Effect of a Non-pharmacological Intervention on Vaccine-related Pain: Randomized Clinical Trial.

Autor: da Cunha Lima EA; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil. Electronic address: elaine.aparecida@ufv.br., Toledo LV; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil., Correia MDL; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil., de Almeida Pereira D; Health Division, Federal University of Viçosa, Viçosa, Brazil., Caetano RO; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil., Faria TB; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil., de Castro Moura C; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil., Krempser P; Child Department and Public Health, Federal University of Juiz de Fora, Juiz de Fora, Brazil., Braga LM; Department of Medicine and Nursing. Federal University of Viçosa, Viçosa, Brazil.
Jazyk: angličtina
Zdroj: Pain management nursing : official journal of the American Society of Pain Management Nurses [Pain Manag Nurs] 2024 May 20. Date of Electronic Publication: 2024 May 20.
DOI: 10.1016/j.pmn.2024.04.013
Abstrakt: Background: Acute pain during vaccine administration is an expected event; however, some strategies, such as the use of high frequency vibration devices associated with cryotherapy, may minimize it.
Aim: Evaluate the effect of high frequency vibration associated with cryotherapy on the level of pain related to the administration of influenza vaccine by intramuscular route in adults.
Method: A randomized clinical trial was conducted with 350 adults who received the influenza vaccine. Participants allocated to the intervention group used a high-frequency vibration device associated with cryotherapy during vaccination, and those in the control group administered the vaccine according to the service routine.
Results: Mean self-reported pain after vaccination of participants who used the device was lower (1.5 ±1.7) when compared to those who did not use it (1.9 ±1.9) (p = .041). There was an association of higher levels of pain after vaccination with participants in the control group (p = .011), females (p = .042), with higher level of pain expected with vaccination (p < .001) and higher level of anxiety before (p < .001) and after vaccination (p = .001).
Conclusions: The use of high frequency vibration associated with cryotherapy has been shown to be a viable non-pharmacological intervention for the reduction of pain associated with influenza vaccination in adults.
Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.
(Copyright © 2024 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE