Brazilian Journal of Pain
https://brjp.org.br/article/doi/10.5935/2595-0118.20180051
Brazilian Journal of Pain
Review Article

Pain relief strategies during immunization

Estratégias para alivio da dor durante a imunização

Viviane Santos Fontes; Caíque Jordan Nunes Ribeiro; Rodrigo Assis Neves Dantas; Maria do Carmo de Oliveira Ribeiro

Downloads: 0
Views: 216

Abstract

BACKGROUND AND OBJECTIVES: Vaccine is the most common source of pain in childhood, which can lead to the non-acceptance of immunization. Given that, healthcare professionals must use strategies to manage pain in their practice. The objective of this study was to analyze the non-pharmacological therapies used in clinical trials to manage pain during children’s immunization.

CONTENTS: In this integrative review, we searched the LILACS, Medline, BDENF and Pubmed databases, using the keywords “Clinical trial,” “Pain management” and “Immunization,” with the Boolean operator AND. After searching and reading, eight articles were included in this review. The studies analyzed showed different techniques to manage pain, such as the use of movies, toys, facilitated position and parents’ training.

CONCLUSION: The interventions studied proved to be beneficial to manage pain, and they can be performed by a professional or by the parents themselves, supporting the professionals in implementing it in their clinical practice.

Keywords

Child, Clinical trial, Immunization, Pain management

Resumo

JUSTIFICATIVA E OBJETIVOS: A vacina é o método mais comum de causa de dor na infância, podendo levar a não aceitação da imunização. Diante disso, os profissionais da saúde precisam usar estratégias para o manuseio da dor em sua prática. O objetivo deste estudo foi analisar as terapias não farmacológicas utilizadas em ensaios clínicos para o manuseio da dor durante a imunização de crianças.

CONTEÚDO: Nesta revisão integrativa, buscou-se artigos das bases de dados LILACS, Medline, BDENF e Pubmed, com o uso dos descritores “Ensaio clínico”, “Manejo da dor” e “Imunização”, com o operador booleano AND. Após busca e leitura, oito artigos foram incluídos nesta revisão. Os estudos analisados evidenciaram diferentes técnicas de manejo da dor como uso de filmes, brinquedos, posição facilitada e treinamento dos pais.

CONCLUSÃO: As intervenções analisadas, demonstraram-se benéficas para o manejo da dor, podendo ser conduzidas por um profissional ou pelos próprios pais, amparando, dessa forma, os profissionais para sua implementação na prática clínica.

Palavras-chave

Criança, Ensaio clínico, Imunização, Manuseio da dor

References

Taddio A, Chambers CT, Halperin SA, Ipp M, Lockett D, Rieder MJ. Inadequate pain management during routine childhood immunizations: the nerve of it. Clin Ther. 2009;31(^sSuppl 2):S152-67.

McMurtry CM, Riddell R Pillai, Taddio A, Racine N, Asmundson GJ, Noel M. Far from "just a poke: common painful needle procedures and the development of needle fear. Clin J Pain. 2015;31(10^sSuppl):S3-S11.

Merskey H, Bogduk N. Classification of Chronic Pain. IASP Pain Terminology. 1994.

Taddio A, Ipp M, Thivakaran S, Jamal A, Parikh C, Smart S. Survey of the prevalence of immunization non-compliance due to needle fears in children and adults. Vaccine. 2012;30(32):4807-12.

Taddio A, McMurtry CM, Shah V, Riddell RP, Chambers CT, Noel M. Reducing pain during vaccine injections: clinical practice guideline. CMAJ. 2015;187(13):975-82.

Ursi ES. Prevenção de lesões de pele no perioperatório: revisão integrativa da literatura. 2005.

Durieux N, Pasleau F, Howick J. The Oxford 2011 Levels of Evidence. Group. 2011;1:5653.

Taddio A, Shah V, Leung E, Wang J, Parikh C, Smart S. Knowledge translation of the HELPinKIDS clinical practice guideline for managing childhood vaccination pain: usability and knowledge uptake of educational materials directed to new parents. BMC Pediatr. 2013;13:23.

Cohen LL, Rodrigues NP, Lim CS, Bearden DJ, Welkom JS, Joffe NE. Automated parent-training for preschooler immunization pain relief: a randomized controlled trial. J Pediatr Psychol. 2015;40(5):526-34.

Cohen LL, Blount RL, Panopoulos G. Nurse coaching and cartoon distraction: an effective and practical intervention to reduce child, parent, and nurse distress during immunizations. J Pediatr Psychol. 1997;22(3):355-70.

Hillgrove-Stuart J, Riddell R Pillai, Horton R, Creenberg S. Toy-mediated distraction: clarifying the role of distraction agent and preneedle distress in toddlers. Pain Res Manag. 2013;18(4):197-202.

Kucukoglu S, Kurt S, Aytekin A. The effect of the facilitated tucking position in reducing vaccination-induced pain in newborns. Ital J Pediatr. 2015;41:61.


Submitted date:
03/01/2018

Accepted date:
07/24/2018

5f1f827b0e88251973dc677a brjp Articles

BrJP

Share this page
Page Sections