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The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study

Yıl 2023, Cilt: 13 Sayı: 4, 802 - 807, 29.12.2023

Betül Akkoç Tülay Ayyıldız

https://doi.org/10.33808/clinexphealthsci.1191934

Öz

Objective: This randomized controlled trial was conducted to investigate the effect of a musical snow globe on reducing pain associated with vaccine administration in infants 2-6 months of age.
Method: The sample of the study consisted of 78 infants (experimental group (EG):39, control group (CG): 39 babies) who applied to the family health center between the specified dates and met the case selection criteria. The Face, Legs, Activity, Crying, and Comfort (FLACC) Scale was used to assess infants' pain before, during, and after immunization. Heart rate and oxygen saturation in the infants' blood were measured as part of the study. During vaccine administration, infants in the experimental group were shown a snow globe with music, while infants in control group were vaccinated with a routine health application.
Results: There was no statistically significant difference (p>.05) between the SpO2 values before the interventions (EG: 99.46 CG: 99.56) and the SpO2 values after the interventions (EG: 96.30 CG: 96.05) of the babies in the experimental and control groups; In heart rates, there was no statistically significant difference (p>.05) between befoere the interventions (EG:127.31 CG:127.71) and after the interventions (EG:140.10 CG:147.66) values. However, a significant difference was found between SpO2 (EG: 95.20 CG: 93.23) and heart rate values (EG: 145.76 CG: 157.33) during the intervention (p<.05). There was no statistically significant difference between the FLACC scores (EG: 0.23 CG: 0.28) of the babies in both groups before the intervention (p>.05); however, the FLACC scores of the infants in the experimental group were lower than the infants in the control group at the time of the intervention (EG: 3.89 CG: 6.92) (p<.05) and afterwards (EG: 2.82 CG: 5.18) (p<.05). A significant difference was found between the babies in the experimental and control groups in terms of crying time. Babies in the experimental group cried for a shorter time (EG: 140.09 CG: 193.44) (p<.05).
Conclusion: The study showed that musical snow globe is an effective tool for reducing pain during vaccinations in infants.

Anahtar Kelimeler

Infants vaccine application pain musical snow globe

Kaynakça

  • Center for Diease Control and Prevention. Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger. Accessed [27 June 2022] https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf
  • Ministry of Health Turkish. (2021). Aşı takvimi. Accessed [16 June 2021]. https://asi.saglik.gov.tr/asi-takvimi2 (Turkish)
  • Gülcü S, Arslan S. Çocuklarda aşı uygulamaları: Güncel bir gözden geçirme. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2018;8(1):34–43. (Turkish)
  • Berry PH, Chapman CR, Covington EC, Dahl JL, Katz JA, Miaskowski C, & McLean M J. Pain: Current understanding of assessment, management, and treatments. National Pharmaceutical Council and the Joint Commission for the Accreditation of Healthcare Organizations. VA; 2001
  • Piira T, Champion GD, BustosT, Donnelly N, Lui K. Factors associated with infant pain response following an immunization injection. Early Hum Dev. 2007;83(5):319–326. DOI: 10.1016/j.earlhumdev.2006.06.007
  • Wente SJK. Nonpharmacologic pediatric pain management in emergency departments: a systematic review of the literature. J Emerg Nurs. 2013;39(2):140 50.DOI: 10.1016/j.jen.2012.09.011
  • Hatfield LA, Ely EA. Measurement of acute pain in ınfants: A review of behavioral and physiological variables. Biol Res Nurs. 2015;17(1):100–111. DOI: 10.1177/1099800414531448
  • Riddell RRP, Racine N, Turcotte K, Uman LS, Horton R, Osmun LD, Kohut SA, Stuart JH, Steven B, Lisi D. Nonpharmacological management of infant and young child procedural pain. Cochrane Database Syst Rev. 2015; 7:1905–2121. DOI:10.1155/2011/489286.
  • Motta G, Cunha MLCD. Prevention and nonpharmacological management of pain in newborns (in Portuguese). Rev Bras Enferm. 2015; 68:131–135. DOI: 10.1590/0034-7167.2015680118p.
  • Dilli D, Küçük IG, Dallar Y. Interventions to reduce pain during vaccination in ınfancy. J Pediatr. 2009;154(3):385–390. DOI: 10.1016/j.jpeds.2008.08.037. (Turkish)
  • Van Der Heijden MJE, Mevius H, Van Der Heijde N,Van Rosmalen J,Van As S,Van Dijk M. Children listening to music or watching cartoons during ER procedures: A RCT. J Pediatr Psychol. 2019;44(10):1151–1162. DOI:10.1093/jpepsy/jsz066
  • Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Heal Care. 2016; 20(3):277–285. DOI: 10.1177/1367493515587062. (Turkish)
  • Kostandy R, Anderson GC, Good M. Skin-to-skin contact diminishes pain from hepatitis B vaccine injection in healthy full-term neonates. Neonatal Netw. 2013;32(4):274–280. DOI: 10.1891/0730-0832.32.4.274.
  • Kant E, Akpinar RB. The Effect of music and the pressure applied on pain induced by intramuscular injection. Int J Caring Sci. 2017;10(3):1313–1318. (Turkish)
  • Abdel RA, Az El-Dein N. Effect of breast-feeding on pain relief during infant immunization injections. Int J Nurs Pract. 2009; 5:99–104. DOI: 10.1111/j.1440-172X.2009.01728.x
  • Efe E, Altun E, Çetin H, İşler A. Türkiye’de bazı illerde çocuk servislerinde çalışan çocuk hekimi ve hemşirelerin yenidoğanlarda ağrı konusundaki bilgi ve uygulamaları. Ağrı. 2007;19(3):16–25. (Turkish)
  • Koç T, Gözen D. The effect of foot reflexology on acute pain in infants: a randomized controlled trial. Worldviews Evid Based Nurs. 2015;12.5: 289-296. DOI: 10.1111/wvn.12099. (Turkish)
  • Tasci B, Kuzlu Ayyıldız T. The calming effect of maternal breast milk odor on term infant: A randomized controlled trial. Breastfeed Med. 2020;15(11):724-730. DOI: 10.1089/bfm.2020.0116. (Turkish)
  • Ozdemir FK, Tüfekci FG. The effect of using musical mobiles on reducing pain in infants during vaccination. J Res Med Sci. 2012;17(7):662–667. (Turkish)
  • Güngör T, Oztürk Sahin O. Analysis of two non-pharmacological pain management methods for vaccine injection pain in infants: A randomized controlled trial. Pain. 2021;33.1:15-22. DOI: 10.14744/agri.2020.54289 (Turkish)
  • Merkel S, Lewis TV, Malviya S. Pain assessment in infants and young children: The FLACC scale. Am J Nurs. 2002;102(10): 55-58.
  • Şenaylı Y, Özkan F, Şenaylı S, Bıçakçı Ü. Çocuklarda postoperatif ağrının FLACC (YBAAT) ağrı skalasıyla değerlendirilmesi Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi. 2006;4 (1): 1-4. (Turkish)
  • Pallant J. SPSS kullanma kılavuzu Balcı S. Ahi B (Çeviren). 2. Baskı. Ankara: Anı Yayıncılık; 2017. (Turkish)
  • Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte araştırma: Süreç, uygulama ve kritik. 2. baskı. Ankara: Nobel Tıp Kitabevi;2015. (Turkish)
  • Jain S, Kumar P, McMillanDD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health. 2006;42(9):505–508. DOI: 10.1111/j.1440-1754.2006.00912.x
  • Ozkan TK, Küçükkelepçe DŞ, Özkan SA. The effects of acupressure and foot massage on pain during heel lancing in neonates: A randomized controlled trial. Complement Ther Med. 2019;46,103-108. (Turkish) DOI: 10.1016/j.ctim.2019.08.004
  • Esfahani MS, Sheykhi S, Abdeyazdan Z, Jodakee M, Boroumandfar K. A comparative study on vaccination pain in the methods of massage therapy and mothers’ breast feeding during injection of infants referring to Navabsafavi Health Care Center in Isfahan. Iran J Nurs Midwifery Res. 2013;18(6):494–498.
  • Caglar S, Büyükyilmaz F, Coşansu G, Çağlayan S. Effectiveness of ShotBlocker for immunization pain in full-term neonates: A randomized controlled trial. J Perinat Neonatal Nurs. 2017;31(2), 166-171. DOI: 10.1097/JPN.0000000000000256. (Turkish)
  • Susilawati S, Arhana BNP, Subanada IB. Effectiveness of painaway on hepatitis B intramuscular injection in term neonates: A randomized controlled trial. Paediatrica Indonesiana 2010;50(4): 214-219. DOI:10.14238/pi50.4.2010.214-9
  • Hogan ME, Probst J, Wong K, Riddell Rp, Katz J, Taddio A. A randomized-controlled trial of parent-led tactile stimulation to reduce pain during infant immunization injections. Clin J Pain. 2014;30(3):259–265. DOI: 10.1097/AJP.0b013e318296079e.
  • Erkul M, Efe E. Reducing pain during vaccination in infants breast-feeding method are used. J Anatolia Nurs Health Sci. 2015;31;18(4):298-303 (Turkish)
  • Göl İ, Altuğ Özsoy S. Effects of rapid vaccine ınjection without aspiration and applying manual pressure before vaccination on pain and crying time in ınfants. Worldviews Evid Based Nurs. 2017;14(2):154–162. DOI: 10.1111/wvn.12206. (Turkish)
  • Ipp M, Taddio A, Sam J. Gladbach M, Parkin PC. Vaccine-related pain: Randomised controlled trial of two injection techniques. Arch Dis Child. 2007;92(12):1105–1108. DOI: 10.1136/adc.2007.118695.

Yıl 2023, Cilt: 13 Sayı: 4, 802 - 807, 29.12.2023

Betül Akkoç Tülay Ayyıldız

https://doi.org/10.33808/clinexphealthsci.1191934

Öz

Kaynakça

  • Center for Diease Control and Prevention. Recommended Child and Adolescent Immunization Schedule for ages 18 years or younger. Accessed [27 June 2022] https://www.cdc.gov/vaccines/schedules/downloads/child/0-18yrs-child-combined-schedule.pdf
  • Ministry of Health Turkish. (2021). Aşı takvimi. Accessed [16 June 2021]. https://asi.saglik.gov.tr/asi-takvimi2 (Turkish)
  • Gülcü S, Arslan S. Çocuklarda aşı uygulamaları: Güncel bir gözden geçirme. Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2018;8(1):34–43. (Turkish)
  • Berry PH, Chapman CR, Covington EC, Dahl JL, Katz JA, Miaskowski C, & McLean M J. Pain: Current understanding of assessment, management, and treatments. National Pharmaceutical Council and the Joint Commission for the Accreditation of Healthcare Organizations. VA; 2001
  • Piira T, Champion GD, BustosT, Donnelly N, Lui K. Factors associated with infant pain response following an immunization injection. Early Hum Dev. 2007;83(5):319–326. DOI: 10.1016/j.earlhumdev.2006.06.007
  • Wente SJK. Nonpharmacologic pediatric pain management in emergency departments: a systematic review of the literature. J Emerg Nurs. 2013;39(2):140 50.DOI: 10.1016/j.jen.2012.09.011
  • Hatfield LA, Ely EA. Measurement of acute pain in ınfants: A review of behavioral and physiological variables. Biol Res Nurs. 2015;17(1):100–111. DOI: 10.1177/1099800414531448
  • Riddell RRP, Racine N, Turcotte K, Uman LS, Horton R, Osmun LD, Kohut SA, Stuart JH, Steven B, Lisi D. Nonpharmacological management of infant and young child procedural pain. Cochrane Database Syst Rev. 2015; 7:1905–2121. DOI:10.1155/2011/489286.
  • Motta G, Cunha MLCD. Prevention and nonpharmacological management of pain in newborns (in Portuguese). Rev Bras Enferm. 2015; 68:131–135. DOI: 10.1590/0034-7167.2015680118p.
  • Dilli D, Küçük IG, Dallar Y. Interventions to reduce pain during vaccination in ınfancy. J Pediatr. 2009;154(3):385–390. DOI: 10.1016/j.jpeds.2008.08.037. (Turkish)
  • Van Der Heijden MJE, Mevius H, Van Der Heijde N,Van Rosmalen J,Van As S,Van Dijk M. Children listening to music or watching cartoons during ER procedures: A RCT. J Pediatr Psychol. 2019;44(10):1151–1162. DOI:10.1093/jpepsy/jsz066
  • Sahiner NC, Bal MD. The effects of three different distraction methods on pain and anxiety in children. J Child Heal Care. 2016; 20(3):277–285. DOI: 10.1177/1367493515587062. (Turkish)
  • Kostandy R, Anderson GC, Good M. Skin-to-skin contact diminishes pain from hepatitis B vaccine injection in healthy full-term neonates. Neonatal Netw. 2013;32(4):274–280. DOI: 10.1891/0730-0832.32.4.274.
  • Kant E, Akpinar RB. The Effect of music and the pressure applied on pain induced by intramuscular injection. Int J Caring Sci. 2017;10(3):1313–1318. (Turkish)
  • Abdel RA, Az El-Dein N. Effect of breast-feeding on pain relief during infant immunization injections. Int J Nurs Pract. 2009; 5:99–104. DOI: 10.1111/j.1440-172X.2009.01728.x
  • Efe E, Altun E, Çetin H, İşler A. Türkiye’de bazı illerde çocuk servislerinde çalışan çocuk hekimi ve hemşirelerin yenidoğanlarda ağrı konusundaki bilgi ve uygulamaları. Ağrı. 2007;19(3):16–25. (Turkish)
  • Koç T, Gözen D. The effect of foot reflexology on acute pain in infants: a randomized controlled trial. Worldviews Evid Based Nurs. 2015;12.5: 289-296. DOI: 10.1111/wvn.12099. (Turkish)
  • Tasci B, Kuzlu Ayyıldız T. The calming effect of maternal breast milk odor on term infant: A randomized controlled trial. Breastfeed Med. 2020;15(11):724-730. DOI: 10.1089/bfm.2020.0116. (Turkish)
  • Ozdemir FK, Tüfekci FG. The effect of using musical mobiles on reducing pain in infants during vaccination. J Res Med Sci. 2012;17(7):662–667. (Turkish)
  • Güngör T, Oztürk Sahin O. Analysis of two non-pharmacological pain management methods for vaccine injection pain in infants: A randomized controlled trial. Pain. 2021;33.1:15-22. DOI: 10.14744/agri.2020.54289 (Turkish)
  • Merkel S, Lewis TV, Malviya S. Pain assessment in infants and young children: The FLACC scale. Am J Nurs. 2002;102(10): 55-58.
  • Şenaylı Y, Özkan F, Şenaylı S, Bıçakçı Ü. Çocuklarda postoperatif ağrının FLACC (YBAAT) ağrı skalasıyla değerlendirilmesi Türkiye Klinikleri Anesteziyoloji Reanimasyon Dergisi. 2006;4 (1): 1-4. (Turkish)
  • Pallant J. SPSS kullanma kılavuzu Balcı S. Ahi B (Çeviren). 2. Baskı. Ankara: Anı Yayıncılık; 2017. (Turkish)
  • Erdoğan S, Nahcivan N, Esin MN. Hemşirelikte araştırma: Süreç, uygulama ve kritik. 2. baskı. Ankara: Nobel Tıp Kitabevi;2015. (Turkish)
  • Jain S, Kumar P, McMillanDD. Prior leg massage decreases pain responses to heel stick in preterm babies. J Paediatr Child Health. 2006;42(9):505–508. DOI: 10.1111/j.1440-1754.2006.00912.x
  • Ozkan TK, Küçükkelepçe DŞ, Özkan SA. The effects of acupressure and foot massage on pain during heel lancing in neonates: A randomized controlled trial. Complement Ther Med. 2019;46,103-108. (Turkish) DOI: 10.1016/j.ctim.2019.08.004
  • Esfahani MS, Sheykhi S, Abdeyazdan Z, Jodakee M, Boroumandfar K. A comparative study on vaccination pain in the methods of massage therapy and mothers’ breast feeding during injection of infants referring to Navabsafavi Health Care Center in Isfahan. Iran J Nurs Midwifery Res. 2013;18(6):494–498.
  • Caglar S, Büyükyilmaz F, Coşansu G, Çağlayan S. Effectiveness of ShotBlocker for immunization pain in full-term neonates: A randomized controlled trial. J Perinat Neonatal Nurs. 2017;31(2), 166-171. DOI: 10.1097/JPN.0000000000000256. (Turkish)
  • Susilawati S, Arhana BNP, Subanada IB. Effectiveness of painaway on hepatitis B intramuscular injection in term neonates: A randomized controlled trial. Paediatrica Indonesiana 2010;50(4): 214-219. DOI:10.14238/pi50.4.2010.214-9
  • Hogan ME, Probst J, Wong K, Riddell Rp, Katz J, Taddio A. A randomized-controlled trial of parent-led tactile stimulation to reduce pain during infant immunization injections. Clin J Pain. 2014;30(3):259–265. DOI: 10.1097/AJP.0b013e318296079e.
  • Erkul M, Efe E. Reducing pain during vaccination in infants breast-feeding method are used. J Anatolia Nurs Health Sci. 2015;31;18(4):298-303 (Turkish)
  • Göl İ, Altuğ Özsoy S. Effects of rapid vaccine ınjection without aspiration and applying manual pressure before vaccination on pain and crying time in ınfants. Worldviews Evid Based Nurs. 2017;14(2):154–162. DOI: 10.1111/wvn.12206. (Turkish)
  • Ipp M, Taddio A, Sam J. Gladbach M, Parkin PC. Vaccine-related pain: Randomised controlled trial of two injection techniques. Arch Dis Child. 2007;92(12):1105–1108. DOI: 10.1136/adc.2007.118695.
Toplam 33 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Çocuk Sağlığı ve Hastalıkları Hemşireliği
Bölüm Articles
Yazarlar

Betül Akkoç 0000-0002-5229-3103

Tülay Ayyıldız 0000-0002-8924-5957

Erken Görünüm Tarihi 11 Eylül 2023
Yayımlanma Tarihi 29 Aralık 2023
Gönderilme Tarihi 19 Ekim 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 13 Sayı: 4

Kaynak Göster

APA Akkoç, B., & Ayyıldız, T. (2023). The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study. Clinical and Experimental Health Sciences, 13(4), 802-807. https://doi.org/10.33808/clinexphealthsci.1191934
AMA Akkoç B, Ayyıldız T. The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study. Clinical and Experimental Health Sciences. Aralık 2023;13(4):802-807. doi:10.33808/clinexphealthsci.1191934
Chicago Akkoç, Betül, ve Tülay Ayyıldız. “The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study”. Clinical and Experimental Health Sciences 13, sy. 4 (Aralık 2023): 802-7. https://doi.org/10.33808/clinexphealthsci.1191934.
EndNote Akkoç B, Ayyıldız T (01 Aralık 2023) The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study. Clinical and Experimental Health Sciences 13 4 802–807.
IEEE B. Akkoç ve T. Ayyıldız, “The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study”, Clinical and Experimental Health Sciences, c. 13, sy. 4, ss. 802–807, 2023, doi: 10.33808/clinexphealthsci.1191934.
ISNAD Akkoç, Betül - Ayyıldız, Tülay. “The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study”. Clinical and Experimental Health Sciences 13/4 (Aralık 2023), 802-807. https://doi.org/10.33808/clinexphealthsci.1191934.
JAMA Akkoç B, Ayyıldız T. The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study. Clinical and Experimental Health Sciences. 2023;13:802–807.
MLA Akkoç, Betül ve Tülay Ayyıldız. “The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study”. Clinical and Experimental Health Sciences, c. 13, sy. 4, 2023, ss. 802-7, doi:10.33808/clinexphealthsci.1191934.
Vancouver Akkoç B, Ayyıldız T. The Effect of The Musical Snow Globe Used in Infancy Vaccination Applications on The Level of Pain: A Randomized Controlled Study. Clinical and Experimental Health Sciences. 2023;13(4):802-7.
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