiyonda aspirasyon işleminin enjeksiyona bağlı ağrı ve konfor düzeyi üzerine etkisini belirlemek amacıyla deneysel nitelikte tek kör randomize kontrollü bir klinik çalışmadır. Gereç ve Yöntemler: Araştırma Sivas İlinde bulunan Sivas Merkez TOKİ Aile Sağlığı Merkezi'nde 15 Temmuz 2019-15 Aralık 2019 tarihleri arasında yürütülmüştür. Araştırmanın örneklemine, Siyanokobalamin enjeksiyon tedavisi alan, araştırmaya alınma kriterlerine uyan 200 hasta alınmış ve örneklem grubunda yer alan hastalar araştırmanın hem kontrol hem de müdahale grubunu oluşturmuştur. Hastaların ardışık IM enjeksiyon uygulamalarının birincisinde aspirasyon işlemi yapılmış olup, ikinci enjeksiyon uygulamasında aspirasyon işlemi uygulanmamıştır. Tüm enjeksiyon uygulamalarının sonrasında vizüel analog skala (VAS) ve konfor skalası uygulanmıştır. Bulgular: Araştırma bulgularına göre hastaların aspirasyon uygulaması yapılmadan uygulanan IM enjeksiyon sonrası ağrı puanları 3,00 (1,00, 7,00) ve konfor puanları 8,00 (4,00, 10,00) iken aspirasyon uygulaması yapılarak uygulanan IM enjeksiyon sonrası ağrı puanları 5,00 (0,00, 9,00) ve konfor puanları 6,00 (3,00, 9,00) olarak saptanmıştır. Ağrı ve konfor puanları arasındaki korelasyon incelendiğinde, aspirasyon uygulanan grupta (r=-0,682 p=0,001), aspirasyon uygulanmayan grupta (r=-0,669, p=0,001) ilişki saptanmış olup, ilişkinin istatistiksel olarak önemli ve kuvvetli olduğu saptanmıştır. Hastaların IM enjeksiyona bağlı yaşadıkları ağrı azaldıkça, konfor düzeyinin arttığı belirlenmiştir. Sonuç: Sonuç olarak, hastaların IM enjeksiyona bağlı ağrısı azaldıkça konfor düzeyinin arttığı, IM enjeksiyon uygulamalarında ventrogluteal bölge enjeksiyon bölgesi olarak seçildiğinde, yapılan aspirasyon işleminin hastanın enjeksiyona bağlı yaşadığı ağrıyı artırdığı ve buna bağlı olarak hastanın konfor düzeyini düşürdüğü söylenebilir. Bu bağlamda ventrogluteal alana yapılan enjeksiyon uygulamalarında, aspirasyon işleminin yapılmaması önerilmektedir. Anah tar Ke li me ler: İntramusküler enjeksiyon; aspirasyon uygulaması; ağrı; konfor ABS TRACT Objective: This research is an experimental one-blind randomized controlled clinical study in order to determine the effect of aspiration procedure on injection-related pain and comfort level in IM into the ventrogluteal region. Material and Methods: The research was carried out between 15 July 2019-15 December 2019 in Sivas Center TOKI Family Health Center in Sivas Province.In the sample of the study 200 patients in the sample group were both the control and the intervention groups. Aspiration procedure was performed in the first consecutive IM injection applications of the patients aspiration procedure was not applied in the second injection application. Results: The mean score of pain after IM injection applied without aspirating was 3.00 (1.00, 7.00) and the mean score of comfort was 8.00 (4.00, 10.00) the mean score after IM injection applied aspiration was 5.00 (0.00, 9.00) and the mean of comfort score was 6....

show abstract

Effects of Rapid Vaccine Injection Without Aspiration and Applying Manual Pressure Before Vaccination on Pain and Crying Time in Infants

Abstract: Manual pressure and rapid injection without aspiration are effective and useful in relief of pain and reduction of crying time due to vaccine injections in 4- to 6-month-old infants.

Cited by 14 publications

References 17 publications

Non-Pharmacological Management for Vaccine-Related Pain in Children in the Healthcare Setting: A Scoping Review

Non-Pharmacological Management for Vaccine-Related Pain in Children in the Healthcare Setting: A Scoping Review

Intramuscular injection safety without aspiration in the ventro-gluteal region during vaccination: randomized clinical trial

The Effect of Aspiration During Intramuscular Injection Into the Ventrogluteal Region on the Level of Pain and Comfort Associated with the Injection

Contact Info

Product

Resources

About